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DocuSign Envelope ID:7E3AF63A-2F47-4028-951A-OOBA2A7COOB2
<br /> �1 INTE=COU-01 MUMMERS
<br /> CERTIFICATE OF LIABILITY INSURANCE °A TE 711�r2f)17120f
<br /> 19
<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 ❑R NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED SY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING fNSURER(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certiflcate holder is an ADDITIONAL INSURED,the Poll cy(Ias)must have AIDDiTIONAL INSURED provisions or be endorsed.
<br /> If SUEROGATION 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 Ileu of such endorsement(s).
<br /> PRODUCER C g,CT Megan Summers
<br /> Summers Thompson Lawry,Inc. PHONE FAX
<br /> 2113 Cameron Street (A1C,No,Extl:(919)539-5318 WC,No):(919)942-4221
<br /> Suite 219 AaoREs .Megan@STLlnsure.com
<br /> ]Raleigh, NC 27605.1370
<br /> INSURER S YAFFORIDING COVERAGE NAIC0
<br /> INSURER A:Alliance rer Hon-Profits for Insurance RISK Retention Group 10023
<br /> INSURED INSURER B:Eastern Alliance.Insurance Co
<br /> Inter-Falth Council for Social Service Inc. INsuRERC:Hartford Fire Insurance Company 19682
<br /> 110 W.Main Street INSURER :The Hanover Ins Co 2 g2
<br /> Carrbora, NC 27510
<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 ISSUEDTOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED, NOTWTH STANDING ANY-REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMQNT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED. OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCR{BED HEREIN IS SUBJECT TO ALL THETERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY,HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> IL_MN511 7ypE OF INSURANCE OL UBR POLICY EFF POLICY EfP
<br /> INSD WVD POLICY NUMBER IMM D= IMMJ LIMITS
<br /> A X COMMERCIAL GENERAL LIAaILITY koOCCURRENCE 1,OQ0,000
<br /> CLAIMS-MADE z OCCUR X 016-17938 7/1/2019 71112U20 DAMAISEs Ea M arwe � 500,000
<br /> X Professional 1iNr2M A PRgME DEXP(Any one pa ream $ 20,000
<br /> PERSONAL&AOV INJURY 8 1,000,000
<br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY❑ LOC PRODUCTS-COMPIoP AGG $ 2,000,000
<br /> OTHER: SEXUAL ABUSE I
<br /> A ALITOMO BILE LIA8ILITY COM IIi�EDSINGIElIM1T $ 1,000,000
<br /> X O AUTO 0.1fi-1783$ 711/2019 7/1/2020 BODILY tNJURY(Par person) $
<br /> OWNED SCHED ULED
<br /> AHUppT��OppS ONLY {A�UpT�OOSy �p BODILY INURY Per aodderh
<br /> At1T05 ONLY WJTOS ONLY P�2�ei RJYr MkGE
<br /> A X UMBRELLA LI.CB X OCCUR EACH OCCURRENCE 1,000,000
<br /> EXCESS LIAR CLAIMS-Ma,DE x 017-17838-!_MIS 7/1/2019 7/1/2020 AGGREGATE $
<br /> .DED X RETFMION$ 11J,f]00 Aggregate S 1,00 ,000
<br /> B WORKERS COMPENSATION x pq� _
<br /> AND EMPLOYERS'LIABILITY D000583899 7/1/2019 71112020
<br /> ANY PRO p�IErORIpARTNERlFC1JL]1+E. YIN 1,000,000
<br /> OFFICERIkSi�mg�R)EXCLUDED? NIA E.L.EAGM ACC�fT $ 1,OOQ,OQO
<br /> (Mandator, - '} E,L.DISEASE-FAEhkPLOYEE #
<br /> If yes.daepi be undor
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY UMIT 1,000,000
<br /> C Grime/ERISA 28D5KR(6511 711120.19 711/2020 1,000,000
<br /> ID D&OIEmplayment Pract LH68785106 711/2019 711/2020
<br /> 1,000,000
<br /> DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101,Addition*Remarks Schedule,mry ha attached If more a pace Is ra 6d)
<br /> It Is understood and agreed that the certificate holder Is Included as additional insured as respects General Liability as required by written contract.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> PO Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Hilfsbarough,NC27278
<br /> AUTHORIZED REPRESEWATIVF
<br /> T W"tM14 F� 5wrtn^n�.$
<br /> ACORD 25(2016103) l Q 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACOR0 name and logo are registered marks of ACORD
<br />
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