2020-245-E DEAPR - Laura Phillips Quaker Cemetery historic research

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DocuSign Envelope ID: 1DC97074-B7F4-474F-9667-128FC11EC6AA -q� ►�° CERTIFICATE OF LIABILITY INSURANCE [DATE(MMIDONM) 0811 2/20 1 9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE❑DES 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(les) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT USAA INSURANCE AGENCY INCIPHS NAMEO PHONE (888)242-1430 Fax (888)443-6112 65812846 (AC,No,Eat}: (AC,No): The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio,TX 78265 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL# INSURED INSURER A: Hartford Casualty Insurance Company 29424 LAURA A.W.PHILLIPS INSURERS: 59 PARK BLVO INSURER c WINSTON SALEM NC 27127-2000 INSURER D 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.NOTWTHSTANDING 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICYEXP LIMITS COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $1,000,000 CLAIMS-MADEFx1OCCUR DAMAGE TO RENTED $300,000 PREMISES Ma-omunpcel X General Liability MED EXP(Any one person) $10.000 A X 65 SBA NNO653 09110/2019 09110/2020 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑JEC- F]LOC PRODUCTS•COMPIOPAGG $2,o00,000 OTHER: AUTOMOBILE LIABILITY COM81NED SINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per parson) A ALL OVNJED SCHEDULED 85 SBA NN0653 09/10/2019 09/10/2020 BODILY INJURY(Peraccidant) AUTOS AUTOS LiIREO NON-OWNED PROPERTY DAMAGE X AUTOS X AUTOS (Per accident) UMBRELLA LIAR HOCCUR EACH OCCURRENCE EXCESS LAB CLAIMS- AGGREGATE MADE ED RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY A T ANY YIN E.L.EACH ACCIDENT PROPRIETORIPARTNEWEXECUTI VE OFFICERIMEMBER EXCLUDED? NIA E.L.DISEASE-EA EMPLOYEE (Mandatary In NH) If yes,desrribe udder E.L DISEASE-POLICY LIMIT DESCRIPTION OFOPERATIONS below A EMPLOYMENT PRACTICES 65 SBA NN0653 09/10/2019 09/10/2020 Each Claim Limit $5,000 LIABILITY Aggregate Limit $5,000 DESCRIPTION OF OPERATIONS ILOCA77ONS I VEHICLES(ACORD 1a1,Additional Remarks Schedule,may he attached If more space Is required) Those usual to the Insured's Operations.Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this policy. CERTIFICATE HOLDER CANCELLATION Orange County Dept of Environment, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Agriculture,Parks&Recreation BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED PO BOX 8181 IN ACCORDANCE WITH THE POLICY PROVISIONS. HILLSBOROUGH NC 27278-8181 AUTHORIZED REPRESENTATIVE 01988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD