Orange County NC Website
Client# : 74760 ROGEEUB <br /> ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE ( MM/DD/YYYY) <br /> 10/ 17/2018 <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 /> NAME : <br /> The CIMA Companies , Inc . PHONE FAX 7037390761 <br /> A/C No 703 739 -9300 Ext : (A/C , No) : <br /> 2750 Killarney Dr, Suite 202 E-MAIL <br /> ADDRESS : <br /> Woodbridge , VA 22192 =4124 PRODUCER <br /> CUSTOMER ID # : <br /> 703 739 -9300 <br /> INSURER(S ) AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A : Alliance of Nonprofits for Ins 10023 <br /> Rogers - Eubanks Neighborhood Association <br /> INSURER B <br /> ( RENA) <br /> INSURER C <br /> 101 Edgar St <br /> INSURER D <br /> Chapel Hill , NC 27516 <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 DDL UBR POLICY EFF POLICY EXP LIMITS <br /> LTR NSR D POLICY NUMBER MM/DD/YYYY MM/DD/YYYY <br /> A GENERAL LIABILITY 201853358 10/25/2018 10/25/2019 EACH OCCURRENCE $ 190003000 <br /> DAMAGE TO RENTED <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 500 , 000 <br /> CLAIMS- MADE I X1 OCCUR MED EXP (Any one person ) $ 20 , 000 <br /> PERSONAL & ADV INJURY $ 1 , 000 , 000 <br /> GENERAL AGGREGATE $ 2 , 000 , 000 <br /> GEN ' L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2 , 000 , 000 <br /> POLICY PRO LOC $ <br /> A AUTOMOBILE LIABILITY 201853358 10/25/2018 10/25/2019 COMBINED SINGLE LIMIT <br /> ( Ea accident) $ 11000 , 000 <br /> ANY AUTO BODILY INJURY ( Per person ) $ <br /> ALL OWNED AUTOS <br /> BODILY INJURY ( Per accident) $ <br /> SCHEDULED AUTOS <br /> PROPERTY DAMAGE $ <br /> X HIRED AUTOS ( Per accident) <br /> X NON-OWNED AUTOS $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS- MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION WC STATU - OTH - <br /> AND EMPLOYERS' LIABILITY Y / N TORY LIMITS E <br /> ANY PROPRIETOR/ PARTNER/EXECUTIVE E . L . EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? ❑ N/A <br /> ( Mandatory in NH ) E . L . DISEASE - EA EMPLOYEE $ <br /> If yes , describe under <br /> DESCRIPTION OF OPERATIONS below E . L . DISEASE - POLICY LIMIT $ <br /> A Professional 201853358 10/25/2018 10/25/201 $ 23000 , 000/$ 110003000 <br /> A Abuse 201853358 10/25/2018 10/25/201 $ 220003000/$ 1 , 0003000 <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, if more space is required) <br /> Orange County , North Carolina is listed as an additional insured under the general liability policy with <br /> respects to operations performed by the named insured . <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County , North Carolina SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 200 S Cameron St THE EXPIRATION DATE THEREOF , NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS . <br /> Hillsborough , NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> d - <br /> © 1988 =2009 ACORD CORPORATION . All rights reserved . <br /> ACORD 25 (2009/09 ) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S371161 / M371160 JXJ <br />