2019-295 Housing - Habitat for Humanity Crisp development agreement

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® DATE ( MM /DD/YYYY ) ,� �`�� t� C ER T HCA E OF LIQ8" 1LI Y � A3L P A dlCLhJ__ 03/20/2019 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 CONTACT Stephanie Freeman Summit Insurance Group , Inc. PHONE (704 ) 659-2141 FAX (704) 659-2148 A/C No Ext : A/C , No PO Box 2485 EwMAIL s : Stephanie@sumins . com ADDRE INSURER( S) AFFORDING COVERAGE NAIC # Huntersville NC 28070 INSURER A : Builders Mutual Insurance Company - Tip 10844 INSURED INSURER B : Consolidated Program Ins , Services , Inc. Habitat For Humanity Orange County, NC , Inc. INSURER C : 88 Vilcom Center Dr, Ste L110 INSURER D : 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 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 . INSR AUDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS JX COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000 , 000 DAMAGE TO RENTED CLAIMS-MADE x OCCUR PREMISES Ea occurrence $ 15000 , 000 MED EXP (Any one person) $ 51000 A Y CPP0058155 04/01 /2019 04/01 /2020 PERSONAL & ADV INJURY $ 110003000 �GEEN' LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 21000 , 000 PRO POLICY 2 , 000 , 000 JEC7 LOC PRODUCTS - COMP/OP AGG S OTHER : S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 , 000 , 000 Ea accident X ANYAUTO BODILY INJURY ( Per person) S A OWNED SCHEDULED PCA0009233 04/01 /2019 04/01 /2020 BODILY INJURY (Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident $ X UMBRELLA LIAB x OCCUR EACH OCCURRENCE $ 21000 , 000 A EXCESS�LIIAB CLAIMS-MADE MUB0001005 04/01 /2019 04/01 /2020 AGGREGATE S 21000 , 000 DED ^ RETENTION $ 101000 S WORKERS COMPENSATION X1 STATUTE �RH AND EMPLOYERS' LIABILITY Y / N 1 , 000, 000 A ANY PROPRIETOR/PARTNER/EXECUTIVE NIA PWC1011231 04/01 /2019 04/01 /2020 E. L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED ? ( Mandatory in NH ) E. L. DISEASE - EA EMPLOYEE $ 1 , 0001000 If yes , describe under 1 , 000 , 000 DESCRIPTION OF OPERATIONS below E . L. DISEASE - POLICY LIMIT $ Volunteer Accident/DI $ 250 , 000 B NHH000489 04/01 /2019 04/01 /2020 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, maybe attached 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 . PO Box 8181 — -- AUTHORIZED REPRESENTATIVE P. -�-�, are a �:•,. Hillsborough NC 27278 � � c� rN © 1988 =2015 ACORD CORPORATION . All rights reserved . ACORD 25 (2016/03 ) The ACORD name and logo are registered marks of ACORD