2017-315-E Housing - Communication Services for Deaf and Hard of Hearing for ASL and transliteration services

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DocuSign Envelope ID:874D086C-148C-418A-B140-732EE045A830 • Cu AC R® DATE(MM/DD/YYYY) jj 0114......---- CERTIFICATE OF LIABILITY INSURANCE 6/30/2017 THIS CERTIFICATE IS 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 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 Phyllis Carter, CIC, CISR it Craft Insurance Center PHONE (336)375-0600 FAX r_C,NQ Ext): (Aic,No):(336)375-7004 823 North Elm Street MAIL carter @craftinsurance.com ADDRESS:p ff PO Box 14946 INSURER(S)AFFORDING COVERAGE NAIC# Greensboro NC 27415 INSURERA:Selective Ins. Co. Of America 12572 INSURED INSURERB:Hartford Property & Casualty 34690 Guilford County Communications Center for INSURERC: The Deaf and Hard of Hearing, Inc. INSURERD: 1175 Revolution Mill Drive, Suite 15 INSURER E GREENSBORO NC 27405-5079 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 REDU CED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED }� A CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ S 1629360 12/6/2016 12/6/2017 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 3,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY (Per $ AUTOS AUTOS ( accident) HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ c, (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER B (Mandatory in NH EXCLUDED? N N/A 22WBCC16834 4 26/2017 4 26/2018 ( ry ) / / E.L.DISEASE-EA EMPLOYEE$ 500,000 DESCRI TION ndef E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION mvaleiko @orangecountync.go SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County Department of Housing THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 300 W Tryon Street ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE P Carter, CIC, CISR/Pfe- rr /� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD NS025 00140-11 i