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DocuSign Envelope ID: C6F7BCA9-9E69-42C5-B5EE-FD39B8B2CEC5 A�°R°® CERTIFICATE OF LIABILITY INSURANCE DATE(MMJDD/YYYY) 06/29/2016 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(ies) 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 CONTACT NAME_ Louise Churchill Herring&Bickers Insurance Agency PHONE (NC 2344 Operations Drive EE--MA 4`E t) 1_tac,No] (919)479-1868 ADDRESS;_— Suite 101 — — — INSURER(S)AFFORDING COVERAGE NAIC# Durham NC 27705 INSURER A Hartford I 00914 INSURED INSURER B Chapel Hill Institute of Cultural&Language INSURER c i 109 Conner Dr Ste 2200 INSURER D INSURER E: Chapel Hill NC 27514 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, I° EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS -- D t- POLICY TYPE OF INSURANCE j POLICY EFF POLICY EXP - - -- POLICY NUMBER ;IMMIDD/YYYY) IMMIDD/YYYY) LIMITS .. X COMMERCIAL GENERAL LIABILITY ' INSD WVD' EACH OCCURRENCE $ 1000000 CLAIMS-MADE I X OCCUR DAMAGE TO RENTED L PREMISES(Ea occurrence) $ 1000000 . I I MED EXP(Any one person) $ 10000 A . N ! N j; 22SBAUL5464 101/01/2016 01/01/2017 I PERSONAL&ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER I t GENERAL AGGREGATE I$ 2000000 POLICY 1.1E LOC PRODUCTS-COMP/OP AGG ,$ 2000000 1 OTHER $ AUTOMOBILE LIABILITY i COMBINED SINGLE LIMIT I(Ea accident) t$ 1000000 ANY AUTO BODILY INJURY(Per person) $ A j SCHEDULED HIRED AUTOS X NON OWNED N N 22SBAUL5464 ,01/01/2016 i 01/01/2017 e0D)LY INJURY(Per accident)f$ - G ALL OWNED ' i AUTOS ! PROPERTY DAMAGE $ ' Peraccidenl) I $ UMBRELLA MB , ' f EACH OCCURRENCE S EXCESS LIAB ', CLAIMS-MADE AGGREGATE S -t 1 DED RETENTIONS I I I I ,$ WORKERS COMPENSATION . ' PER OTH- AND EMPLOYERS'LIABILITY Y/N , -=..STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE - -- A OFFICER/MEMBER EXCLUDED? Y N/A N 22WBCCS1989 1 989 01/01/2016�'.01/01/2017,E L EACH ACCIDENT S (Mandatory in NH) - -- ---- E L DISEASE EA EMPLOYEE S If yes,describe under - __. DESCRIPTION OF OPERATIONS below l E L DISEASE-POLICY LIMIT $ Professional E&O A ' 1 N I N f SP1563629 07/01/2016 07/01/2017!$250,000 each/$250,000 aggregate $2,500 deductible DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P 0 Box 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE T .. . Hillsborough NC 27278 Fax: (919)644-3056 Email: ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD