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Doc`uS Envelope ID: DBF0775B-3A75CEsRTIFICATE6©F LIABILITY INSURANCE � 1/18/2016 ) <br /> Ac-v�ru <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 pollcy(les)must be endorsed. If SUBROGATION IS WANED,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 hola,br In lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> BALLARD AGENCY INC PHONE FAx n19)732-9636 <br /> PO Box 1559 � Ari'E'�I' (919) 732-2b58 ArC No:( <br /> Hillsborough, NC 27278 ADDRESS;ballard @ballardagencyinc.com <br /> INBURERIBI AFFORDING COVERAGE HAICO <br /> INSURER A:GREAT AMERICAN INSURANCE C .A <br /> INSURED HILLSBOROUGH ARTS COUNCIL INSURER B: <br /> PO BOX 625 INSURER C <br /> HILLSBOROUGH, NC 27278 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 /> EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> INSR AWL SUM ApApLICY EFF POLICY EXP LIMITS <br /> LER TYPE OF INSURANCE NO WM POLICY NUMBER (MMrDOrYYYY) (MMIDD/YYYY) <br /> COMMERCIAL GENERAL LuAOIUTY �E,ACH OCCURRENCE i <br /> 1 CLAIMS MADE pi OCCUR ■� , � """`�"''� i <br /> MED EXP(Any one person) S <br /> PERSONAL&ADV INJURY i <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE i <br /> PRO- l LOC PRODUCTS-COMP/OP AGG S <br /> POLICY J JECT J S <br /> OTHER: <br /> AUTOMOBILE LIABILITY (Es COMBINED SINGLE LIMUIr i <br /> ANYAUTO BODILY INJURY(Per person) i <br /> ALL OWNED SCHEDULED BODILY INJURY(Pea accident) S <br /> _ r <br /> HIRED AUTOS AUTOS NMED (Per accident) Tr $ <br /> S <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> — <br /> EXCESS LIAB 'CLAIMS—MADE AGGREGATE S <br /> I DED I I RETENTIONS S <br /> WORKERS COMPENSATION I STATUTE I •. <br /> ER <br /> AND EMPLOYERS LIABILITY YRN <br /> ANY PRcpREIORRARTNElRRExEcUTIVE I NIA E.L.EACH ACCIDENT S <br /> OFFICERAaESIBER EXCLUDED? 111 <br /> iliaadalmy In NR) E.L. DISEASE-EA EMPLOYE, S <br /> II yes, acnDe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S <br /> $1,000,000 OCC WRONGFULL <br /> A DIRECTOR & OFFICERS EPP4917790 1/1.8/161/18/17 ACTS $1,000,000 OCC <br /> LIABILITY _ EMPLOYMENT PRACTICES <br /> DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is mewed) <br /> CERTIFICATE HOLDER CANCELLATION — <br /> ORANGE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> PO BOX 8181 ACCORDANCE WITH THE POLICY PROVISIONS, <br /> HILLSBOROUGH, NC 27278 <br /> AUTOO!'`'''0 REPRESENTATIVE <br /> / <br /> 1 <br /> I:ag ■ <br /> r 01988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD25(2 014101) The ACORD name and logo are registered marks of ACORD <br />