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DocuSign Envelope ID:5F2A6749-5668-4688-B470-4D344E4C961 F <br /> U ® DATE(MMIDDfYYYY) <br /> A <br /> CC CERTIFICATE OF LIABILITY INSURANCE 0610212015 <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 Louise Churchill <br /> Herring&Bickers Insurance Agency AID,N Ext: Arc No l, (919)479-1868 <br /> 2344 Operations Drive ADDRESS: <br /> Suite 101 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Durham NO 27705 INSURERA: Hartford DD914 <br /> INSURED INSURER B: <br /> Chapel Hill Institute of Cultural&Language INSURER C: <br /> 101 East Weaver Street INSURER D <br /> INSURER E: <br /> Carrboro NO 27510 1 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 /> INSR <br /> LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMil)DNYYY MMIDDIIYYYY LIMITS <br /> X1 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br /> DAMAGE TO RENTED <br /> CLAIMSMADE X OCCUR PREMISES Ea occurrence $ 1000000 <br /> MEO EXP(Any one person) S 5000 <br /> A N N 22SBAUL5464 01/01/2015 01/01/2016 PERSONAL&ADV INJ URY $ 1000000 <br /> GEN'L AGGRFGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2000000 <br /> X POLICY�JECT � LOG PRODUCTS COMPIOPAGG s 2000000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1000000 <br /> Ea accadent <br /> ANY AUTO BODILY I NJURY(Per person) $ <br /> A ALL OWNED SCHEDULED N N 22SBAUL5464 01/01/2015 01/01/2016 BODILY INJURY(Peraccident) $ <br /> AUTOS AUTOS <br /> �/ <br /> X NON OWNED PROPERTY DAMAGE S <br /> X HIREDAUTOS 1� AUTOS Per accident <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE S <br /> EXCESS LIAB CLAIMS MADE AGGREGATE $ <br /> DIED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH <br /> AND EMPLOYERS'LIABILITY Y f N STATUTE ER <br /> ANY PROPRIETORIPARTNEWEXECUTIVE E .EACH ACCIDENT $ 500000 <br /> PAA OrFICER)MEMBEREXCLUCED? Y❑ NIA N 22WBCCS1989 01131/2015 01/01/2016 <br /> (Mandatory in NH) EL DISEASE EA EMPLOYEE $ 500000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE POIJCY UM€T $ 600000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101 Additional Remarks Schedule.maybe attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> P O Box 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Hillsborough NO 27278 <br /> Fax:9196443001 Email: O 1988 2014 ACORD CORPORATION„ All rights reserved.. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />