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DocuSign Envelope ID: 1DC97074-B7F4-474F-9667-128FC11EC6AA <br /> DAT-�► �° CERTIFICATE OF LIABILITY INSURANCE 81�212fl°`g' <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br /> THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br /> POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br /> AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br /> subject to the terms and conditions of the policy,certain poi lcies may require an endorsement.A statement on this certificate does not <br /> confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> USAA INSURANCE AGENCY IN0PHS <br /> 85812846 PHONE (866)467-8730 FAX (877)905-2772 <br /> (AIC,No,Ext): IAIC,Noi: <br /> The Hartford Business Service Center <br /> 3600 Wiseman Blvd E-MAIL <br /> San Antonio,TX 78265 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAICN <br /> INSURED INSURERA: Continental Casualty Co. <br /> LAURA A.W.PHILLIPS <br /> INSURER B <br /> 59 PARK BLVD <br /> WINSTON SALEM NC 27127-2000 INSURER C: <br /> INSURER D: <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 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 <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C LA IMS- <br /> INSR TYPE OF INSURANCE APOL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> I <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE <br /> CLAIMS-MADE❑OCCUR DAMAGE TO RENTED <br /> PgrMlZga(Ea gcgj=cel <br /> MED EXP(Anyone parson) <br /> PERSONAL&ADV INJURY <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE <br /> POLICY❑JE O- ❑LOC PRODUCTS-COMPMP AGO <br /> OTHER' <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> B <br /> ANY AUTO BODILY INJURY(Per pemony <br /> ALL OWNED SCHEDULED - BODILY INJURY(Par accident] <br /> AUTOS AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS AUTOS (PeraCodan* <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE <br /> EXCESS LIAR CLAIMS- <br /> MADE AGGREGATE <br /> OED RETENTION$ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY I STATUTE <br /> ANY YIN E.L.EACH ACCIDENT <br /> PROPRIETORIPARTNERIEXECUTIVE NI A <br /> OFFICERIMEMSER EXCLUDED? E-L.DISEASE-EA EMPLOYEE <br /> (Mandatory In NHI <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT <br /> iQ6SCRIPTION F OPERATIONS below <br /> Professional Liability Each Claim $1,000,000 <br /> A B51992713 05101/2019 05/01/2020 <br /> Aggregate " 000,000 <br /> DESCR(PTION OF OPERATIONS/LOCA77ONSI VEHICL,FS(ACORD 101,AddItlonal Remarks Schedule,may be attached If more space is required) <br /> Those usual to the Insured's Operations.Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this <br /> policy. <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County Dept of Environment, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> Agriculture,Parks&Recreation BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED <br /> PO BOX 8181 IN ACCORDANCE WITH THE POLICY PROVISIONS, <br /> HILLSBOROUGH NC 27278-8181 AUTHORIZED REPRESENTATIVE <br /> Q 1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />