2019-340 Human Rights Relations - Town of Chapel Hill Bus advertisement

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ACC)RbP CERTIFICATE OF LIABILITY INSURANCE DATE ( MM/DD/WYY) kke � 07/16/2018 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 Lori Hiatt, CIC , CSRM , Account Manager NAME: Surry Insurance PHONE (336) 386- 8228 FAX (336) 386-4661 A/C No Ext : A/C , No ) : P . 0 , BOX 128 E-MAIL lori . hiatt@surryinsurance . com ADDRESS : INSURER(S) AFFORDING COVERAGE NAIC # Dobson NC 27017- 0128 INSURER A : The Charter Oak Fire Insurance Company 25615 INSURED INSURER B : Town of Chapel Hill INSURER C 405 Martin Luther King Jr. Blvd INSURER D : INSURER E : Chapel Hill NC 27514-5705 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 , INSR AUDL SUBRI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM /DD/YYYY LIMITS Ix COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 110001000 DAMACLAIMS-MADE OCCUR PREM ET RENTED 1 , 000 , 000 PREMISES Ea occurrence $ MED EXP (Any one person) $ A ZLP41M7991A 07/01 /2018 07/01 /2019 PERSONAL & ADV INJURY $ 110001000 GEN ' LAGGREGATE LIMIT APPLIES PER : GENERAL AGGREGATE . $ 21000 / 000 POLICY DPRO OLOC PRODUCTS - COMP/OPAGG $ 21000 , 000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 1 , 000 , 000 ANY AUTO BODILY INJURY (Per person) $ A OWNED SCHEDULED 810-5J243370 07/01 /2018 07/01 /2019 BODILY INJURY ( Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ XJ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1010001000 A EXCESSLU CLAIMS-MADE ZUP411\1179921 07/01 /2018 07/01 /2019 AGGREGATE $ 10 , 0001000 DED JXFRETENTION $ 10 , 000 $ WORKERS COMPENSATION FPER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N / A E. L. EACH ACCIDENT $ ( Mandatory in NH ) E. L. DISEASE - EA EMPLOYEE $ If yes , describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Chapel Hill ACCORDANCE WITH THE POLICY PROVISIONS . AUTHORIZED REPRESENTATIVE © 1988 -2015 ACORD CORPORATION . All rights reserved . ACORD 25 (2016103 ) The ACORD name and logo are registered marks of ACORD