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Rightfax C3-2 9/24/2014 9: 18:39 AM PAGE 2/002 Fax Server <br /> I <br /> aC,O-R°® CERTIFICATE OF LIABILITY INSURANCE 09/24/2014 YV) <br /> 09/24/2014 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS j <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S).AUTHORIZED REPRESENTATIVE <br /> OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION is WAIVED, <br /> subject to the <br /> 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 CONTACT <br /> INSURANCE SOLUTIONS INC ac,No Ext:(888 661-3838 (ac No: (esa aTa�sa1 <br /> 1428 A AVERSBORO ROAD servlce. ravelera.00m <br /> GARNER,NC 27529 cent <br /> (888)661-3938 PRODUCER 1555EA078 CUSTOMF <br /> _Ft XV231 700 INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A:THETRAVELERS INDEMNITY COMPANY OF CONNECTICUT <br /> CHAPEL HILL INSTITUTE OF CULTURAL INSURER 8: <br /> AND LANGUAGE EDUCATION,LLC INSURER C: <br /> 101 EAST WEAVER STREET INSURER D: <br /> 3RD FLOOR SUITE G-1 INSURER E: <br /> CARRBORO,NC 27510 <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 407201412101762 REVISION NUMBER: t <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 SUBJECTTO ALL THE TERMS,EXCLUSIONS <br /> AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> NSR ADDL SUBR POLICY EFF POLICY EXP <br /> TR TYPE OF INSURANCE INSp WVD POLICY NUMBER MM/DD/YY M /DD/ LIMITS <br /> GENERAL LIABIITY 660-817X1471-14 01/01/2014 01/01/2015 EA HOCCURRENCE <br /> A �C� $,i,,00,o00 <br /> )( COMMERCIAL GENERAL LIABILITY -DAM GAR E <br /> CLAIMS-MADE Purl OCCUR PREMISES Ea occurrancel $100,000 <br /> MED EXP(Any one arson $5,000 <br /> PERSONAL B ADV INJURY $1,000,000 <br /> GENERAL GREGA $2,000,000 <br /> GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY PROJECT- LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANYAUTO BODILY INJURY(Parperson) $ <br /> ALL OWNED AUTOS <br /> BODILY INJURY(Per accident) $ <br /> SCHEDULED AUTOS <br /> HIRED AUTOS (Per acciddeenDAMAGE $ <br /> NON-OWNED AUTOS $ <br /> $ <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE - $ <br /> RETENTION <br /> A WORKERS COMPENSATION NIA UB-9113A412-14 01/01/2014 01/01/2015 X I WCSTATIU- OTH <br /> AND EMPLOYERS'LIABILITY Y/N LIM TER <br /> ANY PROPRIETOR/PARTNERrEXECUTIVE❑ E.L.EACH ACCIDENT $600,000 <br /> OFFICERMIEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 <br /> If yea,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT IS 500,000 <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,It more apace Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE COUNTY GOVERNMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE <br /> PO BOX 8181 EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE <br /> HILLSBORO,NC 27278 WITH THE RPOLICYPROVISION'.S/��,�`"��i.L�j� <br /> AUTHOREO REPRESENTATIVE 4� / ✓ • � <br /> 01988-2009 ACORD CORPORATION,All rights reserved. <br /> ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD <br />