2018-292-E Human Rights Relations -ASL CSDHH contract

Browse Search

DocuSign Envelope ID: 3A41C8C3- 4643- 4E42- 9E22- 7ED4F266BDF8 A`C71 3 a �� CERTIFICATE ©F LIABILITY INSURANCE DATE(MMIDDIYYYY) 7/6/2016 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 Craft Insurance Center 823 North Elm Street FO Box 14946 Greensboro NC 27415 CONTACT Phyllis Carter CIC, CISR NAME: PHONE ExUb (336) 375 -0600 1 F� No: {336)375 -70014 ADDRESS :Poarter @oraftinsurance.cam INSURERS AFFORDING COVERAGE NAIC N INSURERA:Seleative Ina, Co. Of America 12572 INSURED Guilford County Communications Center for The Deaf and Hard of Hearing, Ina . '1175 Revolution Mill Drive, Studio 15 Greensboro NC 27405 -5079 INSURER B: Hartford Property & Casualty 34690 INSURER C . 12/6/2618 INSURER D: $ 1,000,000 INSURER E: PREMISES Me occur ante 1 INSURER F: COVERAGES CERTIFICATE NUMBER: 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 DEDUCED BY PAID CLAIMS. I LTR TYPE OF INSURANCE L vvvo. POLICY NUMBER POLICY EFF (MWDDNYY'Yl POLICY EXP IMMIDDfYYYYI LIMITS AI X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR S 1629360 12/6/2617 12/6/2618 EACH OCCURRENCE $ 1,000,000 PREMISES Me occur ante $ MED EXP (Any one person) $ 10,000 PERSONAL & ACV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ JECT PRO- F-] LOC OTHER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS- COMPIOPAGG $ 3,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED S NGL LI 1 Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAG£ Peraocidenl $ $ A X UMBRELLA LIAB EXCESS LAS X OCCUR CLAIMS -MADE S 1629360 12/6/2017 12/6/2018 EACH OCCURRENCE $ 1,000,000 AGGREGATE _ _ $ 1,000,000 DIED I I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEX.ECUTIVE OFFICEWMEMBER EXCLUDED7 N (Mandatory In NH) If yes, descri be under DESCRIPTION OF OPERATIONS bekrw NIA 22W2CCI6834 4/26/2016 4/26/20119 X PER ERH- E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Additional Remarks Schedule, may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION mvaleko @orangecountync.go Orange County Department of Human Rights and Relations 260 South Cameron Street Hillsborough, NC 27278 ACORD 25 (2014101) INS025 f2n14nI1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE P Cartier, CIC, CISR /P�'�. C 1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and toga are registered marks of ACORD