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DocuSign Envelope ID:64D61581-25C0-4408-84C2-991109E2DF4C
<br /> ____.-.""1 INTECOU-01 KDAVIS
<br /> ACORO"° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> ki..• 07/13/2017
<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 have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT Kelly Davis
<br /> NAME:
<br /> Summers Thompson Lowry,Inc. PHONE FAX
<br /> 100 Europa Drive (A/c,No,Ext): (919)904-7295 (A/C,No):(919)942-4221
<br /> Suite 571 aooRlEss:kelly@stlinsure.com
<br /> Chapel Hill,NC 27517-2393
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:Alliance for Non-Profits for Insurance Risk Retention Group
<br /> INSURED INSURER B:Association Insurance Company
<br /> Inter-Faith Council for Social Service Inc. INSURER C:Hartford Fire Insurance Company 19682
<br /> 110 W. Main Street INSURER D:The Hanover Ins Co 22292
<br /> Carrboro,NC 27510
<br /> INSURER E:
<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 ADDL SUBR W POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD VD (MM/DD/YYYY) (MM/DD/YYYY)
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR 2016-17838 07/01/2017 07/01/2018 DAMAGETO RENTED 500,000
<br /> X PREMISES(Ea occurrence) $
<br /> X Professional 1 M/2M MED EXP(Any one person) $ 20,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> (Ea accident) $
<br /> X ANY AUTO 2016-17838 07/01/2017 07/01/2018 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
<br /> AUTOS ONLY NON-OWNED ONLYY PROPERTY DAMAGE $
<br /> (Per PROPERTY
<br /> $
<br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000
<br /> EXCESS LIAB CLAIMS-MADE X 2017-17838-UMB 07/01/2017 07/01/2018 AGGREGATE $ 1,000,000
<br /> DED X RETENTION$ 10,000 $
<br /> B WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> Y/N WC522-000320-115 07/01/2017 07/01/2018 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> C Crime/ERISA 22BDDHK5511 07/01/2017 07/01/2018 100,000
<br /> D D&O/Employment Pract LH68785106 07/01/2017 07/01/2018 1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> It is understood and agreed that the certificate holder is included as additional insured as respects General Liability as required by written contract.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> a County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Oran
<br /> g ty ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> PO Box 8181
<br /> Hillsborough,NC 27278
<br /> AUTHORIZED REPRESENTATIVE
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<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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