Orange County NC Website
AL°R°® CERTIFICATE OF LIABILITY INSURANCE 5�7/2014"�' <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pol(cy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in Ileu of such endorsement(s). <br /> PRODUCER E" T Michelle Corcoran <br /> Insurance professionals, Inc. PHONE (919)467-5555 1 FAX. (919)467-7764 <br /> 919 Kildaire Farm Road .MA .mcorcoranQinspronc.com <br /> Suite 2 INSURE R($)AFFORDING COVERAGE NAICN <br /> Cary NC 27511 INSURERAAlliane Of Nonprofits For Ins <br /> INSURED INSURERS:First Benefits Insurance Mutual <br /> Inter-Faith Food Shuttle Inc. INSURERCNorth American Elite Ins. Co. <br /> Po BOX 14638 INSURER D: <br /> INSURER E: <br /> 'Raleigh NC 27620 INSU ERF: <br /> COVERAGES CERTIFICATE NUMBER:2014 Liability Master REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR <br /> L TYPEOFINSURANCE S POLICY NUMBER XWOM IMP0hVLDSyM6%P <br /> LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PR f E S(E000currancel $ 500,000 <br /> A CLAWS-MADE XX OCCUR 201330334 /15/2014 /15/2015 MEDEXP ono rson) $ 20,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEKLAGGREGATELIIAITAPPUESPER: PRODUCTS-COMPIOPAGG $ 2,000,000 <br /> X POLICY PRO- LOC S <br /> AUTOMOBILE LIABILITY COI.IBINIED ten) tiuT 11000,000 <br /> A X ANY AUTO <br /> BODILY INJURY(Per person) S <br /> ALLOANEU SCHEDULED 01330334 /15/2014 /15/2015 BODILY INJURY(Per aeddent) $AU A�� <br /> HIRED NON-OANED S AUTOS <br /> $ <br /> X UMBRELLA LIAB HCLAI)AS4.tADE OCCUR EACH OCCURRENCE S 3,000,000 <br /> A EXCESSLULB AGGREGATE S 3,000,000 <br /> DED I X I RETENTIONJ 10,000 1 P01330334UMS /15/2014 /15/2015 $ <br /> B WORKERS COMPENSATION X K STATU- OT <br /> AND EMPLOYERS'LIABILITY Y1 N <br /> ANY PROPMETORIPARRI£RIEXECUTIVE £.L EACH ACCIDENT $ 500,000 <br /> OFFICERIAEI,!BER EXCLUDED? a NIA <br /> (Mandatary In NH) 1265552013 /1/2013 /1/2014 E.LDISEASE-EAEMPLOYE $ 500,000 <br /> If YYMbe under <br /> DlON OF OPERATIONS below E.L.DISEASE.POLICY LIMIT S 500,000 <br /> C Employee Dishonesty CnOO102050230334 115/2014 /15/2015 Unit 50,0000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) <br /> Operations usual to food recovery. <br /> CERTIFICATE HOLDER CANCELLATION <br /> sally@foodshuttle.org 9HOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange County Government ACCORDANCE WITH THE POLICY PROVISIONS. <br /> County Managers Office <br /> 200 South Cameron AUTHORIZED REPRESENTATIVE <br /> Hillsborough, KC 27278 <br /> Michelle Corcoran/MC <br /> ACORD 26(20101`06) Q 1986-2010 ACORD CORPORATION. All rights reserved. <br /> INR{12S r�nimstnr Th.Ar'ni2n Ar non <br />