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DocuSign Envelope ID:7353FC92-5B73-4D45-86CA-D32B32ABB4C2 <br /> URBAN-1 OP ID: MB <br /> DATE IMMIDD(YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 07112/19 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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(S), 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 /> 412-271-8888 NAME: Russell W.Shields <br /> Thornpson-Gusic Insurance Group 412.271-8898 PHONE 412-271-88$8 FAX <br /> 4067 Greensburg Pike _(A1C N,WI; LAIC,No):412-271-8898 <br /> Pittsburgh,PA 15221 E-MAIL <br /> Russell W.Shields ADDRESS:Michel le ompsongusic.com TT <br /> INSURE S I AFFORDING COVERAGE NAIC 0 <br /> INSURER A:Donegal Mutual 13692 <br /> INSURED Urban Design Ventures,LLC. INSURER B:CNA Insurance Co 20443 <br /> 212 E 7th Avenue _ 1 <br /> Homestead,PA 15120 INSURER C:West American Insurance Co 144393 <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 TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR: TYPE OF INSURANCE ADDL';SI1B POLICY EFFl POLICY E%P LIMITS <br /> LTR POLICY NUMBER MMIDDIYYYY MMIDDIYYYY <br /> GENERAL LIABILITY I EACH OCCURRENCE i 5 1,000,00 <br /> I <br /> A � COMMERCIAL GENER�AL LIABILITY X IBOPBD19766 05111 M 9 ' 05111/20 PREMISES Ea occu ence S so,ow <br /> x�CLAIMS-MADE l i OCCUR I ? MED EXP[Any one personl i 5 5,00 <br /> $ XI Professional 264090920 j 01/03119 01/03120 PERSONAL$ADV INJURY ;S 1,000,00 <br /> J GENERAL AGGREGATE ES 2,000,000 <br /> C EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG °S 2,000,000 <br /> POLICY r PRO 1 LOC ' Professio s 500,000 <br /> Y COMBINED SINGLE LIMIT <br /> AUTOMOBILE LIABILIT 1 000 000 <br /> _ Ea accident =5 _i _ <br /> A X ANY AUTO X CA8019766 11/19/18 11/19119 BODILY INJURY[Per person] 5 <br /> 1 ALL OWNED SCHEDULED 1 AUTOS AUTOS BODILY INJURY[Per accident),S <br /> , i <br /> NON-OWNED Per axtldAMAGE ,5 <br /> HIRED AUTOS AUTOS <br /> 3� IS <br /> UMBRELLA LIAR :OCCUR i EACH OCCURRENCE Is <br /> _ EXCESS LIAB 1 CLAIMS-MADE I AGGREGATE 'S <br /> DED I RETENTIONS ]S <br /> WORKERS COMPENSATION I ] WC STATU- OTH-` <br /> AND EMPLOYERS'LIA$IUTY YIN x :T48Y_l- <br /> A ANY PROPRIETORIPARTNERIEXECUTIVE iXW W(20)60069170 07112119 07/12/20 ,E.L.EACH ACCIDENT Is 100,00 <br /> OFFICERIMEMBER EXCLUDED? N I A <br /> (Mandatory in NA) E.L-DISEASE-EA EMPLOYE S 100,00 <br /> If yes,describe under - 3 <br /> DESCRIPTION OF OPERATIONS below :E.L-DISEASE-POLICY LIMIT I s 500,00 <br /> 1 � i <br /> I <br /> DESCRIPTION OF OPE RATIO NSI LOCATIONS I VEHICLES (Attach ACORD 101,Addil[on at Remarks Schedule,If more space is requlredl <br /> Orange County,North Carolina Housing Housing and <br /> Community Development is named as Additional Insured <br /> but only in respect to General Liability&Business <br /> Auto regarding the activities or operations of the named <br /> insured. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange County, North Carolina THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> g ty> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Department of Housing and <br /> Community Development AUTHO RIZE D R EP RESENTATIVE <br /> 3009 West Tryon St Russell W.Shields <br /> Hillsborough, NC 27278 <br /> 1988-2010 ACIDRD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />