2019-055-E Housing - EI Group training contract amendment

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DocuSign Envelope ID:OA975B63-E4A6-44EA-A866-87EA33FEF335 EIGRO AC Ro> CERTIFICATE OF LIABILITY INSURANCE °AT1/17/2019 YY' 1/17/2019 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 CONTACT NAME: Charlotte M.Wood,CIC Commercial Lines—800-868-8834 PHCN o 704-901-8651 FAX Na: 610-537-1902 USI Insurance Services LLC ADDRESS: charlotte.wood@usi.com 6100 Fairview Road INSURER(SI AFFORDING COVERAGE NAIL# Charlotte,NC 28210 INSURERA; Colony Insurance Company 39993 INSURED INSURERB; Continental Western Insurance Company 10804 The El Group, Inc. INSURERC; Union Insurance Company 25844 2101 Gateway Centre BLVD STE 200 INSURER A: INSURER E: Morrisville NC 27560 INSURERF: COVERAGES CERTIFICATE NUMBER: 13834742 REVISION NUMBER: See below 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR IN WV POLICY NUMBER MM MDIYYYY MMIDDIYYYY q X PACE302644 09/30/18 09/30/19 COMMERCIAL GENERAL LIABILITY FACH OCCURRENCE $ 1,000,000 AMAU CLAIMS-MADE ❑X OCCUR PREMISES IV.occurrence $ 300,000 MED EXP(Any one person) $ 25,000 PERSONAL BADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY�JECT FRO Fx]LOC PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER: S NED B AUTOMOBILE LIABILITY CNA4276597 06/20/18 06/20/19 E8 MB d.'SINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY P ac iden A UMBRELLA LIAB X OCCUR EXC300995 09/30/18 09/30/19 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DE❑ I I RETENTION$ $ WORKERS COMPENSATION 06/20/18 06/20/19 X PER OTH- C YIN WCA4411591 STATUTE ER AND EMPLOYERS'LIABILITY ANYPROPRIETORIPARTNERIEXECUTiVE E.L.EACH ACCIDENT $ 1,000,000 OFFICE RIMEMBER EXCLUDED? C NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 H yC5 deScribo under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Pollution Liability PACE302644 09130/18 09/301/19 $1,000,000 Each/$2,000,000 Aggr A Professional Liability PACE302644 09/30/18 09/30/19 $1,000,000Each/$2,o0o,000Aggr ❑ESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,AdditiortaI Remarks Schedule,may be attached it more space is requiredy Re:Asbestos/Lead Paint/Mold projects CERTIFICATE HOLDER CANCELLATION Orange County Housing&Community Development Dept. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: David Saconn ACCORDANCE WITH THE POLICY PROVISIONS. 300 W Tryon ST Hillsborough NC 27278 AUTHORIZED RE PRESENTATIVE The ACORD name and logo are registered marks of ACORD Z.1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) (This certificate replaces certificate#13508936 issued on 9/28/2018)