2014-453 Finance - Orange County Rape Crisis Center - Outside Agency Performance Agreement $30,000

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OP ID:DJ CERTIFICATE OF LIABILITY INSURANCE DATE(M 07/228/18/1YYY) 4 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 919-913-1144 NAME:CT Higgh&Rubish Insurance Agency P.O Box 3040 919-913-1155 ac°N o Ext: ac No 6015 Farrington Rd.Ste 101 E-MAIL Chapel Hill,NC 27517 ADDRESS: Hi h&Rubish PRODE ORANG-2 9 CU TOMUCR ER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED Orange Cty Rape Crisis Center INSURER A:Philadelphia Insurance Co 1506 E.Franklin St,Ste 302 INSURER 13:Hartford Insurance Company Chapel Hill,NC 27514 INSURER C: INSURER 0: 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 POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X PHPK1080626 10/10113 10110114 PREMISES Ea occurrence $ 100,00 CLAIMS-MADE FX_1 OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 X prof liab-$2 mill GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,00 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE A X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS PHPK1080626 10110/13 10110114 $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION STATU- TH- AND EMPLOYERS'LIABILITY YIN T WC Y LIMITS X FER B ANY PROPRIETOR/PARTNER/EXECUTIVE 22WBCNY9475 04/24/14 04/24/15 E.L.EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,00 If Yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 A Directors&Office PHSD841805 06130114 06130/15 D&O 1,000,00 B Dishonesty Bond 22BPEEA2664 06/03114 06103115 Bond 300,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLE (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Additional Insured: Orangge County (Professional Liability limits are $1,000,000 occurrence/$2,000,00(1 aggregate) CERTIFICATE HOLDER CANCELLATION ORANG-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ORANGE COUNTY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Manager ACCORDANCE WITH THE POLICY PROVISIONS. P O Box 8181 AUTHORIZED REPRESENTATIVE (� HILLSBOROUGH,NC 27278 CJ ©U1998-8-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD