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DocuSign Envelope ID:D1281FOB-9FD2-40A9-A95B-F16C96A671DA 20CENTECHI
<br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)01/31/2017
<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 be endorsed.If SUBROGATION IS WAIVED,subject to
<br /> the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME: Beth Wilkerson
<br /> BB&T Insurance Services, Inc. PHONE 919 2814500 FAX 888 746-8761
<br /> (A/C,No,Ext): (A/C,No):
<br /> Post Office Box 13941 Mass: bcwilkerson @bbandt.com
<br /> Durham, NC 27709 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> 919 281-4500 INSURER A:Alliance of Nonprofits Ins RRG 10023
<br /> INSURED INSURER B:StarNet Insurance Company 40045
<br /> The Center for Child and
<br /> INSURER C:
<br /> Family Health, Inc
<br /> INSURER D:
<br /> 1121 W Chapel Hill St.,Suite 100
<br /> Durham, NC 27701 INSURERS:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POUCIES 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 POLICY EFF POLICY EXP
<br /> TYPE OF INSURANCE INSR WVD POLICY NUMBER
<br /> (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY 201720529 01/30/2017 01/30/2018 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE X OCCUR PREMISES(Ea RENTED $500,000
<br /> MED EXP(Any one person) $20,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000
<br /> PRO-
<br /> POLICY JECT LOC PRODUCTS-COMP/OPAGG $3,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY 201720529 01/30/2017 01/30/2018 COMBI(Ea acciNED den t)SINGLE LIMIT j1,000,000
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS AUTOS
<br /> X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS (Per accident)
<br /> A x UMBRELLA LIAB X OCCUR 201720529UMB 01/30/2017 01/30/2018 EACH OCCURRENCE $1,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000
<br /> DED X RETENTION$10000 $
<br /> B WORKERS COMPENSATION KEY0135866 01/03/2017 01/03/2018 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> Y/N
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000
<br /> OFFICER/MEMBER EXCLUDED? N N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000
<br /> A Professional Liab 201720529 01/30/2017 01/30/2018 $1,000,000/$3,000,000
<br /> A Sexual Abuse 201720529 01/30/2017 01/30/2018 $500,000/$500,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> **Workers Comp Information**
<br /> Other States Coverage
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> The Center for Child and Family SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Health, Inc. ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 1121 W Chapel Hill St. 100
<br /> Durham, NC 27701 AUTHORIZED REPRESENTATIVE
<br /> h° 7uer .. rk
<br /> ©1 88-2014 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD
<br /> #S17560360/M17560322 BG3
<br />
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