2014-451 Finance - Chapel Hill Training Outreach Project, Inc./KidSCope - Outside Agency Performance Agreement $75,000

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Client#:929075 20CHAPEHIL3 DATE(MM/DD/YYYY) ACORD,,. CERTIFICATE OF LIABILITY INSURANCE 1 7/31/2014 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(les)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 CONTACT Barbra Abrahams BB&T Insurance Services,Inc. PHONE 919 281.1312 Past Office Box 13941 e�MCaa•Ext {Arc,No): 8887468761 ADDRESS: babrahams @bbandt.com Durham,NC 27709 INSURER(S)AFFORDING COVERAGE NAIL# 919 281-4500 INSURER A:Philadelphia Indemnity Insuranc 18058 INSURED INSURER B:Accident Fund Ins Co Of America 10166 Chapel Hill Training Outreach Proj Inc INSURER C 800 Eastowne Dr Ste 105 Chapel Hill,NC 27514 INSURER D INSURER E; INSURER F: COVERAGES 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 ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR D POLICY NUMBER MM/DD/YYYY MM/DD/YYYY • GENERAL LIABILITY PHPK1130866 2/05/2014 02/05/2015 EACH OCCURRENCE $1,000_,000 X COMMERCIAL GENERAL LIABILITY pq MA�E T RENTED PREMISES Ea occurrence $1,000,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) _$_20,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $3,000,000 POLICY JEC7 LOC $ • AUTOMOBILE LIABILITY PHPK1130866 2/05/2014 02/05/201 COMBINED SINGLE LIMIT Ea $1,000,000 accident , X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per accidert A X UMBRELLA LIAB X OCCUR PHUB449068 2/05/2014 02/05/2015 EACH OCCURRENCE $110001400 J�IECD XESS LIAB CLAIMS-MADE AGGREGATE $1 000 000 _ X RETENTION$10,000 $ B WORKERS COMPENSATION WCV6096247 2/1712013 12/17/201 X TORY LIMIT OERT AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y j N E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 A Prof Liability PHPK1130866 2/05/2014 02/051201 $1,000,000 Occurrence $3,000,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Certificate Holder is included as additional insured,per written contract,as their interest may appear. CERTIFICATE HOLDER CANCELLATION Orange Count Risk M SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g y Manager g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Post Office Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE 01 88-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S12763734/M11814268 BAA