Orange County NC Website
Aco CERTIFICATE OF LIABILITY IN F7/31/2014 DATE(MM/DD/YYY1� <br /> � INSURANCE <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 Co N M TACT Ellen Walker <br /> NA : <br /> Business Insurers of Carolinas PHONE (919)968-4611 AIC No: (919)969-9991 <br /> 800 Eastowne Drive, Suite 208 E-MAIL DRES ewalker @business-insurers.com <br /> AD <br /> PO BOX 2536 INSURERS AFFORDING COVERAGE NAIC It <br /> Chapel Hill NC 27515-2536 INSURER A.Eas tern Alliance Ins Grp 10724 <br /> INSURED INSURER B.-Union Insurance Company <br /> Freedom House Recovery Center, Inc INSURER C: <br /> 104 New Stateside Drive INSURER D: <br /> INSURER E <br /> Chapel Hill NC 27516 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:CL1451210563 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 /> INTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF POLIO EXP LIMITS <br /> B GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY CPA4278607 /1/2014 /1/2015 DAMAGE TO REN ED <br /> PREMI E Ea occurrence $ 1,000,000 <br /> CLAIMS-MADE 7 OCCUR X MED EXP(Any one person) $ 20,000 <br /> X Professional Liability PERSONAL BADVINJURY $ 1,000,000 <br /> X Sexual or Physical Abuse GENERAL AGGREGATE $ 3,000,000 <br /> GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 3,000,000 <br /> X I POLICY PRO LOC $ <br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident $ 1,000,000 <br /> X ANY AUTO PA4278607 /1/2014 7/1/2015 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS X BODILY INJURY(Per accident) $ <br /> NON-OWNED PROPERTY DAMAGE <br /> X HIRED AUTOS X AUTOS Per accident $ <br /> I <br /> B X UMBRELLA LIAB X OCCUR CPA4278607 /1/2014 /1/2015 EACH OCCURRENCE $ 1,000,000 <br /> EXCESS LIAB CLAIMS-MADE Excess of Liability & WC AGGREGATE $ 1,000,000 <br /> DED I I RETENTION$ $ <br /> A WORKERS COMPENSATION xcluded: Board Members WCSTATU- OTH- <br /> AND EMPLOYERS'LIABILITY - YIN X _LIB I ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 <br /> OFFICER/MEMSER EXCLUDED? N/A <br /> (Mandatory in NH) 01000004199904 /16/2014 /16/2015 E.L.DISEASE-EA EMPLOYEE $ 500,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 <br /> B Employee Dishonesty CPA4278607 /l/2014 /1/2015 $25,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) <br /> Orange County is also an additional insured with respect to General Liability and Automobile Liability, <br /> required by written contract. Forms attached. <br /> CERTIFICATE HOLDER CANCELLATION <br /> achambers@ orangecountync.g SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE / J <br /> Ellen Walker/ELLEN <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> INS025 igninns m Tho Ar r)Pn nmmn=net Innn Oro rcniatororl mortre of Ar-r)Pn <br />