2019-283-E DEAPR - Laura Phillips historical resources book phase 3

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DocuSign Envelope ID:8EB41 EFB-5AEA-4DD9-860B-55D4A22E7873 -�► R CERTIFICATE 4F LIABILITY INSURANCE DATE 2019Yi azia�izal 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 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 Ileu of such endorsements). PRODUCER CONTACT USDA INSURANCE AGENCY INCIPHIS PHONE (888)242-1430 FAX (888)443-8112 65812848 (AIC,No, l (AIC,No): The Hartford business Service Center 3600 Wiseman Blvd E-MAIL San Antonio,TX 78265 ADDRESS: INSURER(S)AFFORDIN13 COVERAGE NAIC# INSURED INSURERA: The Hartford Casualty Insurance Company 29424 LAURA A.W.PHILLIPS INSURER B: 59 PARK BIND INSURER C: WINSTON SALEM ,NC 27127-2000 INSDRER R 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 1NSURED NAMED ABOVE FOR THE POLICY PERIOD 1 N DI CATE D.NOTWITH STAND ING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI5 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE; AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. INS TYPE OF INSURANCE ARdL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL UABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE-OCCUR DAMAGE TO RENTED $300,000 PREMISES(BLo-caMneel X General Liability MED FXP("one person) $10,000 A X 65 SEA NNO653 09/10/2018 09/10/2019 PERSONAL&ADV INJURY $11,000,000 GE"L AGGREGATE LIMITAPPLIESPER' GENERAL AGGREGATE $2.000,000 POLICY❑PRO- LOC PRODUCTS-COMPIOP AGG $2,000,000 JECT X OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per pamon) A ALL OWNED SCHEDULED 65 SEA NN0653 09/10/2018 09/10/2019 BODI LY INJURY(Per acdclant) AUTOS AUTOS HIRED NON O%NED PROPERTY DAMAGE X AUTOS X AUTOS (Per accidenq UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS- AGGREGATE MADE DE I RETENTION$ WORKERS COMPEHSATEON PER OTH- AND EMPLOYERS'LIABILITY ANY YIN E.L.EACH ACCIDENT PROPRIETORIPARTNERIEXECUTIVE NIA OFFICERId EMBER EXCLUM07 EL,DISEASE-EA EMPLOYEE (Mandatory In NH) If yes,describe under E.L.DISEASE-POLICY UMIT DESCRIPTION OF below A EMPLOYMENT PRACTICES 65 SBA NNO653 09/10/2018 09/10/2019 Each Claim Limit $5,000 LIABILITY Aggregate Limit $5,000 DESCRIPTION tlF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may he attached If more space Is required) Those usual to the Insured's Operations.Certificate holder is an additional insured per the Business Liahiflty Coverage Farm 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 BI;DELIVERED PO BOX 6181 IN ACCORDANCE WITH THE POLICY PROVISIONS. HILLSBOROUGH NC 27278-8181 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD