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DocuSign Envelope ID: EB294A71-C7D1-4EE4-8287-6OA614932OD4 INTECOU-01 MSUMMERS <br /> �ca►z© CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDOiYYYY) <br /> 14� 1 0911312018 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS 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 ADDITIONAL INSURED,the pollcy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder In lieu of suchppendorsement(s). <br /> PRODUCER NAMEACT Mregan Summers <br /> Summers Thompson Lawry,Inc. PHONE ExO:(919)539-5318 (arc,No):(919)942-4221 <br /> 100 Europa Drive <br /> Suite 571 A®❑riEESS Megan @STLinsure.com <br /> Chapel Hill,NC 27517-2393 INSURERS AFFORDING COVERAGE NAIL* <br /> INSURER A:Alliance for Non-Prdflts for Insurance Risk Retention Group 10023 <br /> INSURED INSURER B:Association Insurance Company <br /> Inter-Faith Council for Social Service Inc. INSURERC:Hartford Fire Insurance Company 19682 <br /> 110 W.Main Street INSURER D:The Hanover ins Co 22292 <br /> Carrboro,NC 27510 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE DUMBER: 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, TERM OR CONDITION OF ANY CONTRACTOR OTHER 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 /> fNSR DL UBft POLICY EFF POLICY EXP <br /> L TYPE OF INSURANCE INSD MIND POLICY NUMBER MrDDrYYYY MMIDQ LIMrrS <br /> A X COMMERCIAL GENERALLUIBILITY EACH OCCURRENCE $ 1,000,OOD <br /> CLAIMS-MADE OCCUR �( 2016-17838 0710112018 07/0112019 DR M SES°E 000wrr nce $ 500,000 <br /> Professional 1M/2M A MEDEXP JAny one rson $ 20,000 <br /> X SEXUAL ABUSE 1M12M PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'LAGGREGATELIMITAPPL[ES PER: GENERAL AGGREGATE $ 2,000'000 <br /> POLICY JECT LOC PRODUCTS-COMPIOP AGG $ 2'000,000 <br /> OTHER: C4MBINEDSINGLELIMIT 1,000,000 <br /> A AUTOMOBILE LIABILITY Ea eacid.r t $ <br /> X ANY AUTO 016-17838 07101/2018 117/0112019 BODILY INJURY Per ersan $ <br /> OYMED SCHEDULED <br /> AUTOS ONLY AAJTCSS ] BODILY INJURY Per occident <br /> HAUTCSDS ONLY AUTOS W Op Y PaCr aogdenf MACE <br /> $ <br /> A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE 1,000,000 <br /> EXCESS LIAB CLAIMS-MADE X 01 7-1 78 38-UMB 07101/2018 07101/2015 AGGREGATE $ <br /> DIED X RETENTION$ 1(),000 Aggregate 1,000,000 <br /> WORKERS COMPENSATION X PER E_R - <br /> STATUTE <br /> AND EMPLOYERS'LIABILITY <br /> YIN <br /> 0522-000320-115 07101/2D18 07/0112019 1,000,000 <br /> RIE <br /> ANY PROPRIETORIPARTNE F-CUTIVE NIA E.L.EACH ACCIDENT $ <br /> OFFICER/MEME EXCLUDED? <br /> (Mandatory InNFI) E.L.DISEASE-EAEMPLO $ 1,000,000 <br /> If yes,de scribe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT <br /> C Crime(Includes Burg 22BDDHK5511 07/01/2018 071011201.9 Crime/ERISA 100,000' <br /> D D&O/Employment Pract LM68785106 07101/2018 0710112019 D&OI Employment Prac 1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If mote space Is required) <br /> It is understood and agreed that the certificate holder is included as additional insured as respects General Liability as required by written contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> HIIIsborough, NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> A" 1 Swrn m�.w y <br /> I l <br /> ACORD 25(2016103) O 1988-2018 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />