Orange County NC Website
Client# : 74760 ROGEEUB <br /> ATE ( MM/ DD/YYYY) <br /> ACORDTM CERTIFICATE OF LIABILITY INSURANCE D10/ 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 703 739 -9300 FAX 7037390761 <br /> A/C No 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 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 MMIDD/YYYY MM/ DD/YYYY <br /> A GENERAL LIABILITY 201853358 10/25/2018 10/25/2019 EACH OCCURRENCE $ I , 000 , 000 <br /> DAMAGE TO RENTED <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 500 , 000 <br /> Ai <br /> CLAIMS-MADE 7 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- <br /> F-] LOC $ <br /> A AUTOMOBILE LIABILITY 201853358 10/25/2018 1012512019 COMBINED SINGLE LIMIT <br /> ( Ea accident) $ 19000 , 000 <br /> ANY AUTO BODILY INJURY (Per person ) $ <br /> ALL OWNED AUTOS BODILY INJURY (Per accident) $ <br /> SCHEDULED AUTOS <br /> PROPERTY DAMAGE $ <br /> X HIRED AUTOS ( Per accident) <br /> NON -OWNED AUTOS <br /> $ <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 ER <br /> ANY PROP RI ETOR/PARTN ER/EXECU I VE ❑ N/A E . L . EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED ? <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 10/25/2019 $ 2 , 000 , 000/$ 1 , 0001000 <br /> A Abuse 201853358 10/25/2018 10/25/201 $ 2 , 0001000/$ 11000 , 000 <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, if more space is required) <br /> Town of Chapel Hill is listed as an additional insured under the general liability policy with respects to <br /> operations performed by the named insured . <br /> CERTIFICATE HOLDER CANCELLATION <br /> Town of Chapel Hill SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 405 Martin Luther King Jr. Blvd ACCORDANCE WITH THE POLICY PROVISIONS , <br /> Chapel Hill , NC 27514 <br /> AUTHORIZED REPRESENTATIVE <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 /> #S371162/ M371160 JXJ <br />