2019-528-E Human Rights Relations - ASL Communication Services for Deaf and Hard of Hearing

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DocuSign Envelope ID:AA5BF195-5AE4-4955-AC07-E075A128D351 _ 7 ® F771OM81'20119 (MDrYYYY) ALA o CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the po€icy(€es)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 Phyllis Carter,CIC,CISR NAME: Craft Insurance Center 41CN o Ex!• (336)375-0800 A✓c Nn; (336)375-7604 823 North EIm Street E-MAIL poarter@Craf insurance.Gom ADDRESS; PO Box 14948 INSURERISIAFFORDING COVERAGE NAIL N Greensboro NC 27415 INSURERA: Selective Ins.Co.Of America 12672 INSURED INSURER B; Hartford Property&Casualty 34690 Guilferd County Communications Center for INSURER C The Deaf and Hard of Hearing,InC. INSURER D: 1175 Revolution Mill Drive,Studio 15 INSURER E Greensboro NC 27405-5079 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE❑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 CERTIF[CATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLIC€ES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR I ADDL SUUR POLICY EXP LTR TYPE OF INSURANCE MSD WVD POLICYNUMBER MMIODIYYYY MwDoNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ❑AMT E 75WEN= CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ MED EXP(Any one person $ 10.000 A S 1629350 12/06/2018 12/08/2019 PERSONAL&ADV INJURY $ GEN'L AGO REGATE LI MIT APPLIES PER: GENERALAGGREGATE $ 3,000,000 PRO- POLICY ❑LOG PRODUCTS-COMPIOPAGG $ 3,000,00❑ POLICY❑ OTHER: Employment Practices $ A UTOMOBILE LIABILITY CS0M9lNE=BSIi�t3WkIMIT S Ea accident ANYAUTO BODILY INJURY(Per person) S A OWNED SCHEDULED S 1629360 121GB12018 121l)612019 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNEO PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acc,Le I UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESSLIAB CI-AIMS-MADE S 1629360 12/06/2018 12/06/2019 AGGREGATE $ 1,000.000 OEO RETENTION$ $ WORKERS COMPENSA71ON x STATUTE I I ER AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE E.L EACH ACCIDENT S 50D,DD0 B OFFICERIMEMBER EXCLUDED? NIA 22WBCC16834 04/2612019 04/28/2020 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 5p0�QQ0 It yes,descn'be under 500,000 DESCRIPTION OP OPERATIONS below E.L.DISEASE•POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space I requ]red) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RI--CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Orange Ccunty Department of Human Rights and Relations ACCORDANCE WITH THE POLICY PROVISIONS. 200 South Cameron Street AUTHORIZED REPRESENTATIVE Hillsborough NO 27278L�y Q 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD