2018-448-E Finance - Refugee Support Center outside agency agreement

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DocuSign Envelope ID: 80124B29- E4DA- 4BOD- A879- D287FCF3F3CA REFUSUP -01 VDECAMP AC�Ri � CERTIFICATE OF LIABILITY INSURANCE DATE (MM7❑❑IYYYY) 01/18/2018 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy=ies) must have ADDITIONAL INSURED provisions or 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 Summers Thompson Lowry, Inc. 100 Europa Drive Suite 5716 Chapel Hill, INC 27517 -2393 CONTACT NAM E• SA"12 N , E,t; (919) 968 -4472 �q+c, No ):(919) 942 4227 E -Mail D❑RE ,Info@STLinsure.com INSURER(5} AFFORDING COVERAC,E NAIC p INSURER A : Alliance for Non - Profits for Insurance Risk Retention Group INSURED INSURER B : INSURER c x Refugee Support Center INSURER D: 01116/2018 401 NC 54 E -16 INSURER E DAMAGE TO s NTTE Carrbaro, NC 27510 INSURER F: 20,000 rrrnvcoence 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 REDUCED BY PAID CLAIMS. INSR L R TYPE OF INSURANCE ADDL lNSD. S.UBR POLICY NUMBER POLICY EFF MM POLICY EXP I LIMITS A x. COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1't100,00iQ CLAIMS -MADE ❑X OCCUR x 018 -53837 01116/2018 01/16/2019 DAMAGE TO s NTTE $ 500,000 MEd EXP An Y one Person) 20,000 PERSONAL & ADV INJURY _ S_ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT L:1 LOC ❑ GENERAL AGGREGATE S 2,000000 PRODUCTS IO 2,000,000 $ S OTHER: AUTOMOBILE LIABILITY COMBINED INGLE LIMIT S BODILY INJURY Per pwsonj S ANY AUTO BO�ggDILY INJURY Per accident S OWNED SCHEDULED AUTOS ONLY AUTOS ryry HIRE S ONLY AVr ONELYD Peraaiddenl AMAOE S S UMBRELLA LIAR OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAR CLAIMS -MADE DEL) I I RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE PR OTH_ STAT EE E.L. EACH ACCIDENT s E.L. DISEASE - ER EMPLOYE $ {M ndato'ryin NH} EXCLUDED? I NIA E.L. DISEASE - POLICY LIMIT S If yes, desedbL under OF OPERATIONS below A DESCRIPTION Directors & Officers 2018- 53837DO 01/1612018 01116/2019 D &t7 1,000,000 A General Liability 2018 -53837 01116/2018 01/16/2019 Sexual Abuse 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is added as Additional Insured as respects General Liability as required by written contract C ERT IFICATE H{}LDER CANCELLATION ACORD 25 (2016103) ®1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 200 S. Cameron Street Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) ®1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD