2014-542-E AMS - Rogers-Eubanks Neighborhood Association for Operating Agreement governing the Rogers Road Community Center $0

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DocuSign Envelope ID: B9D52B85-D53D-4472-93C3-6DD335D5EDC7 A4C RO" CERTIFICATE OF LIABILITY INSURANCE DATE(MPNDDNYYY) L._.-�. 8/29/2014 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 6ETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the poilcy(les) must be endorsed. If SUBRQGATION 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 NAME: Seagroves Insurance Agency PHONE MC,X ac o. XIp 919-942-8733 _ No 1 919-967-0411 1506 E Franklin St Ste 100 E•h1AIL ADDRESS: Chapel Hill,NC 27514 INSURERS)AFFORDING COVERAGE NAIC d INSURER A:Scottsdale Insurance Compnay INSURED INSURER a:Travelers Property Casualty CO of America_ Rogers-Eubanks Neighborhood Association INSURER C: PO Box 16903 INSURER D: J^ Chapel Hill,NC 27516 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 _ ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR VIVO POLICY NUMBER UHDDrYYYY)_(MWDQr(YYYJ LIMITS A GENERAL LIABILITY EACH OCCURRENCE $11000,000 _ COMMERCIALGENEMI.IABILITY CPS 2056237 9/11/2014 9/11/2015 EIISESUaoccurece $100,000 CLAIASS l.1AOE OCCUR MED EXP(Anyone person) $6,000 PERSONALBADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PM PRODUCTS-COMP/OPAGG s2,000,000 POLICY PRO LOC $ AUTOhIOBILE LIABILITY COPABINED SINGLE LIMIT Ea a e 1 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAh1AGE $ HIREDAUTOS AUTOS Petacddenl S UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-P.IADE AGGREGATE $ DED RETENTI ON$ $ WORKERS COMPENSATION ViC S ATU- OTH- AND EMPLOYERS'LIABILITY B ANYPRO RIETOREXRTNEIV'1XECUTIVE� NIA 2E419066 9/11/2014 9/11/2015 E.L.EACH ACCIDENT $100000 (hlandatory inNH) E.L.DISEASE.EA EMPLOYEE$100,000 If yes descnbe under DESCRIPTION OF OPERATIONS bear E.L.DISEASE-POLICY LIMIT $500000 A Errors and Omissions CPS2066237 9/11/2014 9/11/2015 Each Occurrence$1,000,000 General Aggregate 2 000 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Orange County Government listed as additional insured CG2010 CERTIFICATE HOLDER CANCELLATION Orange County Government PO BOX 8181 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ' Hillsborough, NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS, I AUTHORIZED REPRESENTATIVE I ©1988.2010 ACOKD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD