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DocuSign Envelope ID: D830FDE7-7735-4C4D-946F-99B358D08638 <br /> ARTSC-1 OP ID: MR <br /> ACORO� TE(MM/DDIYYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE DA12/23/2015 <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 NAME: Margo G. Roberts,AAI,CISR <br /> Summers Thompson Lowry,Inc. PHONE 919-969-5300 FAAic No;919-942-4221 <br /> 100 Europa Drive,Suite 571 A/c No Ext <br /> Chapel Hill,INC 27517 E-MAIL o stilnsure.com <br /> C.Duke Thompson CPCU ARM ADDRESS:mar g <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Great American Ins Co of NY <br /> INSURED The Arts Center Inc. INSURER B:Great American Alliance Ins Co <br /> 300 G East Main Street <br /> Carrboro,NC 27510 INSURERC: <br /> INSURER D: <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 /> INSR TYPE OF INSURANCE DDL UBR POLICY NUMBER MM/DDY/YEYYY POLICY <br /> MIDD/ YYYY LIMITS <br /> LTR <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br /> A X COMMERCIAL GENERAL LIABILITY PAC4296967 07/0112015 07/01/2016 PREMISES(Ea occurrence) $ 100,00 <br /> CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,00 <br /> PERSONAL&ADV INJURY $ 1,000,00 <br /> GENERALAGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,00 <br /> POLICY JECT LOC Emp Ben. $ 1,000,00 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea acc(dent $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS NON-OWNED PROPERTY DAMAGE $ <br /> HIREDAUTOS AUTOS PER ACCIDENT <br /> $ <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 <br /> B EXCESS LIAB CLAIMS-MADE UMB4296968 07/01/2015 07101/2016 AGGREGATE $ <br /> DED I X I RETENTION$ 10000 $ <br /> WORKERS COMPENSATION I WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE❑ NIA E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E,L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> For Information Purposes <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 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Human Services Dept. <br /> PO Box 8181 AUTHORIZED REPRESENTATIVE <br /> Hillsborough,INC 27278 <br /> L ©1988-20110 ACORD CORPORATION. All rights reserved. <br /> ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD <br />