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

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DocuSign Envelope ID:3F94B3E5-A2CD-4D74-AD70-D7D519FF67B2 R� CERTIFICATE OF LIABILITY INSURANCE 4/27/2018 THIS CERTINCATEIS 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 poilcy(les)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 endorsements. PROBUC R 00WACT NAME: USAA .INSURANCE AGENCY INC/PHS PHONE FAX. (888) 242-1430 (Arc.Na)i [888J 443-6112 812846 P: (888) 242-1430 F: (888) 443-6112 q DRESS: P❑ BOX 33015 INSURER(S)AFFORDING COVERAGE NAICN SAN ANTONI❑ TX 78265 INSVRERA: Hartford Casualty Ins Ce 29424 MrSURED INSURERS: Continental Casualty Co. 20443 INSURER C LAURA A. W. PHILLIPS INSVReR P: 59 PARK BLVD INSURERE: fn7INSTON SALEM NC 27127 INSURER F: COVERAGES 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 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, IN= TYPE OFLWTURAVCE AWDL SURR MUCI'NUMBER Fy11JIVRR VIM �Cy EFF paricy Elio, yly� COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,0 0 0,0 0 0 CLAIMS-MADE�OCCUR DAMAGE TO RENTED 5 3 0 0■O V O PREMISES(Ea a=rrence] A X General Liab X 65 SBA NNO653 09/10/2017 09/10/2018 MEDEXP(Any are perann) $10,000 PERSONALS ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: /� �'ylc� GENERAL AGGREGATE s2,000,000 POLICY�P nRO- LOC. See- V Fr+ PRODUCTS-CCMPIOP AGG s2,000,000 JECT 1 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,a a o 0 0 0 (Ea sec denr) r ANY AUTO BODILY 1NJURY(Per person) A OWNED SCHEDULED 65 SSA NNO653 09/10/2011 09/10/2018 EODILYINJURY(Per ocddenl) AUTOS ONLY AUTOS X HIRED X NON-OVANED PROPERTYDAMAGE S AUTOS ONLY AUTOS ONLY �p i i U1IERELLA LIAB OCCUR L EACH OCCURRENCE EXCESS LIAR CLAIM"ADE AGGREGATE DE I RETENTION S "R%PRS COMPENSATION PER OTH- ANU t,YF(p VENS,IJAN11.1TY STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE YIN F-L EACH ACCIDENT OFFICERAAEMBER EXCLUDED? (Mandatory In NH) ❑ wA E.L.DISEAS&EA EMPLOYEE IF yes.describe under E.C.DISEASE-POLICY LIMIT $ OE SORIPTION OF OPERATIONS below B Professional Liab 651992713 05/01/2018 05/01/2019 $1,000,GOO/51,000,000 OESCRIPT;ON Or OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Add Itional Remarks Schedrrle,may be attached If mom spa"1a required) Those usual to the Insured's Operations. Certificate holder is an additional insured per the Business Liability Coverage Farm SS0008 attached to this policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE Orange County Dept of Environment, DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Agriculture, Parks & Recreation AUTHORIZED REPRESENTATIVE PO BOX 8181 HILLSBOROUGH, NC 27278 01988-2016 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD