2015-460-E Finance - Orange County Partnership for Young Children - 2015-16 Outside Agency Performance Agreement $2,000

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DocuSign Envelope ID:09E509E0-2935-4191-9CFC-035704728105 ORANG-7 OP ID: MR CERTIFICATE OF LIABILITY INSURANCE DATE 08/17120YYY} osr17r2o15 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 BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(los)must be endorsed. If SUBROGATION 1S 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 NAME CT Margo G.Roberts,AAI,CISR Summers Thompson Lour ,Inc. PHONE FAx 100 Europa Drive,Suite 571 Alc No E.11:919-969-5300 AfC,No):919-942-4221 Chapel Hill,NC 27517 E-MAIL Larry A.Summers s:mango @stlinsure.com INSURER($)AFFORDING COVERAGE NAIC A INsuRERA:WNance for Non-Profits for INSURED Orange County Partnership for INSURER B:Hartford Casualty Ins.Co. 29424 Young Children INSURER C: 120 Providence Rd Ste 101 Chapel Hill, NC 27514 INSURER D: 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 TYPE OF INSURANCE DD P3R POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER 61MIDWYYYY MFNDDNYYY GENERAL LIABILITY FACHOCCURRENCE $ 1,000,00 • X COMMERCIAL GENERAL LIABILITY 201536915 08/1012075 0811012016 PREMISES(Ea Eaaoccurrence $ 500,00 CLAIMS-MADE XX OCCUR PAED EXP(Any one person) $ 20,000 • X Professional Liab 201536915 0811012015 08/1012016 PERSONAL&ADV INJURY $ 1,D00,00 • X Liquor Liab 01536915 08/1012015 08/1012016 GENERAL AGGREGATE $ 3,000,00 GEN'LAGGREGATE LII.IITAPPUES PER PRODUCTS-COMRAOPAGG $ 3,000,00 POLICY PRO- Loc ProflLiqu $ 1,000,00 AUTOMOBILE LIABILITY COP.tBiNED SINGLE LIMIT 1,000,000 �Ea acddent $ A ANY AUTO 201536915 0811012015 08/1012016 BODILY IWURY(Petpersm) S ALL OWNED SCHEDULED AUTOS AUTOS BOpILY INJURY(Per accident) $ X HIRED AUTOS X NON OWNED PROPERTY DAAUIGE $ AUTOS PFRACCIOFNT S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 A EXCESS LIAB CLAIMS-MADE 201536915UMB 08110/2015 08/1012016 AGGREGATE $ 1,000,00 DED I X I RETENT(ON$ 10000 $ WORKERS COMPENSATION X I WC STATU• I OTH- AND EMPLOYERS'LIABILITY TORY LIPAIT ER _ B ANY PROPRIETORIPARTNRIEXECUTIVEYIN E 22WECIT8297 10101/2014 10101/2015 E.L.EACH ACCIDENT $ 500,00 OFFICERR.IEAEBEREXCLUDED? El NIA (Mandatory In NH) E1.DISEASE-EAFA{pLpYF $ 500,000 If yes,descnbe under DESCRiPTIONOF OPERATIONS beknv E.L.DISEASE-POLICY LIMIT $ 500,00 A DE,OIEPLI 1393369 08110/2015 08110/2016 Per Claim 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD t01,Additional Remarks Schedule,if more space Is required) For Information Purposes CERTIFICATE HOLDER CANCELLATION ORANGE1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County ACCORDANCE WITH THE POLICY PROVISIONS. 200 S.Cameron St Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE Q ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD