2019-745-E Human Rights Relations - Language Justice Cooperative interpretation services

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DocuSign Envelope ID:27C3F1A4-B27C-4BA8-99ED-AA998848F024 C I ient#: 2161432 04Ti LD> DATE(MMfDDIYYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 10/04/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 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 A CONTRACT BETWEEN THE ISSUING iNSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAE"AMCT Logan Robinson McGriff Insurance Services P}fONE ggg T43-2217 8888279861 (A/C,Na Ext: AIC Nv 414 Galllmore dairy Road E-MAIL ADDRESS: Suite F INSURER(S)AFFORDING COVERAGE NAIC# Greensboro, NC 27409 INSURER A:Twin City Fire Insurance Company 29459 INSURED INSURER B: Tilde INSURER C: 139 Loblolly Ln INSURER D Chapel Hill, NC 27516 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 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 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EXP LTR TYPE OF INSURANCE INSR WVp POLICY NUMBER MNWDtYYYY MMIDOIYYYY LIMITS A x COMMERCIAL GENERAL LIABILITY x 22SBAAD6185 7/3012019 0713012020 pEACMMH OCTCURRENCE $1 000 000 CLAIMS-MADE �OCCUR PREhA155 Ea��acaurcence $1 000 000 MEP EXP(Anyone person) $10 000 PERSONAL I£ADVINJURY $1 000 000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 PRO- PRODUCTS-COMPIOPAGG $Z 000 000 LOC POLICY PRO T OTHER: $ AUTOMOBILE LIABILITY COM$INED SINGLE LIMIT Es acd don l ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY[Per accident] $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAO OCCUR EACH OCCURRENCE $ EXCESS LIAS CIAIMS-MADE AGGREGATE $ DE❑ I I RETENTION$ _ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y I N brFICEROIMEMBERREEXCLUDED?ECUTIVE❑ NIA E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional E&O x 22SBAAD6185 0713012019 07130/202 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONSI VEHICLES{ACORD 101,Additional Remarks Schedule,may beattachod If more space to required] Miscellaneous Coverage-Business Owners-Pol.#22SBAAD6185 Form Information Form:S500010314 Edt.Date:03/01/14 (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Orange County Department O# SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Human Rights and Relations ACCORDANCE WITH THE POLICY PROVISIONS. 200 South Cameron St. Hillsborough,INC 27278 AUTHORIZED REPRESENTATIVE 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 3 The ACORD name and logo are registered marks of ACORD #S24470977IM24470976 LORO