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DocuSign Envelope ID:2AB3977E-79F7-4791-BA84-4BC5B3DFODF5 <br /> 0 AC � DATE(MMIDDlrYYrl <br /> C? CERTIFICATE OF LIABILITY INSURANCE 0612512019 <br /> THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CER71FICATE (HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT. If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed, If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder In lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: Andrews <br /> Herring&Bickers Insurance Agency PHONE FAX No: (313)479-1868 <br /> 2344 Operations Drive E-MAIL ILss: <br /> Suite 101 INSURERS AFFORDING COVERAGE NAIC 0 <br /> Durham NC 2T705 INSURER : 11000 11000 <br /> INSURED INSURER B; Hartford 00914 <br /> Chapel Hill Institute of Cultural&Language INSURER <br /> 109 Conner Dr Ste 2200 INSURER D <br /> INSURER E: <br /> Chapel Hill NC 27514 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 TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADDLSUBR TYPEOF INSURANCE POLICY NUMBER MMIDDIYYY L OLIC Y MMIDD� LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br /> CLAIMS-MADE FXIOCCUR PREMISES occurrence $ 1000000 <br /> MED EXP(Any one person) $ 10000 <br /> A N N 22SBAUL5464 01/0112019 01/01/2020 PERSONAL&AOVINJURY $ 1000000 <br /> GEN'L AGG REGAT E L IM IT APPU ES PER: GENERAL AGGREGATE ¢ 2000000 <br /> X ❑PRO- <br /> POLICY 2000000 <br /> JECT LOC PRO ¢ <br /> OTHER' $ <br /> A UTOMOBILE LIA131U TY CO M BIN F DSI GL -0Mrr ¢ 1006DD0 <br /> Me accldenl <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> A ALL OWNED SCHEDULED N N 22SBAUL5464 01/0112019 01/01/2020 BODILY INJURY(Per accident) ¢ <br /> AUTOS AUTOS <br /> X HIRED AUTOS ); NON-0wNEO PROPERTYOAMAGE ¢ <br /> AUTOS Per acciden I <br /> S <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LAB HCLAIMS-MADE AGGREGATE $ <br /> DEQ I I RETENTION $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'I.JABILITY YIN STATUTE ER <br /> A 0FFICERIMEMBER EX UD��CUTIVE � N J A E.L EACH ACCIDENT ¢ <br /> N 22WBCC51989 D110112D19 011011202D <br /> (MandsteryIn NHl E.L DISEASE-EA EMPLOYE E $ <br /> If yes,descrlbe under <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY OMIT $ <br /> E&O $250,000 each 1$250,000 aggregate <br /> B N N 22KDGNLU8D8 07/01/2018 71011=120 $2,500 deductible <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES(AC 0RD 101,Additional Remarka Schedule,may be attached If more space is raqulred) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County Department of Human Rights and Relations SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 200 South Cameron St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS, <br /> AUTHORIZED REPRESENTATIVE <br /> r i <br /> Hillsborough NC 27278 <br /> FaX'(919)644-3056 Emallrnvaieikogorangecountync.gov O 1988-2014ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and Toga are registered marks of ACORD <br />