2021-048-E Social Svc-Art Therapy Institute Cardinal Managed Care agreement

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DocuSign Envelope ID:8C3AC364-20A8-477A-92A7-8FBD4923E2D0 DATE(MM/DD/YYYY) ACCV?" CERTIFICATE OF LIABILITY INSURANCE 03/31/2020 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: _ Affinity Insurance Services Inc HONK Ext: 8 -3214 FAX c No): 847-953-2700 1100 Virginia Drive, Suite 250 ADDRIESS: Fort Washington,PA 19034 _ INSURER(S)AFFORDING COVERAGE NAIC# INSURER A; CM 20427 INSURED INSURER B; Institute of Art Therapy, Inc. dba The Art Therapy Institute INSURER C: 200 N Greensboro St, Ste D6 INSURER D: Carrboro, NC 27510 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. INSR I ADDL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE p POLICYNUMBER MM/DD/YYYY MMIDO COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE A X OCCUR IRERENTED SES B CLAIMS-MADE a ocou ante $ General Liability X MED EXP(Any one person) $ 411940881 04/01/2020 04/01/2021 PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 3,000,000 PRO POLICY❑JECT FI LOC PRODUCTS-COMP/OP AGG $ OTHER; AUTOMOBILE LIABILITY E.COMBINED c 6en'SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB _C__LAIMS-MADE AGGREGATE $ DED RETENTION$ PER $ WORKERS COMPENSATION S_T_ATUTE �R _ AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICEPJMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L,DISEASE-POLICY LIMIT $ A Per Claim $1,000,000 Professional Liability 411940881 4/01/2020 04/01/2021 $3,000,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Sexual Misconduct Limits: $1,000,000 per claim/2,000,000 aggregate Additional Insured: County of Orange State of NC, 200 S Cameron St., Hillsborough, NC 27278 CERTIFICATE HOLDER CANCELLATION County of Orange State of NC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 S Cameron St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hillsborough, NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD