2014-428 Finance - Marian Cheek Jackson Center for Saving and Making History - Outside Agency Performance Agreement $6,000

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MARICHE OP ID:DC CERTIFICATE OF LIABILITY INSURANCE DATE 111131013 11/13/2013 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(iss)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 Phone:919.682-4814 NMAMTEAcT Debbie Callahan The Sorg[Insurance Agency Fax:919-682-4906 PHONE .919-682-4814 No:919-682-4906 16 Consultant Place Suite 102 Durham,NC 27707 E-MAR. :debbi o i)nsurance.com James E.Sorg[,CIC INSURER(S) AFFORDING COVERAGE NAIC N INSURER A:Erie Insurance Exchange 26271 INSURED Marian Cheek Jackson Center INSURERS:Westchester Fire Insurance Co for Saving and Making History INSURER C: 512 West Rosemary St Chapel Hill,NC 27510 INSURERD: INSURER E: INSURER F COVERAGE$ CERTIFICATE NUMBER: 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 TYPE OF INSURANCE POLICY NUMBER POLICY Y EFF M POLICY EXP LIMITS GENERAL UABIUN EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X 0970503239 0811512013 0811512014 PREMISE Ea occurrence $ 1,000+0 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,A00, GENERAL AGGREGATE $ 2,000,0 GERL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00 POLICY PRO- LOG $ AUTOMOBILE LIABILITY COMBINED SINGL LIMIT 1�� Ea accident_.__ _._. A ANY AUTO X Q970503239 M1512013 0811512014 BODILY INJURY(Per Person) $ ALL OWNED SCHEDULED BODILY INJURY(Par accident) $ AUTOS AUTOS X HIRED AUTOS X AUTOS WNED PROPERTY DAMAGE $ $ UMBRELLA LIAO OCCUR EACH OCCURRENCE $ EXCESS LUU3 CLAIMS-MADE AGGREGATE $ DED R TENTION $ WORKERS COMPENSATION X WC STATU OTH- AND EMPLOYERS'LIABILITY " A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN NIA 0921501020 08/15/2013 08/15/2014 E.L.EACH ACCIDENT $ 500,00 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 500, If yyeess desoibe urWer DESCRIPTI N OF OPERAT IONS below E.L.DISEASE-POLICY LIMIT 1$ 500100 B Professional Liab. 627096566001 11/05/2013 11/06/2014 Prof Liab 11000100 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 141,AdMoW Remarks Schedule,n more apace Is ra*dred) Town of Chapel Hill and Orange County are named as additional insured in regard to General Liability and Auto 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 Risk Manager ACCORDANCE VWTH THE POLICY PROVISIONS. PO Box 8181 Hillsborough,NC 27275 AuTHORMED REPRESENTATIVE 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD