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DocuSign Envelope ID:9724CO6F-484C-4AA4-8C30-6759C959A6F3 CC)I '©� CERTIFICATE CIF LIABILITY INSURANCE D1z �I2o1aY' 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(5), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the Policy(ies)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 CONTACT Crystal Ireland NAME- Business Insurers of Carolinas PHONE {919)968-4b11 FA7( {9i9)968-899i E: IAIC.Not: -. 800 Eastowne Drive, Suite 208 EMAIL cireland@business-insurers.com ADDR5SS: _ PO Box 2536 INSURER(S)AFFORDING COVERAGE _ _ _ -NAIC# Chapel Hill NC 27515-2536 INSURERA-.Tri-State Ins Co of Minnesota 31003 INSURED INSURER B;Union Insurance Company .-_ 25844 CRA Associates, Inc INSURER C:Stonewood Ins. Co. - 11828 222 Cloister Court INSURER D: INSURER E: _ Chapel Hill NC 27514 INSURER F: COVERAGES CERTIFICATE NUM8ER:CL1712720659 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 TYPE OF INSURANCE AU L UBR POLICY EI F POLICY EXP LTR { POLICY NUMBER MMIDDIYYYY) fMM1DD/YYYYi LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE a OCCUR DAMAGE TO RENTED 300,000 PREMISES Ea occurrence) $ � X ADV4290780 42 7/9/2017 7/9/2018 MED EXP(Arky one Person) $ 10,000 PERSONAL&ADV INJURY _ $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ $ 2,000,000 X PGLICY El PRO �LOC PRODUCTS-COMPIOP AGG $ 2,000,000 JECT OTHER, Cyber coverage $ 100,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT JEa weided _$ 1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ X ALL OWNED X SCHEDULED CNA4298862 42 7/9/2017 7/9/2018 BODILY INJURY(Per accident) $ X HIRED AUTOS X AUTOS NON-OWNED 6 PROPERTY DAMAGE $ AUTOS ! (Per accident _ Uninsured motorist BI s Id limil $ 1,000,000 B X UMBRIELLALIAO X OCCUR CNA4298862 42 7/9/2017 7/9/2018 EACH OCCURRENCE $ 4,000,000 EXCESSLIAB CLAIMS-MADE Umbrella Follows Form GL AGGREGATE $-- 4,000,000 DED RETENTION$ Auto, WC. $ WORKERS COMPENSATION X SPR TATUTE CRH AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE E.L. ACCIDENT 000 U OFFI ❑N CERIMEMBER EXCLUDED? .E _ _..$ 500 r {Mandatory In NH] WC1000002205-2017A 12/31/2017 12/31/2018�E.L.DISEASE-EA EMPLOYEELS 500,000 It yes,descrioe under - - - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500,000 i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be aUachW it more space is requlredl Orange County is included as additional insured in reference to the General Liability policy per written. contract per attached policy forms CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE 01 C Ireland/IREL01 ` " O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)