2017-523-E Finance - Historic Hillsborough Commission - Outside Agency Performance Agreement

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DocuSign Envelope ID: 1632E805-38D3-49DF-9836-981006B20F64 �,� �ri�H i c. Li LIAL ILITY INSURANCE 7/27/2017 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(Nes)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 Ileu of such endorsement(s). PHONE 919) 7 3 asc Na:(919)732-'4636 SAL _ ENCY INC acD�©.�Ext). �. 2 A2Ll�D I I�A�_...w PRODUCER LARD AGENCY Box 1559 NA ,bahaxd �alWl 1( I .... ...,..w Hillsborough, NC 27278 AllaRss_ _ @ ardagencync,coarn INSURERIB} AFFORDING COVERAGE HA,ICV GREAT AN INSURANCE CO HISTORIC2HILLSB©ROU.... .m GREAT AMERICAN INSURANCE CO INSURED HILLSBOROUGH COMMISSION INSURERS:A AMERICAN INSURER INSURER c INSURANCE CO t R NC 27278 R INSURE ........m.. e__ ......,._ ..... ........_. ..._. ....,...... ........... _..._,... .�... HILLSBOROUGH D; 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. ILTR TYPE OF INSURANCE INSD ww0 ,...' _......_.... ...�.....,. !-!OUCY °CIS'-EXP ,�. ...._...� ..r. ...... ...............� COMMERCIAL GENERAL.LIABILITY POLICY NUMBER EACH OCCURRENCE LIMITS S ...1 Q Q 0,Q 0.. CLAIMS-MADE „X OCCUR PREMISES(Ea occurrence)(MMQ©IYYYY) ..EA�RENCE J. ©. enenoeJ $ 100,000 _. .,... PAC4816275 12/11/16 12/11/17 eMEDEXP[Anyonepersenl $ 5000 A GEN L AGGREGATE LIMIT APPLIES PER: X GENERA'PERSONAL AGGREGATE Y $ j,000,01)-,0 0 0,0 0 Q._f X POLICY� PRO- 00 PRODUCTS COMPIOP AGG $ 3,000,000 .1 � ......., JECT LOC OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a acClcer BODILY INJURY(Per person) $ANYAUTO , mm — ALL OWNED SCHEDULED AU7OS AUTOS BODILY INJURY{Peer accident} $ i NON-OWNED "'PRCSPERTY DAGIA.C`r $ HIRED AUTOS AUTOS iffier accider II UMBRELLA LIAB UMB4816276 12/11/16 12/11/17 $ X_ OCCUR EACH OCCURRENCE $ 1,000,000 I B EXCESS LIAB mm CLAIMS-MADE X AGGREGATE QO ©Q PER TE $ 1 ©,... _. Q DED .RETENTION$101000 WORKERS COMPENSATION 10TH — AND EMPLOYERS'LIABILITY YIN ) STATUTE I I ER ANY PROPRIETOR/PARTNERIEXECU"I'VVE - E.L EACH ACCIDENT OFFiCERIMEPABER EXCLUDED?(Mandatory In NH} If describe r©�©rERATNONs Wow �NIlA ,E L DISEASE EA EMPLOYE $ E IL DISEASE POLICY ILIMIII C DIRECTORS & OFFICERS EPP4917808 1/21/171/'2'1/18; { LIABILITY DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (ACORD 101 Additional Remarks Schedule may be etleched if more space is required) DIRECTORS & OFFICERS LIABILITY LIMITS $1,000,000 OTHER THAN EMPLOYMENT PRACTICES WRONGFUL ACTS $10,000 DONOR DATA LOSS CRISIS FUND SUBLIMIT $1,000,000 EMPLOYMENT PRACTICES WRONGFUL ACTS $150,000 ELSA DEFENSE SUBLIMIT rCERTIFICATE HOLDER CANCELLATION i ORANGE COUNTY HUMAN SEVICES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE AGENCY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PD BOX 8181 HILLSB©R©UGH,NC 27278 ~AUTHOR) ED REPRESENTATIVE I ACORD25 2014/01 The ACORD name and logo are reg sI ter 198CORD RC�� J ed marks ORD CORPORATION. All rights reserved. ! of ACORD