Orange County NC Website
DocuSign Envelope ID:220566FB-947D-468C-B639-17D506BDD642 <br /> Client#:477421 04ARTSCEN <br /> ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br /> 1/20/2015 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to <br /> the 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 <br /> C40ATPOT <br /> BB&T Insurance Services,Inc. (Ale, 919281-4500 (AIC,NO! 8887468761 <br /> Post Office Box 13941 E-MAIL <br /> 'EXt): _W <br /> ADDRESS:_ <br /> Durham, 27709 INSURERS)AFFORDING COVERAGE NAIL# <br /> 919 281.45050 0 INSURER A:Alliance of Nonprofits Ins RRG 10023 <br /> INSURED The Arts Center INSURER B:Travelers Casualty&Surety Co 31194 <br /> 300-G East Main St INSURER C: <br /> Carrboro,NC 27510 INSURER D; LL <br /> INSURER E; <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INS R ADDLSUBS POLICY EFF POLICY EXP - <br /> LTR TYPE OF INSURANCE INe POLICY NUMBER MMIQVIYYYY�. MMIDDIYYYY LIMITS <br /> • GENERAL LIABILITY 201417017 7/0112014 07/01/201E EACHHqOCTCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY prMISSS IEaETU r°�.el $500,000 <br /> CLAIMS-MADE AI OCCUR MEDEX!_�Anyoneperson) $20000 <br /> PERSONAL&ADV INJURY 31,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'LAGGREGATELIMITAPPUESPER: PRODUCTS-COMPIOPAGG $2,000000 <br /> POLICY i ut CT n LOC $ <br /> • AUTOMOBILE LIABILITY 201417017 7/01/2014 07/011201 COMBINED BISINGLELIMtT $1,000,000 <br /> 1_X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY Perecddeni $AUTOS AUTOS ( )HIRED AUTOS X NON-OWNED PROPERTYDAMAGE <br /> AUTOS _Pareccidanll _ $ _ <br /> _ _ $ <br /> • x UMBRELLA LIAO X OCCUR 201417017UMB 71 112014 0710112015 EACH OCCURRENCE $1000000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE _ $11,000,000 <br /> DED I x RETENTION 510000 <br /> WORKERS COMPENSATION - WC STATU- I IOTH- <br /> AND EMPLOYERS'LIABILITY YIN LlM)IS-L- F <br /> ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? � NIA <br /> (Mandatory in NH) E,L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L,DISEASE-POLICY LIMIT $ <br /> B Directors& 105643661 7/0112014 07101/2016 1,000,000 <br /> Officers <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> The Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Human Services Dept ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE <br /> 1f <br /> ©1 88-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S13584817/M12559942 LRN <br />