2015-654-E Arts - The ArtsCenter Arts Grant

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DocuSign Envelope ID:2DC91 B42-0BEB-408E-9CE4-9D1485667114 ARTSC-1 OP ID: MR A R°" CERTIFICATE OF LIABILITY INSURANCE ` DATE(MMIDD1 I I 12123/2015 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 policyllesy must be endorsed. If SUBROGATION IS 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 Summers Thompson Lawry,Inc. NAMEACT Margo G.Roberts,AAI,CISR PnoNE 919-969-5300 FAX No):919-942-422'1 100 Europa Drive,Suite 571 PH° E Extl; (_ Chapel Hill,NC 27517 ADDRESS:margo @stilnsure.com C.Duke Thompson CPCU ARM _ INSURE R(S)AFFORDING COVERAGE _ _ NA1C# _ INSURERA:Great American Ins Co of NY INSURED The Arts Center Inc. INSURER e:Great American Alliance Ins Co 300 G East Main Street Carrboro,NC 27510 INSURER C: _ 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. SR ADDL SI.JBR - POLICY EFF POLICY EXP IN LTR TYPE OF INSURANCE IN SR MD POLICY NUMBER (MM1DDTYYYY) IMMIDDIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY PAC4296967 07/01/2015 07/0112016 TSAFhAGE'°RENTED 100,000 PREMISES[Ea eocurcenca) $ 1 CLAIMS-MADE [x 1 OCCUR MED EXP(Any one person) S - _ 5,000 PERSONAL&ADV INJURY S 1,000,040 GENERAL AGGREGATE _ 5 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000,000 7 POLICY F 1 28, P 1 LOC Emp Ben. $ 1,000,000 AUTOMOBILE LIABILITY i COa BINS q SINGLE LIMIT — _ ANY AUTO - BODILY INJURY(Per person) 5 ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS -- AUTOS PROPERTY DAMAGE HIRED AUTOS AU O QED -.(PER ACCIDENT) _, S -- S X UMBRELLA LIAR X OCCUR EACH OCCURRENCE 5 1,000,000 B EXCESS 41A13 CLATMS-MADE kJ 114B4296968 07/01/2015 07/01/2016 AGGREGATE 5 ,DED I x I RETENTION$ 10000 - _ 5 WORN ERS COMPENSATION . 1_1An U STATU- OMPENSATION STATU- OTH- AND EMPLOYERS'LIABILITY Y1 N TORY LIMITS ER ANY PROPRIETORIPARTNERIEXECUTIVE E N f A EL.EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? EL.DISEASE-EA EMPLOYEE$ (Mandatory in NH) A-If yes,describe under El.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS f VEHICLES (ABach ACORD Rai,Additional Remarks Schedule,if more space is required) For Information Purposes • CERTIFICATE HOLDER CANCELLATION i ORANGE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE - THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Orange County Human Services Dept. PO Box 8181 AUTHORIZED REPRESENTATIVE C �'] ,,, Hillsborough,NC 27278 y 1 +f ✓✓ @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD