2017-164-E ES - Crisis Focus, LLC for AAR water shortage incident

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DocuSign Envelope ID:F37C9396-OBA8-4BCE-A313-6FEB3715CF18 AT DATE(MM/DD/YYY) CERTIFICATE OF LIABILITY INSURANCE R054 5/2/2017 THIS CERTIFICATEIS 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 have ADDITIONAL INSURED provisions or 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: MARSH & MCLENNAN AGENCY LLC/PHS (A/C,N No,Ext): (866) 467-8730 (n/C,No): (888) 443-6112 270718 P: (866) 467-8730 F: (888) 443-6112 ADDRIESS: PO BOX 29611 INSURER(S)AFFORDING COVERAGE NAIC# CHARLOTTE NC 28229 INSURERA: Sentinel Ins Co LTD 11000 INSURED INSURER B: INSURER C: CRISIS FOCUS, LLC INSURERD: 1103 FOXHAVEN DR INSURER E: GREENSBORO NC 27455 INSURERF: 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,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFT' POLICY EXP LIMITS LTR lA'STI WVD (MM/OD/Y17171) (%IM/llD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2, 000, 000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $1000000 PREMISES(Ea occurrence) / / A X General Liab X 22 SBM UP3974 12/31/2016 12/31/2017 MED EXP(Any one person) $10, 000 PERSONAL&ADV INJURY $2, 000, 000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4 000, 000 POLICY PRO- X LOC PRODUCTS-COMP/OP AGG $4, 000, 000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $2000000 (Ea accident) / / ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED 22 SBM UP3974 12/31/2016 12/31/2017 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED x NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured' s Operations . ORANGE COUNTY, ITS OFFICERS, OFFICIAL AGENTS, AND EMPLOYEES ARE ADDITIONAL INSUREDS per the Business Liability Coverage Form SS0008 attached to this policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED ORANGE COUNTY BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. A T T N RISK MANAGEMENT AUTHORIZED REPRESENTATIVE PO BOX 8181 7z - 7z�� - HILLSBOROUGH, NC 27278 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD