Orange County NC Website
DocuSign Envelope ID:49FD978C-B77A-45E1-955E-F8767765F56B <br /> WOMECEN-02 NYOUNG <br /> CERTIFICATE OF LIABILITY INSURANCE D 11/06/201 YY) <br /> 1 1 1061201 8 <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 INSUREII AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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 such endorsement(s). <br /> PRODUCER CONTACT Nancy Young <br /> NAME: <br /> Summers Thompson Lowry, Inc. PHONE FAX <br /> 100 Europa Drive (AIC,No,Ext):(919)969-5301 (Arc,No):(919)9424221 <br /> Suite 571 <br /> E-MAIL SS :nancy@stlinsure.com <br /> Chapel Hill, NC 2 751 7-239 3 INSURER(S)AFFORDING COVERAGE NAIC* <br /> INSURERA:Alliance for Non-Profits for Insurance Risk Retention Group 10023 <br /> INSURED INSURER B:Travelers Casualty&Surety 19038 <br /> The Women's Center dba Compass Center for Women and INSURERC: <br /> Families <br /> PO Box 1057 INSURERD: <br /> Chapel Hill, NC 27514 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 CONTRACT OR 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD MMIDDNYYY MMIDDNYYY <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 <br /> CLAIMS-MADE �OCCUR 201817883 07/01/2018 07/01/2019 DAMAGE TO RENTED 500000 <br /> PREMISES Ea occurrence $ <br /> _7 MED EXP(Anyone person) $ 20'000 <br /> PERSONAL&ADV INJURY $ 1'000'000 <br /> GEN'L AGGREGATE LIMIT APPLIES PEP_ GENERAL AGGREGATE $ 2'000'000 <br /> X POLICY M JECT M LOC PRODUCTS-COMPIOPAGO $ 2'000'000 <br /> OTHER $ <br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> Ea accident $ <br /> ANY AUTO 201817883 0710112018 0710112019 BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> X HIRED X NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY (Peraccident) $ <br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 1'000'000 <br /> EXCESS LIAB CLAIMS-MADE 201717883UMB 07/0112018 0710112019 AGGREGATE $ 1'000'000 <br /> DIED I X I RETENTION$ 10,000 $ <br /> B WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> YIN UB2J566000 07101!2018 07101!2019 1,000,000 <br /> ANYPROPRIRf NIA RfEXECUTIVE ❑ E.L.EACH ACCIDENT $ <br /> OFFICERfMEMBMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1'000'000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Professional 201817883 07/01/2018 07/01/2019 Each Event 1,000,000 <br /> A Sexual Abuse 201817883 07/01/2018 07/01/2019 Each Claim 1,000,000 <br /> DESCRIPTION OF OPERATIONS r LOCATIONS r VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange Count Health Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 9 Y P ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2501 Homestead Road <br /> Chapel Hill, NC 27516 <br /> AUTHORIZED REPRESENTATIVE <br /> fUlnI I <br /> pt Sw-' a— 5 <br /> ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />