Orange County NC Website
DocuSign Envelope ID:7F6941BA-A8EF-47E6-80D8-B1F7F90D3351 ER. I <br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. 1 <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement_ A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTAC1 <br /> NAME BB&T INSURANCE SERVICES INC/PUS CA1C.No Ett4 (866) 467-8730 5-'1—AX <br /> IDVC.No): (888) 443-6112 <br /> 272545 P: (866) 467-8730 F: (888) 443-6112 AE.g,ARILEss <br /> PO BOX 29611 INSURER(.9)AFFORDING COVERAGE ttAICII <br /> CHARLOTTE NC 28229 <br /> INSURED INSURER B 1 <br /> COMMUNITY EMPOWERMENT FUND NSU <br /> 208 N COLUMBIA ST STE 100 <br /> CHAPEL HILL NC 27514 ! INSURER A: Seiltife..1 105 CO 'LTD <br /> - <br /> rRER D <br /> INSURER E <br /> : <br /> INSURER F <br /> n I <br /> ----- <br /> INSURER C. <br /> I <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 IHE <br /> TERMS,[XCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_ <br /> 'NSW TYPE OF INSURANCE IDA,D41;_SUB12' POLICY NUMBER (POLICY EPP POLICY EA? LIMITS <br /> MALDIVYT 1 Yo P11111/DII/ITYD <br /> COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE 2, 000, 006 <br /> , . <br /> li CLAIMS-MADE 1 X I OCCUR <br /> DAMAGE TO RENTED <br /> PREMISES(Ea ennUrtence) A, 000, 000 <br /> _ . <br /> A X General Liab 22 CB M EN9653 01/2()/20a`i 01/26/201B mru EXP(Any one person) A0, 000 <br /> PERSONAL&ADV INJURY s2, 000, 000 D <br /> TE , <br /> 9 <br /> 1,GENT AGGREGATE LIMI 1'APPLIES PER. GENERAL AGGREGA 4, 000, 000 <br /> PRO- <br /> 1 POLICY H{ LOC PRODUCTS-COMP/OP AGG ,;4 000, 000 <br /> H JECT 1 I I <br /> OTHER: f; I <br /> AUTOMOBILE LIABILITY ____1_____ -I-COMBINED SINGLE OMIT <br /> (Ea acciderri) 72, 000, 000 <br /> _...... <br /> ANY AUTO RODII V INJURY(Per person) ,, <br /> ' <br /> 1, OWNED AUTOS ONI.Y , SCHEDULED <br /> 1. 22 Si2M EN9653 01/26/201`? 01/2 6/2 018 BODILY INJURY(Poraccident) ,;;. <br /> AUTOS _ _ <br /> x HIRED x NON-OWNED PROPERTY DAMAGE 1 <br /> 9 <br /> AU 1 OS ONLY ,AU I OS ONLY (Per accident) <br /> -- — <br /> 111 UMBRELLA LIAB OCCUR ' ' EACH OCCURRENCE : <br /> —H <br /> — <br /> EXCESS LIAB III CLAIMS MADE 1 <br /> AGGREGATE <br /> ---— <br /> I <br /> DEL RETENTION S <br /> WORK FRS COMPE Nx4m7S ;poi <br /> TTOTTI- <br /> . I STATUTE ER <br /> AYDEMPLOYEAS"1,1401107 i <br /> ANY PROPRIETOR/PARTTIER/EXECUTIVEY/N EL.EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) .1...DISEASE-EA EMPLOYEE <br /> ,If yes,describe Under <br /> DESCRIPTION OF OPERATIONS below I L DISEASE POLICY LIMIT <br /> .....1 <br /> MINIUM t <br /> I <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICIATSORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Those usual to the Insureds Operations. <br /> .--- <br /> 1 <br /> - <br /> 1 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE <br /> I DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> CASA [AUTIIORIZ131)REPRESENTATIVE <br /> 624 W JONES ST <br /> RALEIGH, NC NC 27603 <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> _..._ ■ <br /> ... <br />