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OP ID:DJ <br /> CERTIFICATE OF LIABILITY INSURANCE DATE` 12If <br /> 07/2 D1/1!Y1"' <br /> 4 <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 policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> Ow 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 lieu of such endorsement(s). <br /> PRODUCER 919-918 CO <br /> 1144 NAME,NTACT <br /> Hi h&Rublsh Insurance Agency g1g.913-1155 PHONE F No <br /> P.O.Box 3040 <br /> 6015 Farrington Rd.Ste 101 E-MAIL <br /> Chapel Hill,NC 27517 RIDMER <br /> High&Rubish CUSTOMER Its&HELPI.1 <br /> INSURE S)AFFORDING COVERAGE MAIC NI <br /> INSURED A Helping Hand INSURER A:The Travelers <br /> 1502 W Hwy 54 Ste 405 iNsunER B:Cincinnati Insurance Companies 10677 <br /> Durham,NC 27707 INSURER C.U.S.Liability Insurance Co. <br /> INSURER D: <br /> INSURER E: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 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 /> INS POLICY EFF POLICY LIMITS <br /> TYPE OF INSURANCE POLICY NUMBER MM/DR MID <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 r000r00 <br /> B X COMMERCIAL GENERAL LIABILITY HHC000588 03101/14 03/01/15 PREMISES Ea occcu ce $ 100,00 <br /> CLAIMS-MADE EK OCCUR MED EXP(Any one person) $ 10,00 <br /> HHC000588 03101113 03/01/14 PERSONAL&ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00 <br /> POLICY PRO• LOC $ <br /> AUTOMOBILE I ABILITY COMBINED SINGLE LIMIT $ 1,000,0 <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED AUTOS BODILY INJURY(Per accident) $ <br /> SCHEDULED AUTOS PROPERTY DAMAGE <br /> B X HIRED AUTOS HHCO00588 03/01114 03101/15 (Per accident) $ <br /> X NON-OWNED AUTOS HHC000588 03101113 03101/14 $ <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EKCESS LIAD CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION WC STATU• "TH- <br /> AND EMPLOYERS'LIABILITY RY <br /> YIN <br /> ANY PROPRtETOR1PARTNERtEXECUTIVE❑ MIA <br /> E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> C ID&O Liability rl— NDO1041T7H 09109!13 09109/14 1,000,00.0 <br /> DESCRIPTION OF OPENAnOMS t LOCATIONS t VEHICLES(Attach ACORD 101,AddWwW Remarks Sd:adt to R moot span nxPdrad} <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANG-3 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE Orange County Government ACCORDANCEIVOTH THE POLICY PROVISIONS WILL BE DELIVERED IN <br /> 200 South Cameron Street <br /> P.O.Box 8181 AUTHORIZED REPRESENTATIVE <br /> Hillsborough,NC 27278 <br /> 01988.2200099 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD <br />