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DocuSign Envelope ID: 4B292955- 9A36- 47C6- BDDE- 4E9CDOBA074D <br />ACC ORV CERTIFICATE OF LIABILITY INSURANCE DATE IMN1DDfYYYY) <br />7f301201 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIG-4-ITS 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 ADDfT1ONAL INSURED, the policy(ies) must have AD'DfTtONAL MSURED Provisions or be endorsed. <br />If SUBROGATION 15 WArVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer to the certificate holder In lieu of such endorsement(sj- <br />PRODUCER NAME: Anita M. Chick, CIC, CISR, CIIP <br />Marsh & McLennan Agency LLC PHONE699 -2a02 Fa" ; 21207550 <br />1400 Eastchester Drive, St 200 E -MAIL <br />High Paint NC 272135 ADDRESS: Anita.Chick@marshmma.com <br />INSURED <br />Volunteers for Youth, Inc. <br />Susan Worley <br />205 Lloyd St. Suite 103 <br />Carrboro NC 27510 <br />INSURER(S) AFFORDIING COV <br />Alliance Member Services <br />Accident Fund General ins Co <br />COVERAGES CERTtFICOTF NLNMRER• 211Rd95f}R 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, TERN} OR CONDITION OF ANY CONTRACT OR OTHFR DOCUMENT WITH RESPECT TO 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN'SR <br />LTR <br />TYPE OF alISURAMCf <br />ADM <br />SUBR <br />POLICY HUMBER <br />POLICY EFF <br />A) <br />POLICY EXP <br />MMR9= <br />►JMrTs <br />A <br />X <br />COMMERCLAL GENERAL UABSL TY <br />Y <br />2017 -?9727 <br />1011r1017 <br />1(111!2018 <br />EACH OCCURRENCE <br />S1.000.000 <br />CiAJMS -MADE Fx-� OCCUR <br />DAMAGE TO RENTEU----- <br />PREMISES (Es o=rranceli <br />$ 5W.000 <br />MED EXP (Any one ) <br />$ 20,000 <br />PERSONAL,& AO1V INJURY <br />$ 1. 000.000 <br />GEWL AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000.000 <br />POLICY ❑ �JE F7 LOC <br />PRODUCTS - COMPICP AGG <br />$ 2.000.000 <br />S <br />OTHER: <br />A <br />AUTU <br />1D1!'&.ELIAfSI.{7Y <br />2017 -20727 <br />1911!2017 <br />1011`10-IE <br />COMBINED aceidcnl SINGLE LIMIT <br />f"a <br />$1,000.000 <br />80011-Y INJURY "r persa1) <br />S <br />ANY AUTO] <br />O1WNEO SCHE'OL4_ED <br />AUTOS ONLY AUTOS <br />IR <br />BODILY f AAY (Pm wadenly <br />$ <br />PIZQFF.RTY DAMA.CF <br />t <br />$ <br />HIRED K NON- OV%NED <br />AUTOS ONLY AUTOS ONLY <br />$ <br />UMBREUA UAB <br />OCCUR <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />S <br />EXCESS LIAR <br />DEC) I I RETENTIONS <br />S <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS LlA61LITY �,1 H <br />V4CV81188C9 <br />1011/2917 <br />1a11291a <br />K J PEnT OTIf <br />IIER <br />ANYPRC3 .,,oHZPARTNER(E Fx'zran� <br />EL. EACH ACCIDENT <br />$ 5W.U00 <br />OFFICEFi7MEMeEN EXCLUDED? <br />14; A <br />E.L. DISEASE -EA EMPLOYEE <br />$ 509,OW <br />(Mandatary in NH) <br />11 yes, descrte tinder <br />DESCRIPTION OF OPERATICITS below <br />_ <br />E.L DISEASE - POLICY LIMIT <br />$ 590,000 <br />A <br />Improper Sexual Conduct <br />2017.20727 <br />101112017 <br />10012018 <br />Limil <br />1,000,000 <br />DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEMCLES (ACORO 101, Additional Remarks Schedule, may be astaehed it mere space is rolWlred) <br />Certificate holder is recognized as additional insured in respects to General Liability when required by written contract with the named insured. <br />CERTIFICATE H01 f]ER r-ANr'FI I ATIrIN <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (20ISM3) The ACORD name and logo are registered marks of ACORD <br />SWXJLD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Orange County <br />PO Box 8181 <br />AUTHORIZED REPRESENTATIVE <br />Hillsbarougtl NC 27278 <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (20ISM3) The ACORD name and logo are registered marks of ACORD <br />