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DocuSign Envelope ID: 35ECC3D3-04DA-49E9-86D5-8572E88A8lA1 <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 /> Seagroves Insurance Agency PHONE No,ExE:919°942-9733 1 A/C.No):919=967-0411 <br /> 1506 E Franklin St Ste 100 a®Bess: <br /> Chapel Hill,NC 27614 INSURER(S)AFFORDING COVERAGE NAIL# <br /> INSURERA: Scottsdale Insurance Com na <br /> INSURED INsURERB:Travelers Property Casualty Co of America <br /> Rogers—Eubanks Neighborhood Association INSURER C: <br /> PO,Box 16903 ENSURER D <br /> Chapel Hill,NC 27616 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, T11E 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 /> POLICY EFF POLICY EXP <br /> 6LTR TYPE.OF INSURANCE AROLSU D POLICYNUMBER DIYYYY IDO LIMITS <br /> A GENERAL LIABILITY EACH OCCURRENCE $1,000 000 <br /> DAMAGE TO RENT D <br /> COMMERCIAL GENERAL LIABILITY CPS 2066237 11112014 .911112016 PREMISES tEa occurrencel $100.000 <br /> CLAIMS-MADE [7X OCCUR MEDEXP(Any one person) $6,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE s2,000,000 <br /> GEN'L:AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 000 000 <br /> POLICY PRO- LOC.- $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accidenD S <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> HIRED AUTOS NON-OWNED PeraccidenDAMAGE $ <br /> AUTOS <br /> $ <br /> UMBRELLA-:LIAR HOCCUR EACH OCCURRENCE $ <br /> EXCESS IJAE CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY - T I ER <br /> 13 ANY PROPRIETOR/PARTNEWEXECUTIVE YF--J NIA A 2E419066 911112014 9/11/2016 E L.EACH ACCIDENT $100 000 <br /> OFFICERWEMBER EXCLUDED? <br /> (Mandatory in NH) E.L DISEASE-.:EAEMPLO. $100000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below I I E-L.;DISEASE POLICY LIMIT $600,000 <br /> A Errors and Omissions CPS2066237 111/2014 9111121216 Each Occurrence$1,000,000 <br /> General Aggregate$2 00Q 000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(AttachA£ORD 101,Additional Remarks Schedule,if more space:is required) <br /> Orange County Government listed as additional insured CG2010 <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County Government <br /> PO Box 8181 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE. THEREOF, NOTICE WILL BE DELIVERED IN <br /> Hillsborough,NC 27275 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> 1988,2010 AC D CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />