Orange County NC Website
DocuSign Envelope ID:A7C6F33D-94AA-4E9D-9C4B-56A24EB7D30D <br /> WOMEN-5 OP ID: NY <br /> CERTIFICATE OF LIABILITY INSURANCE DA7/1412015 <br /> 07�14I2015 <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. PHONE Margo Roberts FAX <br /> 100 Europa Drive,Suite 571 CIDJC,No Ext.919-969-5300 (Are,No): 919-942-4221 <br /> Chapel Hill; NC 27517 E-MAL <br /> Larry A.Summers DREss:margo stlinsure.com <br /> INSURER(S)..AFFORDING COVERAGE NAIL# <br /> INSURER A:*Alliance for Non-Profits for <br /> INSURED The Women's Center dbal INSURER B:Standard Fire Insurance Co. 19070 <br /> The Compass Center for Women <br /> and Families INSURER C: <br /> PO Box 1.057 INSURER D: <br /> Chapel Hill, NC 27514 wsURERE: <br /> INSURERF: <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 /> ILTR TYPE OF INSURANCE INSD VWD POLICY NUMBER MMIDD Y MM OD EXR LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br /> OCCUR X 201517883 07/01/2015 07101/2016 DAMAGE S(RENTED 500 000 <br /> CLAIMS-MADE OCCUR - PREMISES(Ea occurrence) $ y <br /> MEDEXP-(Any<one person) $ 20,000 <br /> PERSONAL&ADV INJURY. '$ 1.,000,00 <br /> GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000;00 <br /> X POLICY D PRCT F7]LOC PRODUCTS-COMP/OP AGG $ 2,000,00 <br /> OTHER JEmp Ben. $ 1,000,00 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE-LIMIT <br /> (Ea accident. $ 1,000,00 <br /> A AlvvAtrro 201517883 07/01/2015 07/0112016 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS. BODILY INJURY(Per accident) $ <br /> NON OWNED PROPERTY DAMAGE <br /> X HIRED AUTOS X AUTOS '.(Per.accident) - $ '.. <br /> X UMBRELLA LIAB X (OCCUR EACH OCCURRENCE $ 1,000,00 <br /> A EXCESS LIAR CLAIMS-MADE 17883UMB 07/01/2015 07/0112016 AGGREGATE $ 1,000;00' <br /> DED I X I RETENTION $. 10000 $ <br /> WORKERS COMPENSATION PER PER <br /> LIABILITY X STATUTE ER <br /> B ANY PROPRIETORrPARTNERIEXECUTIVE Y� UBOG82533A 07/01/2015 07/0112016 E L.EACH ACCIDENT $ 1,000;00 <br /> OFFICERIMEMBER EXCLUDED? N r A <br /> (Mandatory in NH) <br /> If yes,descnbe under E.L.DISEASE-EA EMPLOYEE $ 1,000,00 <br /> ' <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE='POLICY LIMIT $ 1,000,00' <br /> DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Certificate Holder is included as additional insured With respects to <br /> General Liability as required by specific written contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE1 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED' IN <br /> Orange County, ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE <br /> R WM 4A <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101 ; The ACORD name and logo are registered marks of ACORD <br />