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2015-376-E Finance - Inter-Faith Council for Social Service - 2015-16 Outside Agency Performance Agreement $44,000
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2015-376-E Finance - Inter-Faith Council for Social Service - 2015-16 Outside Agency Performance Agreement $44,000
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6/2/2016 11:12:47 AM
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7/30/2015 8:32:15 AM
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BOCC
Date
7/29/2015
Meeting Type
Work Session
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Agreement
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R 2015-376-E Finance - Inter-Faith Council for Social Service - 2015-16 Outside Agency Performance Agreement
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2015
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DocuSign Envelope ID: F065BBBE-OEAD-4E4D-BCCB-A684D15DA968 <br /> INTER-4 OP ID: NY <br /> , ft of CERTIFICATE OF LIABILITY INSURANCE 07/09/2015Y) <br /> �"---�� 07/09/2015 <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 CONTACT <br /> Summers Thompson Lowry,Inc. NAME: Nancy B.Young,AAI, CISR <br /> 100 Europa Drive,Suite 51 A/ONNe Ext:919-969-5301 FAX No): 919-942-4221 <br /> Chapel Hill, NC 27517 EE-MAIL <br /> Larry A.Summers , s: nancy@stlinsure.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Association Insurance Company <br /> INSURED Inter-Faith Council for Social INSURER B:*Alliance for Non-Profits for <br /> Service Inc. INSURER C:Hartford Fire Ins. Co. 19682 <br /> 110 W. Main Street <br /> Carrboro, NC 27510 INSURER D:The Hanover Ins Co 22292 <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 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 SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INS <br /> LTR TYPE OF INSURANCE AN DD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS <br /> B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> F7V7 TO <br /> CLAIMS-MADE OCCUR X 201417838 07/01/2015 07/01/2016 P"MI DAMAGE ( RENTED Ea occurrenc $ �500 000 <br /> Pe <br /> MED EXP(Any one person) $ 20,000 <br /> X Professional1M/2 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> LOC 2,000,000 PRO <br /> POLICY F JECT <br /> OTHER: Emp Ben. $ INCLUDED <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident) $ 1,000,000 <br /> B X ANY AUTO 201417838 0710112015 07/01/2016 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY Per accident <br /> AUTOS AUTOS ( ) $ <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS per accident <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 <br /> B EXCESS LIAB CLAIMS-MADE X 201417838UMB 07/01/2015 07/01/2016 AGGREGATE $ 1,000,000 <br /> DID X I RETENTION$ 10000 $ <br /> WORKERS COMPENSATION X PER 0TH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WC522-000320-115 07101/2015 07/01/2016 E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? F N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> C Crime/ERISA 22BDDEQ5679 07/01/2015 07/01/2016 100,000 <br /> D D&O/EPLI LHR878510604 07/01/2015 07101/2016 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> It is understood and agreed that the certificate holder is included as <br /> additional insured as respects General Liability as required by written <br /> contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE2 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange County Government ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE <br /> EP <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />
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