Orange County NC Website
DocuSign Envelope ID: E9DE81F9-0070-4074-8F70-93DABC24ACE1 <br /> WOMECEN-02 NYOUNG <br /> AcoRL CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> `••---� 9/13/2016 <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 <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> Summers Thompson Lowry,Inc. PHONE <br /> 100 Europa Drive (A/C,No,Ext):(919 968-4472 FPX 919 942-4221 <br /> ) (A/C,No): ( ) <br /> Suite 571 E-MAIL info @STLinsure.COm <br /> Chapel Hill,NC 27517-2393 <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Alliance for Non-Profits for Insurance Risk Retention Group <br /> INSURED INSURER B:Standard Fire Insurance Co. <br /> The Women's Center dba/Compass Center for Women INSURER C: <br /> and Families <br /> PO Box 1057 INSURER D: <br /> Chapel Hill,NC 27514 INSURERE: <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 TYPE OF INSURANCE INSD SUBR <br /> WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> (MM/DD/YYYY) (MM/DD/YYYY) <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE X OCCUR X 201617883 07/01/2016 07/01/2017 DAMAGE TO RENTED <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 /> X POLICY PRO- <br /> JECT PRODUCTS-COMP/OP AGG $ 2,000 000 <br /> JECT � <br /> OTHER: Emp Ben. $ 1,000,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 000 000 <br /> (Ea accident) , , <br /> A ANY AUTO 201617883 07/01/2016 07/01/2017 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> X HIRED AUTOS X N PROPERTY DAMAGE <br /> ON-OWNED <br /> AUTOS (Per accident) <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 <br /> A EXCESS LIAB CLAIMS-MADE 201617883UMB 07/01/2016 07/01/2017 AGGREGATE $ 1,000,000 <br /> DED X RETENTION$ 10,000 $ <br /> WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> Y/N <br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE UBOG82533A 07/01/2016 07/01/2017 E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Certificate Holder is included as additional insured with respects to General Liability as required by specific written contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> range County Government THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> O <br /> O a South nty Gov Street ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE <br /> Fco FI �J <br /> i e <br /> ,.vvr,rw,,,5 <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />