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DocuSign Envelope ID: 3CD68914-055B-4274-9AF2-A50FD766FB76 VOLUN-3 OP ID:M4 <br /> AC-C]RifY DATE(MMlDDIYYYY) <br /> �---- CERTIFICATE OF LIABILITY INSURANCE 1E(MMiD016 I <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 1 <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Anita Chick <br /> Senn Dunn•High Point PHON; <br /> 1400 Eastchester Drive,St 200 (AIC,NNo.Ext):336 878 7800 FAX NO 336 841 5319 <br /> High Point,NC 27265 ADDRESS:achick @senndunn.com <br /> Small Business Accounts-HP <br /> INSURER(S)AFFORDING COVERAGE I NAIL M I <br /> INSURER A:Accident Fund General Ins Co <br /> INSURED Volunteers for Youth, Inc. INSURER B:Alliance Member Services 10023 <br /> Susan Worley <br /> 205 Lloyd St. Suite 103 INSURER G <br /> Carrboro, NC 27510 INSURER 0: <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 ADDL SUER ' POLICY EFF POLICY EXP I <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MM/DDIYYYY)j LIMITS <br /> B X COMMERCIAL GENERAL LIABILITY II EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE X OCCUR 2016-20727 10101/2016 10101/2017 PREM <br /> PREMISES(Ea occurrence) $ 500,000 <br /> MED EXP{Any one person) $ 20,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY JERGT LOC PRODUCTS-COMPIOP AGG $ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000,000 <br /> (Ea accident) r <br /> B ANY AUTO 2016-20727 10/0112016 10/01/2017 BODILY INJURY(Per person) $ <br /> ALL OWNED ■ SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> X NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS © AUTOS (Per accident) _ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ . <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION X S ATUTE ER H- <br /> AND EMPLOYERS'LIABILITY <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE I WCV61168090103 10/0112016 10101/2017 E.L.EACH ACCIDENT $ 500,000 <br /> OFFICER/MEMBER EXCLUDED? l NIA � <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $ 500,000 <br /> yI <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGOV <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 /> PO Box 8181 <br /> Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />