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DocuSign Envelope ID: F9379D59-22D8-4EF4-AC91-AAC7649616BA <br /> MOD DATE(MNVDDIYYYYI <br /> CERTIFICATE OF LIABILITY INSURANCE R054 1/22/2016 <br /> THIS CERTIFICATEIS 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 SUBROGATIONIS WAIVED,subject to the <br /> 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 /> PRO0UCER CONTACT <br /> NAME <br /> PHONE <br /> BB&T INSURANCE SERVICES INC/PHS PHONE EaR (866) 467-8730 Ac,Nol (888) 443-8112 <br /> 272545 P: (866) 467-8730 F : (888) 443-6112 A DRESS - <br /> PO BOX 29611 INSURERISI AFFORDING COVERAGE NAIICI <br /> CHARLOTTE NC 28229 INSURERA, Sentinel Ins Co LTD 1100C <br /> INSURED INSURER B: <br /> INSURER.C <br /> COMMUNITY EMPOWERMENT FUND INSURER D: <br /> 108 W ROSEMARY ST INSURER <br /> CHAPEL HILL NC 27516 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 <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INS? TYPE OF 1550RANCE ADM. SUER. POLICY NUMBER POLICY EPP' POLICY EX!' LIMITS <br /> I TR, USSR WY'D /MM.'DDR"YYEl /MM/OD YYYG <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 52, 000, 000 DAMAGE TO CLAIMS-MADE X OCCUR PREM SET Ea occur ence) $1, 000, 000 <br /> I A X General Liab ''' 22 'CBs BN9653 01/26/2'010 01/26/2017 MEDEXP(Any one person) $10, 000 <br /> PERSONAL&ADV INJURY 52, 0 0 0, 0 0 0 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE :4, 0 0 0, 0 0 0 <br /> POLICY PRO' [X I LOG PRODUCTS-COMPIOP AGG .;4, 0 0 0, 0 0 0 <br /> JECT I J <br /> OTHER: <br /> COMBINED SINGLE LIMIT 2, 000, 000 <br /> AUTOMOBILE LIABILITY '(Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) , <br /> A ALL OWNED SCHEDULED 22 CBs 259553 C1/26/2016 C1./26/2017 BODILY INJURY(Per accident) <br /> AUTOS AUTOS <br /> X NON-OWNED ' PROPERTY DAMAGE <br /> X HIRED AUTOS AUTOS Per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DES RETENTION$ ~ <br /> PER 07 H- <br /> .WORX'RSCOSLES LIABILITY STATUTE ER <br /> AND EMPLOYERS' BIL ITY <br /> ANY PROPRIETOR(PARTNER,EXECUTIVE YIN E.L.EACH ACCIDENT <br /> OFFICERIMEMBER EXCLUDED? N/A a <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE <br /> If yes,describe under E.L..DISEASE-POLICY LIMIT <br /> DESCRIPTION OF OPERATIONS below <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES IACORD 101,Additional Remarks Schedule,may be attached If more space is required) <br /> Those usual to the Insured' s Operations. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE <br /> Orange County DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8 1 8 1 AUTHORIZED REPRESENTATIVE <br /> 200 S CAMERON ST A—C- -7 --\----/ <br /> HILLSBOROUGH, NC 27278 <br /> ©1988-2014 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />