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Client#:58358 NCCHAP7 <br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE °07/11200114 <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 /> 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 lieu of such endorsement(s). <br /> PRODUCER CONrRT <br /> NAME: <br /> The CIMA Companies,Inc. CIM PHONE FAX <br /> ( ) A/c No Ext:703 739-9300 AIC No): 703 739-0761 <br /> 2750 Killarney Or,Suite 202 <br /> Woodbridge,VA 22192-4124 ADDRESS: <br /> 703 739-9300 CUSTOMER w e: <br /> INSURER(S)AFFORDING COVERAGE NAIC aK <br /> INSURED INSURER A:Alliance of Nonprofits for Ins 10023 <br /> Chapel Hill-Carrboro <br /> INSURER B: <br /> Meals on Wheels <br /> PO Box 2102 2 4SURM C <br /> Chapel Hill,NC 27514 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 /> SRI TR TYPE OF INSURANCE POLICY NUMBER MIND EFF POMIDp EXP LIMITS <br /> A GENERAL LIABILITY 201436882 7/0112014 0710112015 EACH OCCURRENCE $11000.000 <br /> DAMAGE TO RENTED <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $500,000 <br /> CLAiM&UADE a OCCUR MED EXP(Any one pemon) $20,000 <br /> PERSONAL 3 ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2,000,000 <br /> POLICY PRO- LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO <br /> BODILY INJURY(Per person) $ <br /> ALL OWNED AUTOS <br /> BODILY INJURY(Per accident) $ <br /> SCHEDULED AUTOS <br /> PROPERTY DAMAGE $ <br /> HIRED AUTOS (Per accident) <br /> NON-OWNED AUTOS $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR HCLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION S $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY Y i N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVEâť‘ A E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? Nl <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> N yes,desch under <br /> DESCRIPTI OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,I n we space Is required) <br /> Certtlficate holder is an additional insured but only with respect to the operations and activities of the <br /> named Insured. Certificate is subject to all policy conditions,exclusions,limits and terms. <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> dS .e. e-X&0 <br /> 01988-2009 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2009109) 1 Of 1 The ACORD name and logo are registered marks of ACORD <br /> #S318091/M318090 DHC <br />