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DocuSign Envelope ID: 4909266A- 4CCB- 4CD9- BDDF- F47C66COC89C <br />----Wr INTECOLI -01 MSLIMMERS <br />f <br />CERTIFICATE OF LIABILITY INSURANCE <br />© <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 <br />Summers Thompson LOWry, Inc. <br />100 Europa Drive <br />Suite 571 <br />Chapel Hill, NC 27517 -2393 <br />iJAM'`cT Megan Summers <br />ZwCONNo, EXI) : (919) 539 -5318 FAX Noj:(919) 942 -4221 <br />ADDRESS: Megan @STLinsure.com <br />INSURER(S) AFFORDING COVERAGE <br />NA.IC i- <br />1NSURERA : Alliance for Non - Profits for Insurance Risk Retention Group <br />COMMERCIAL GENERAL LIABILITY <br />- CLAMS -MADE [X] OCCUR <br />Professional- $1M12M <br />INSURED <br />Inter -Faith Council for social Service Inc. <br />110 W. Main Street <br />Carrboro, NC 27.510 <br />INSURER B: Association Insurance Company <br />OI O- 17838. <br />INSURERC:Hartford Fire Insurance Company <br />19682 <br />INSURERD:The Hanover Ins Co <br />22292 <br />INSURER E: <br />DAMAGE To RENTED <br />PREMISES- Ea occurrence <br />INSURER F <br />X <br />C011FRAr:FR r:FRTIRIrATF 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 CONTRACTOR OTHER DOCUMENT WITH RESPECTTO 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />DDL <br />INSD. <br />SUBR <br />WVO <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDNYYY <br />POLICY EXP <br />MMiDD1YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />- CLAMS -MADE [X] OCCUR <br />Professional- $1M12M <br />X <br />OI O- 17838. <br />07/01/2017 <br />07101120'18 <br />EACH OCCURRENCE <br />1j000.1000 <br />DAMAGE To RENTED <br />PREMISES- Ea occurrence <br />500,000 <br />$ <br />X <br />MEDEXP An :one arson <br />$ 20,000 <br />X <br />Sexual Abuse- $1 M12M <br />PERSONAL &ADV INJURY <br />1,000,000 <br />GENV AGGREGATE L IMIT APPLIES PER: <br />X POLICY ❑.P1 ,of E].LOC <br />OTHER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS- COMPfOPAGG <br />$ 2,000,000 <br />$ <br />-A <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />"M ONLY <br />tA{U�T�O�S ONLY AUUT�OpSy�€E(} <br />AUTOS ONLY MOP <br />2015 -17838 <br />_ <br />07101/2017 <br />07/0112018. <br />COMBINEDSINGLELIMIT <br />Ea a.,de"t <br />$ 1,000,000 <br />BODILY INJURY Per arson <br />$ <br />BODILY IN AJRY Peraccident <br />$ <br />P ra..deYr MAGE <br />$ <br />A <br />X <br />UMBRELLA LIAR <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAltvls- hAADEx <br />017- 17838 -UMB <br />07/0112017 <br />07101.12018 <br />EACH OCCURRENCE <br />1,000;000 <br />AGGREGATE <br />$ 1,000,000 <br />DED .X RETENTION $ '10,OOO <br />$ - <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYVRS' LIABILITY <br />ANYPROPRIIM�!PE'XCTNERf M-CUTIVE Y!N <br />Wandatory in NH) <br />II yes, dssaibe.under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />_ <br />C522- 000320 -115 <br />07/01/2017 <br />07101120E 8 <br />x I STATUTE' ER <br />E,L.EACHACCIDENT <br />1,000,000 <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1x000,000 <br />E.L. DISEASE - POLICY LIMIT <br />000000 <br />$ 1 <br />C <br />D <br />CrIme1ERISA <br />D&O /Employment Pract <br />225PD HK5511 <br />LH68785106 <br />07101/2017 <br />071011201.7 <br />07/41/2018 <br />07/0112018 <br />100,000 <br />1;000,000 <br />DESCRIPTION OF OPERATIONS i LOCATIONS F VEHICLES (ACORD 101, Additional Remarks Schedule, maybe 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 />!`CRTE GIf`flTI= un1 r]PR CAAICEI_LATION <br />ACORD 25 (2016103) O 1988 -2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are rag ietered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Orange Count <br />9 y <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />PO Box 8181 <br />Hillsborough, NC 27278 <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016103) O 1988 -2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are rag ietered marks of ACORD <br />