2018-518-E DSS - Exchange Club Family Center outside agency agreement

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DocuSion EnvelODe ID: 2F546B53- F2D1- 407D- A1C7- 26EB823DOFFD 20EXC HACLU ACORD., CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 412312018 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER BBBT Insurance Services, Inc. Post Office Box 13941 Durham, INC 27709 CONTACT Patty Degina NAME: AICNN Ext.919 281.4525 , N.):8887468761 E-MAIL de Ina bbandt.com ADDRE P 9 INSURERS AFFORDING COVERAGE NAICii INSURER A: Nonh American EIIta Insurance company 29700 919 281 -4500 INSURED Exchange Club Center for the Prevention of Child Abuse 500 W Northwest Blvd Winston Salem, NC 27105 INSURED B : Sionawood Insurance company 11828 INSURER c INSURER D s 2O 000 INSURED E: INSURER F $1,000,000 COVFRAGFS 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 CONTRACTOR 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. IN SR LTR TYPE Of INSURANCE ADDL IN UBR D POLICYNUMBER POLICY EFF MMID POLICY EXP MMIDDIYYYY__- LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ^I OCCUR 201839452 201839452 4/1212018 04112/2018 04/1212019 EACH OCCURRENCE $1,000,000 DAMAGE $500000 MED EXP (Arty one ) s 2O 000 PERSONAL & ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRO- POLICY El JECT F] LOC OTHER: GENERAL AGGREGATE s3,000,000 PRODUCTS - COMPIOP AGG s3,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED x AUTOS ONLY AUTOS ONLY 041121201 COMBINED SINGLE 1JMIT Ea acciden! $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) $ UMBRELLA LMS EXCESS LIAR OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DEC RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICEOPRIET RJPARTNER /E ECUTIVEI (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WCI0000712042018A 1/27/2078 O7/27/2O1 X PER ER iE,L. EACH ACCIDENT $100.000 E. L. DISEASE -EA EMPLOYEE $100,000 E.L. DISEASE - POLICY LIMIT $500000 • • I Professional Liab Abuse /Molestation 201839452 201839452 4/1212018 411212018 0411212019 041121207 $1,000,0001$3,000,000 $1,000,0001$3,000,000 DESCRIPTION OF OPERATIONS 7 LOCATIONS F VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) rIPRTIFIC:ATF HnI nFR CANCELLATION Orange County 'Government P.O. Box 8181 Hillsborough, NC 27278 ACORD 25 (2016103) 1 of 1 #S199170481M19916880 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 Lp 1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MEBAR