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DocuSign Envelope ID: D3623623-BE3A-4E89-A890-737C8ECOOB32 EIGRO
<br /> A m DATE(MMIDD/YYYY)do,Ra CERTIFICATE OF LIABILITY INSURANCE
<br /> 9/20/2019
<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 have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT NAME: Keisha Brooks
<br /> Commercial Lines—800-868-8834 PHONE 704-901-8674 FAX 610-537-1902
<br /> A/C No Ext: AIC No
<br /> USI Insurance Services LLC E-MAIL keisha.brooks@usi.com
<br /> 6100 Fairview Road INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Charlotte,NC 28210 INSURER A: Colony Insurance Company 39993
<br /> INSURED INSURERB: Hartford Fire Insurance Company 19682
<br /> The El Group, Inc. INSURERC: Hartford Underwriters Insurance Company 30104
<br /> 2101 Gateway Centre BLVD STE 200 INSURERD:
<br /> INSURER E:
<br /> Morrisville NC 27560 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 14555223 REVISION NUMBER: See below
<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 SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY
<br /> A
<br /> )( PACE302644 09/30/18 09/30/19
<br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000
<br /> CLAIMS-MADE OCCUR PREM SESOEa oNcurrDence $
<br /> 300,000
<br /> MED EXP(Any one person) S 25,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000
<br /> POLICY X JECT X LOC PRODUCTS-COMP/OP AGG S 2,000,000
<br /> OTHER $
<br /> B AUTOMOBILE LIABILITY 22UUNBI0702 06/20/19 06/20/20 Ea,cccideDISINGLELIMIT $ 1,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> 5
<br /> A UMBRELLALIAB X OCCUR EXC300995 09/30/18 09/30/19 EACH OCCURRENCE $ 5,000,000
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 51000,000
<br /> DED RETENTION$ S
<br /> C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY 22WEAD4JST 06/20/19 06/20/20 X STATUTE EORH
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E L EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? C NIA
<br /> (Mandatory in NH) E L DISEASE-EA EMPLOYEE S 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $
<br /> A Pollution Liability PACE302644 09130/18 09/30/19 $1,000,000 Each/$2,000,000 Aggr
<br /> A Professional Liability PACE302644 09/30/18 09/30/19 $1,000,000 Each/$2,000,000 Aggr
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Re:TRMO190044.00 Training, Sept.24-25,2019.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> Orange County Housing&Community Development SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 300 West Tryon Street ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Hillsborough,NC 27278
<br /> AUTHORIZED REPRESENTATIVE
<br /> The ACORD name and logo are registered marks of ACORD @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03)
<br /> (This certificate replaces certificate#14510100 issued on 9/412019)
<br />
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