2014-454 Finance - The Exchange Club's Family Center in Alamance - Outside Agency Performance Agreement $2,000

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, lk CERTIFICATE OF LIABILITY INSURANCE D IDDIYYYY) � 7//28/28/2014 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(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 CONTA NAME:CT Gail Anderson The Phoenix Company, LLC PHONE No_Fxfl. (336)765-9332 FAX (336)765-7141 INC.Nolm P.O. Box 26396 =LESS:ga:Lla@ thephoen:Lxcompany.com. INSURERS AFFORDING COVERAGE NAIC# Winston-Salem NC 27114-6396 INSURERA:Continental Western Ins. Co. 10804 INSURED INSURERB:Carolina Mutual Insurance 14090 Exchange Club Center for the Prevention of INSURERC: Child Abuse of North Carolina INSURER D: 500 West Northwest Boulevard INSURER E: Winston-Salem NC 27105 INSURER F: COVERAGES CERTIFICATE NUMBER:CL145222090 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM D MM D LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE X COMMERCIAL GENERAL LIABILITY PR MI ET ERENTEDn $ 1,000,000 A CLAIMS-MADE FxI OCCUR X CPA423252143 /12/2014 /12/2015 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 X 1 POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SIN LE LIMIT Ea accident) 1,000,000 A IR AN Y AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED PA423252143 /12/2014 /12/2015 BODILYINJURY(Peraccident) $AUTOS H AUTOS AUTOS X NON-OWNED PPReOaER a DAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ B WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY IMIT ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? N❑ NIA (Mandatory In NH) C177342014 /27/2014 /27/2015 E.L.DISEASE-E4 EMPLOYE $ 100 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 A Professional Liability CPA423252143 /12/2014 /12/2015 $1,000,000 Each Incident $3,000,000 Ag A SexAbuse/Molestation Liao cPA423252143 /12/2014 /12/2015 $100,000 Each Incident $300,000 Aggr DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Orange County NC is an additional insured as respects to general liability when required by written contract. CERTIFICATE HOLDER CANCELLATION achambers @ orangecountync.g SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County, NC ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Allison Chambers 200 S. Cameron Street AUTHORIZED REPRESENTATIVE PO BOX 8181 Hillsborough, NC 27278 Gail Anderson/GANDER ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSD25 r5-ninnsi ni Tha ArnRrl names anri Inn^nra raniafararl mar)ra of Areipn