Orange County NC Website
Browse       Search
� ALLIANCE OF <br /> 0 NONPROFITS FOR ALLIANCE OF NONPROFITS FOR INSURANCE <br /> � INSURANCE RISK RETENTION GROUP (AND <br /> www, insurancefornonprofits . org <br /> A Head for Insurance. A Heart for Nonprofits. <br /> COMMERCIAL UMBRELLA POLICY DECLARATIONS <br /> PRODUCER : POLICY NUMBER : 2019 - 52271 - UMB <br /> Cima Companies , Inc . <br /> 2750 Killarney Drive RENEWAL OF NUMBER : 2018 - 52271 - UMB <br /> Woodbridge , VA 221924124 <br /> Item 1 NAME OF INSURED AND MAILING ADDRESS : <br /> Cedar Grove Neighborhood Association <br /> P . O . Box 762 <br /> Hillsborough , NC 27278 <br /> Item 2 POLICY PERIOD : FROM 08/01 /2019 TO 08/01 /2020 <br /> AT 12 : 01 A . M . STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE <br /> BUSINESS DESCRIPTION : Neighborhood community center providing venue for social activities . <br /> IN RETURN FOR THE PAYMENT OF THE PREMIUM , AND SUBJECT TO ALL THE TERMS OF THIS <br /> POLICY , WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY . <br /> Item 3 THE ANNUAL AND MINIMUM PREMIUM DUE AT INCEPTION : $ 930 <br /> ( premium includes Terrorism Coverage - Certified Acts : $ 50 <br /> but only for policies that indicate coverage on Schedule A - Schedule of Underlying Insurance ) <br /> Item 4 LIMITS OF INSURANCE : <br /> a . Each Occurrence ( other than Directors ' & Officers ' Liability , Improper Sexual Conduct and <br /> Physical Abuse Liability , and Social Service Professional Liability ) 11000 , 000 <br /> Each Wrongful Act - Directors ' & Officers ' Liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Excluded <br /> Each Occurrence - Improper Sexual Conduct Liability 11000 , 000 <br /> Each Occurrence - Social Service Professional Liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Excluded <br /> b . Products Completed Operations Aggregate [ (where applicable )] . . . . . . . . . . . . . . . . . . . . . 110007000 <br /> c . General Aggregate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11000 , 000 <br /> d . Directors ' & Officers ' Liability Aggregate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Excluded <br /> e . Improper Sexual Conduct Liability Aggregate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11000 , 000 <br /> f . Social Services Professional Liability Aggregate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Excluded <br /> Item 5 RETROACTIVE DATES - SEE SCHEDULE OF UNDERLYING INSURANCE <br /> FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY AT INCEPTION ( NUMBER AND EDITION DATE ) : <br /> ANI -RRG-E42 01 17 , CU 21 30 01 15 , IL 09 99 01 15 , SCHEDULE A 01 80 , UMB 231 06 16 , UMB 232 06 161 UMB - 100 08 181 UMB61 05 13 <br /> These declarations and the common policy declarations , if applicable , together with the common policy conditions , coverage form (s ) and forms and <br /> endorsements , if any, issued to form a part thereof, complete the above numbered policy. <br /> " NOTICE <br /> This policy is issued by your risk retention group . Your risk C� ew <br /> retention group may not be subject to all of the insurance laws BY <br /> and regulations of your State . State insurance insolvency (AUTHORIZED REPRESENTATIVE ) <br /> guaranty funds are not available for your risk retention group . " COUNTERSIGNED : 07/03/2019 <br /> ANI - RRG - UMB ( 02356 ) <br />