2018-384-E Aging - A Helping Hand in-home aide services

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DocuSign Envelope ID: 5E364E15- E7CE- 4D90 -8F1 13- 84B8CD2A29F3 .4CORUR OP ID: HK �-- CERTIFICATE OF LIABILITY INSURANCE =DATE YYY) 05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLER. 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(S), 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 High & Rubish Insurance Agency NAME: Laura Pope P.O BOX 3040 PHGNE 6015 Farrington Rd. Ste 101 A/c No Ext : 919- 913 -1144 a/c No 919- 913 -1155 Chapel Hill, NC 27517 ADDRESS: laura hi handrubish.com CUSTOMER ID #: HELPI-1 INSURED A Helping Hand INSURERS AFFORDING COVERAGE NAIC # INSURER A: Cincinnati Insurance Companies 10677 1502 W Hwy 54 Ste 405 Durham, NC 27707 INSURER B: U.S. Liability Insurance Co. 25895 INSURER C: INSURER D: INSURER E: vV YCRHV CJ CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDS AIM D ABOVEB OR 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 BR LTR TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY POLICY EFF POLICY EXP MM /DD /YYYY MM /DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HHC0005888 EAACAOCCURR�NCE $ 1,000,0 03/01/2017 03/01/2018 CLAIMS -MADE � OCCUR PREMISES Ea occurrence $ 100,0 HHA0005888 MED EXP (Any one person) $ 10,0 03/01/2018 03/01/2019 PERSONAL & ADV INJURY $ 1,000,0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,01 POLICY PRO LOC PRODUCTS - COMP /OP AGG $ 2,000,01 AUTOMOBILE LIABILITY $ ANY AUTO HHC000688 COMBINED SINGLE LIMIT 03/01/2017 03/01/2018 (Ea accident) $ 1,000,0I ALL OWNED AUTOS HHA0006888 03/01/2018 03/01/2019 BODILY INJURY (Per person) $ SCHEDULED AUTOS BODILY INJURY (Per accident) $ A X HIRED AUTOS PROPERTY DAMAGE X NON -OWNED AUTOS (PER ACCIDENT) $ UMBRELLA LIAB OCCUR $ EXCESS JAB CLAIMS -MADE EACH OCCURRENCE $ DEDUCTIBLE AGGREGATE $ RETENTION $ $ WORKERS COMPENSATION $ AND EMPLOYERS' LIABILITY Y / N WC STATU- OTH- ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? ❑ N/A IQBY LIMITS (Mandatory in NH) E.L. EACH ACCIDENT $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $ B Professional Liab ND010541771 E.L. DISEASE - POLICY LIMIT $ 09/09/2017 09/09/2018 1,000,001 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION ORANG -3 Orange County Government SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, 200 S. Cameron St NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 8181 Hillsborough, NC 27278 -8181 AUTHORIZED REPRESENTATIVE -2009 ACORD 25 (2009/09) © 1998_8 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD