2014-404 Finance - Habitat for Humanity, Orange County, NC - Outside Agency Performance Agreement $20,000

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t ' Ak R°® CERTIFICATE OF LIABILITY INSURANCE 4/10/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER N.M ACT Lisa Crowe Summit Insurance PHONE (704)659-2142 FAX N :(704)659-2148 108 North Statesville Rd pal .lcrowe @sumins.cam PO BOX 24$5 INSURERS AFFORDING COVERAGE NAIC N Huntersville NC 28078 INSURERA:Builders Mutual Insurance INSURED INSURERS: Habitat For Humanity Of Orange County, Nc, INSURER C: 88 Vilcom Center Dr. Ste L110 INSURER D: INSURER E: Chapel Hill NC 27514 INSURER F COVERAGES CERTIFICATE NUMBERCL144901383 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVO POLICY NUMBER MMlODIYYYY MMID LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISE Ea o e_n e $ �1,000,000 A CLAIMS-MADE a OCCUR CFPO058155 /1/2019 /1/2015 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 7X POLICY PRO LOC $ AUTOMOBILE LIABILITY Oa BINED SINGLE LIMi E 1,000,000 A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED PCA0009233 /1/2014 /1/2015 BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS AUTOS NON-OWNED PROPERTY DAMAGE AUTOS $ Per acci nt X UMBRELLA LIAB Medical a ments $ 5 000 OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS tL46 CLAIMS-MADE AGGREGATE $ DED RETENTION$ 0025059 /1/2014 /1/2015 $ A WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTNE YIN OFFICERIMEMBER EXCLUDED? ❑ NIA E.L.EACH ACCIDENT $ 11000,000 (Mandatory In NH) WCP1024619 /1/2014 /1/2015 E.L.DISEASE-EA EMPLOYE E,,$ 1,000,000 If yes,d eser DESCRIPTION cribe und OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) Orange County is listed as additional insured on general liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County ACCORDANCE WITH THE POLICY PROVISIONS. 200 S Cameron Street PC Box 8181 AUTHORIZED REPRESENTATIVE Hillsborough, NC 27278 Lisa Crowe/LCROWE , ,,, t a ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025r?mnnsim Tha IlCARfl narna nri Innn ora ranicfarari marlrc of dCr1Rr1