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DocuSign Envelope ID:46BCB3EE-5A8D-41 CE-B703-D32F5BCA1053
<br /> �--.41 DURH-14 OP ID: KO E
<br /> ACQRO' DATE(MMIDDIYYYYj
<br /> CERTIFICATE OF LIABILITY INSURANCE 08/09/2017
<br /> •
<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: Barry C.Curtis
<br /> First Insurance Services,Inc, PRONE IC 919-941-0549 FAx 919-941-0135
<br /> P.O.Box 13687 LA ,No,Est): , (A/C,No):
<br /> RTP,NC 27709 E-MAIL
<br /> Barry C.Curtis ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC It
<br /> INSURER A:Graphic Arts Mutual Ins.Co. 25984
<br /> INSURED Durham Technical Community INSURERS:Bridgefield Casualty Ins.Co. 10335
<br /> College, Inc. •
<br /> 1637 Lawson Street INSURER C:
<br /> Durham, NC 27703 INSURERD:
<br /> INSURER S:
<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 ADOL SUBR POLICY EFF POLICY EXP LIMITS •
<br /> LTR !NW_WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY)
<br /> A v X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR CPP1395174 07/01/2017 07/01/2018 DAMAGETORENTED
<br /> PREMISRS{Ea occurrence] $ • 50,000
<br /> MED EXP(Any one person) $ 5,000
<br /> PERSONALS ADV INJURY $ 1,000,000
<br /> GE 'T AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000
<br /> POLICY PRO' [JECT I LOC PRODUCTS-COMP/OP AGG $ 3,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> (Ea accident)
<br /> A X ANY AUTO • CPP1395174 07/01/2017 07/01/2018 BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED
<br /> AUTOS AUTOS 80DILY INJURY(Per accident) $
<br /> X X NON-OWNED PROPERTY DAMAGE $
<br /> H€RED AUTOS AUTOS (Per accident)
<br /> $
<br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000
<br /> A EXCESS LIAB CLAIMS-MADE CULP1784352 07/01/2017 07/01/2018 AGGREGATE $ 3,000,000
<br /> DED X RETENTION$ 10,000 $
<br /> WORKERS COMPENSATION
<br /> AND EMPLOYERS'LIABILITY X STATUTE OTH-
<br /> ER
<br /> Y 1 N
<br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE NIA 19632008 - 07/01/2017 07/01/2018 E.L.EACH ACCIDENT $ 500,000
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE $ 600,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 600,000
<br /> A School Dist Educ CP1395174$1000 RETAINED 07/01/2017 07/01/2018 Occurr 1,000,000
<br /> Liability LIMIT CLAIMS MADE Aggret 3,000,000
<br /> DESCRIPTION OF OPERATIONS!LOCATIONS 1 VEHICLES (ACORD 191,Additional Remarks Schedule,may be attached if more apace is required)
<br /> il
<br /> i
<br /> 13
<br /> i1
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> ORANGE2
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Orange Count De artment of THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> y p ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Social Services
<br /> 113 Mayo Street
<br /> PO Box 8181
<br /> AUTHORIZED REPRESENTATIVE •
<br /> Hillsborough, NC 27278 der ai9I['t
<br /> ©1988-2014 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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