2017-521-E Finance - Hillsborough Arts Council - Outside Agency Performance Agreement

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Do'S =else ID:C8F16CD1-FF19-486F-8DD6-57316D1FCD54 DATE %ACIR 1 IrI mom 1 L 'jr LIABILITY INSURANCE 1/17(/2017 Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ` i 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(les)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 ■ NMEAI I J. David Ballard BALLARD AGENCY INC PHONE 919) 7 32-215 8 FAX PO Box 1559 (A/MANo,Exo (A/C,No):(91 9)732-9636 AADDRESS:ballard @ballardagencyinc.com Hillsborough, NC 27278 INSURER(S) AFFORDING COVERAGE NAlca INSURER A:GREAT AMERICAN INSURANCE CO.A INSURED HILLSBOROUGH ARTS COUNCIL INSURER B' PO BOX 625 INSURER C • HILLSBOROUGH, NC 27278 INSURER 0 . INSURER E• 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 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 ADM SUER ' POLICY EFF I POLICY EXP I LTR I TYPE OF INSURANCE INSG IWVD I POLICY NUMBER I(MM/DD/YYYY) �(MM/DD/YYYY)I LIMITS I COMMERCIAL GENERAL LIABILITY I I EACH OCCURRENCE i S I---- UAMAGE TO REN I ED I I CLAIMS-MADE I I OCCUR I . I , PREMISES(Ea occurrence) I$ HI MED EXP(Any one person) I S I I PERSONAL&ADV INJURY I$ I GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 1$ I I POLICY 71 78: I LOC PRODUCTS-COMP/OP AGG t 5 1I OTHER: I I I IS COMBINED SINGLE LIMIT i S I AUTOMOBILE LIABILITY I I I I (Ea accident) �I ANYAUTO I ( I I I I BODILY INJURY(Per person) : $ I ALL OWNED `-----I SCHEDULED I ; I BODILY INJURY(Per accident); S —'AUTOS AUTOS NON-OWNED I PROPERTY DAMAGE I$ HIRED AUTOS AUTOS I I (Per accident) I C IS I I I i I 1 I UMBRELLA LIAR I I OCCUR I EACH OCCURRENCE IS I I EXCESS LIAB I CLAIMS-MADE AGGREGATE ;$ 1 I DED I I RETENTIONS I I I$ I I WORKERS COMPENSATION ( J I PER STATUTE I UM- ! l ER AND EMPLOYERS'LIABILITY I YIN ANY OFFICER/MEMBER I NIA ( I I E.L EACH ACCIDENT I$ OFFICER/MEMEER EXCLUDED I E.L DISEASE-EA EMPLOYE S (Mandatory in NH) I .__ .. I II yes,describe under I I j E.L.DISEASE-POLICY LIMIT S I DESCRIPTION OF OPERATIONS below 1$1,000,000 OCC WRONGFULL A DIRECTOR & OFFICERS EPP4917790 1/18/171/18/18ACTS $1,000,000 OCC LIABILITY EMPLOYMENT PRACTICES DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION ORANGE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. HILLSBOROUGH, NC 27278 AUTHORIZED REPRESENTATIVE I 4/ n I ArCov�" / � 61, ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD