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DocuSign Envelope ID:8EB41 EFB-5AEA-4DD9-860B-55D4A22E7873 <br /> -d►+� �° CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) <br /> 05/03/2019 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br /> THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br /> POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br /> AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. if SUBROGATIONIS WAIVED, <br /> subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not <br /> confer rights to the certificate holder in lieu of such endorsements). <br /> PRODUCER CONTACT <br /> USAA INSURANCE AGENCY INCIPHS NAME• <br /> 65812846 PHONE (866)467-8730 FAX (877)906-2772 <br /> (NC,No,Ext)c (AIC,No); <br /> The Hartford Business Service Center <br /> 3600 Wiseman Blvd E-MAIL <br /> San Antonio,TX 78265 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIL# <br /> INSURED INSURER A: Continental Casualty CO. <br /> LAURA A.W.PHILLIPS <br /> INSURER B <br /> 59 PARK BLVD <br /> WINSTON SALEM NC 27127-2000 INSURER C <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> iNDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSIR WVO IMMJDO/YYYYI fMMIDDN YYY <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE <br /> CLAIMS-MADE❑OCCUR DAMAGE TO RENTED <br /> R E Ea 20urrencel <br /> MED EXP(Any one person) <br /> PERSONAL&ADV INJURY <br /> GENT AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE <br /> POLICY❑PRO- ElLOC PRODUCTS-COMPIOP AGG <br /> JEC7 <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO 800ILY INJURY(Per person) <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS egOILY INJURY(Per accident) <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS AUTOS (Paraccideni) <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS- AGGREGATE <br /> MADE <br /> ED I RETENTION$ <br /> WORKERS COMPENSATION PER OH <br /> AND EMPLOYERS'LIABILITY STA TE R <br /> ANY YIN E.L.EACH ACCIDENT <br /> PROPRIETOR/PARTNERIEXECUTIVE NI A <br /> OFFICERIMEMBER EXCLUDED? E.L.DISE45E-EA EMPLOYEE <br /> (Mandatory In NH) <br /> If yes,describe under EL.DISEASE-POLICY LIMIT <br /> DESCRIPTION OF OPERATIONS below Each Claim $1,000,000 <br /> A Professional Liability 651992713 05/01/2019 05/01/2020 Aggregate $1,000,000 <br /> DESCRIPT101Y OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Those usual to the Insured's Operations.Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this <br /> policy. <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County Dept of Environment, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> Agriculture, Parks&Recreation BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED <br /> PO BOX 8181 IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> HILLSBOROUGH NC 27278-8181 AUTHORIZED REPRESENTATIVE <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />