2019-071-E DEAPR - Laura Phillips historical resources book Phase 2 amendment

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DocuSign Envelope ID:3F94B3E5-A2CD-4D74-AD70-D7D519FF67B2 �►� CERTIFICATE OF LIABILITY INSURANCE DATE 42107124 9 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 pollcy(ies) must be endorsed. If SUBROGATIONIS 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 USAA INSURANCE AGENCY INCIPHS NAME, 65$1284$ PHONE (888)242-1430 rF (888)443-6112 (AIC,No,Ext): ,No); The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio,TX 78265 ADDRESS: INSURER(S)AFFORDING COVERAGE NiMCN INSURED INSURERA: The Hartford Casualty Insurance Company 29424 I AURA A.W.PHILLIPS INSURER R: 59 PARK BLVD INSURER C WINSTON SALEM ,NC 27127-2000 INSURER D INSURER E; INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS I$TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 18SUE1)TO THE INSURED NAMED ABOVE FOR THE POLICY PERI00 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. JNSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICYEFF POLICY EXP LIMITS LTR INSR WV MMID COMMERCIAL GENERAL LIABIL ITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE-1OCCUR DAMAGE TO RENTED $300.000 rrencel X General Liability MED EXP{Anyone person) $10,000 A X 65 SBA NNO653 09/10/2018 09110/2019 PERSONAL&ADV INJURY $1,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POUCY❑PRO ❑LOC PRODUCTS-COMPIOPAGG $2,000,000 JECT X OTHER: AUTOMOBILE LIABILITY COMB1 NEE)SINGLE LIMIT $1,000.000 (Ea acadeal) ANY AUTO BODILY INJURY(Per person) A ALL OMED SCHEDULED 65 SBA NNO653 09/10/2018 0911=019 BODILY INJURY(For acadaN) AUTOS AUTOS HIRED NON-0WNED PROPERTY DAMAGE X AUTOS X AUTOS (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS- AGGREGATE HMADE DE RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY TAT TE ANY YIN E.L.EACH ACCIDENT PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA E.L.DISEASE-EA EMPLOYEE (Mandatory In NMI 1f yes,describe under E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS below A EMPLOYMENT PRACTICES 65 SBA NN0653 09/10/2018 0911 M019 Each Claim Limit $5,000 LIABILITY Aggregate Limit $5,000 DESCRIPTION OF OPERA nONS/LCCAn NS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Those usual to the Insured's Operations.Certificate holder is an additional insured per the Bus ineSS Liability Coverage Form SS0008 attached to this policy. CERTIFICATE HOLDER CANCELLATION Orange County Dept of Environment, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Agriculture,Parks&Recreation BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED PO BOX 8181 1N ACCORDANCE WITH THE POLICY PROVISIONS. HILLSBOROUGH NC 27278-8181 AUTHORIZED REPRESENTATIVE 01988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD