2019-228-E Housing - Habitat development agreement

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DocuSign Envelope ID:758215CF-OA18-45F8-8807-AB9OF35D5BA2 AC 0� CERTIFICATE OF LIABILITY INSURANCE DATE IM0YYYI 031201201r201 s 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 NAME C Stephanie Freeman Summit Insurance Group,Inc. PHONE (704)659-2141 FAx (704)659-2146 AIC No Ext: AIC,Nc PO Box 2485 t-MAIL s: stephanie@sumins.com ADDRE INSURER(S)AFFORDING COVERAGE NAIC Y Huntersville NC 28070 INSURERA: Builders Mutual Insurance Company-Tip 10844 INSURED INSURER B• Consolidated Program Ins.Services,Inc. Habitat For Humanity Orange County,NC,Inc. INSURERC 88 Vilcom Center Dr.Ste L110 INSURERD: INSURER E= Chapel Hill NC 27514 INSURER F: COVERAGES CERTIFICATE NUMBER: CL1932004039 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE❑HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.OMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. INSR ALYULbUHK POLICYEFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDNYYY MMIDOlYYYY LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 VAUAGM TO RENTED CLAIMS-MADE Fx_]OCCUR PREMISES Ea owunrencyl S 1,000,000 MED EXP(Any one person) S 5,000 A Y GPP0058155 04/01/2019 04101/2020 PERSONAL&ADVINJURY S 1,000.000 GEN'L AGGREGATE LIM IT APPL I ES PER: GENERALAGGREGATE $ 2,000,D00 POLICY ❑jC&T ❑LOC PRODUCTS-CGMPIOPAGG $ 2,000,000 OTHER: 5 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,006,000 Ea accident ANYAUTO BODILY INJURY(Per person) 5 A OWNED SCHEDULED PCA0009233 04/01/2019 04/01/2020 BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON•OWNEO PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per.'rodent $ x UMBRELLA LIAR OCCUR EACH OCCURRENCE S 2.000,000 A EXCESS LIAR 11 CLAIMS.- OF MUBOOOIO05 04/01/2019 04/01/2020 AGGREGATE S 2,000,ODO DED 1 x RETENTION 5 10,000 v S WORKERS COMPENSATION ORH AND EMPLOYERS'LIABILITY Y I H STATUTE E A ANY PROPRIETORIPARTNERIEXECUTIVE NIA PWC1011231 04/01/2019 04/01/2020 E.L.EACH ACC I DENT S 1.000,000 OF F I CE RIMEMS ER EXCLUDED? I Mandatory in NHI E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 Vol $250.000 unteer Accident101 B NHH000489 0410112019 04/01/2020 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be afTsched if more space is required) Orange County Government is considered an additional insured with respects to the General Liability per written contract CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Orange County Government ACCORDANCE WITH THE POLICY PROVISIONS. PC Box 8181 A UTHCROED REPRESENTATIVE Hillsborough INC 27278 Q 1988-2015 ACORD CORPORATION, All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD