2019-195-E Housing - Urban Design Ventures housing action plan development

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DocuSign lope ID:DDAF2113-C184-4411-9AE5-DC3F0A108607 URBAN-1 OP ID: MB ,41aRo° CERTIFICATE OF LIABILITY INSURANCE 703/22/19 YYYY) 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 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). CONTACT PRODUCER 412-271-8888 NAME: Russell W.Shields Thompson-Gusic Insurance Group 412-271-8898 PHONE 4122718888 FAX No: 412-271-8898 4067 Greensburg Pike A/c No EXt: - - Pittsburgh, PA 15221 E-MAIL Russell W.Shields s:michelle@thompsongusic.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Donegal Mutual 13692 INSURED Urban Design Ventures, LLC. INSURER B:CNA Insurance Co 20443 212 E 7th Avenue Homestead, PA 15120 INSURERC: INSURER D: INSURER E: 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. INSIR ADDLTYPE OF INSURANCE INSR WVDSUBI POLICY NUMBER POLICYPOLICY EFF MM DD YYYY MM LTRDD/YYYY LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X BOP8019766 05/11/18 05/11/19 DAMAGE T RENTED PREMISES 00 PREMISES Ea occurrence $ � X CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,00 B X Professional 254090920 01/03/19 01/03/20 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 17 POLICY JECPRO- LOC Professio $ 500,00 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,00 Ea accident $ A X ANY AUTO X CA8019766 11/19/18 11/19/19 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WC8019766 10/30/18 10/30/19 E.L.EACH ACCIDENT $ 100,00 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Orange County, North Carolina Housing Housing and Community Development is named as Additional Insured but only in respect to General Liability&Business Auto regarding the activities or operations of the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County, North Carolina ACCORDANCE WITH THE POLICY PROVISIONS. Department of Housing and Community Development AUTHORIZED REPRESENTATIVE 3009 West Tryon St Russell W. Shields Hillsborough, INC 27278 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD