2017-484-E Finance - Compass Center for Women and Families - Outside Agency Performance Agreement

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DocuSign Envelope ID: E865EBC7-DCBB-4CE6-A224-13D663E29E12 -^"--.N WOMECEN-02 NYOUNG AoCtr.DORE:" CERTIFICATE OF LIABILITY INSURANCE DATE{MMIDDMlYY} 0710512017 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 INSURERIS),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)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 UACT Nancy Young Summers Thompson Lowry,Inc. PHONE FAX 100 Europa Drive {NC,No,Est):(919)969-5301 {Arc,Ne):(919)9424221 Suite 571 n D IRLSS: nancyystlinsure.com Chapel Hill,NC 27517-2393 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Alliance for Nan-Profits for Insurance Risk Retention Croup INSURED IN&URERB:Travelers Casualty&Surety 19038 The Women's Center dba/ INSURER c Compass Center for Women and Families PO Box 1057 INSURER D Chapel Hill,NC 27514 INSURERE: INSURER F: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUBJECTTo ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMftS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE 4DDL`SUBR' POLICY EFF POLICY EXP L.TR INSD WW POLICY NUMBER IMMIDDIYYYYI..^(MMIDDIYYYY) . LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X i OCCUR X 201617883 07/01/2017 07/01/2018 PREMISES((Esa Once) $ 500,000 MED EXP(Any one person) $ 20,000 PERSONAL&ADV INJURY $ 1,000,000 GEM_AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY JECT LOC PRODUCTS.COMP/OP AGG $ 2,000,000 OTHER $ A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident} $ 1,000,000 ANY AUTO 201617883 07/01/2017 07/01/2018 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X AU€6DS ONLY NAtO1TOS Ot ? (Pena den[ GE $ $ A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 ExCESSLIAB CLAIMS-MADE 201717883UMB 07/01/2017 07/01/2018 AGGREGATE $ 1,000,000 DEL) ,X RETENTIONS 10,000 $ B AN EMPLOYERS'WORKERS LOY X ER" ERS'LIABILITY YIN u ST5TUTE ANY PROPRIETOR/PARTNER/EXECUTIVE U82J56S000 07/01/2017 07/0i/x018 EL EACH ACCIDENT $ 1,000,00{ OFFICERiMEMBER EXCLUDED? NIA (Mandatory in NH) - EL DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Certificate holder is included as an additional insured as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County Government THE E)(PIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 200 South Cameron Street PO Box 8181 Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE gOnn r3w.n,01,1.a.5 ACORD 25(2016103) 031988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD