2021-068-E Housing-Housing for New Hope MOU

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DocuSign�elope ID:4A7C30A7-BFCF-4388-AA27-9F36046C30B4 OP ID: CH 14111coRo CERTIFICATE OF LIABILITY INSURANCE DATE(M 01/21/20YYY) /2021 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 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 First Insurance Services,Inc. NAME: P.O. Box 52409 A/CNNo EXt: FVC,No): Durham,NC 27717 E-MAIL Cathy N.Hall PRODUCER CUSTOMER ID#:HOUSI-2 INSURER(S)AFFORDING COVERAGE NAIC# INSURED Housing For New Hope Inc INSURER A:Hartford Casualty Insurance Co 29424 18 West Colony Place#250 INSURER B:Twin City Fire Insurance Co. 29459 Durham, INC 27705 INSURER C:Western World 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. 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 TYPE OF INSURANCE DDL SUBR R POLICY EFF POLICY EXP LIMITS LTR IN WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 C X COMMERCIAL GENERAL LIABILITY Y NPP1051286 10/22/2020 10/22/2021 DAMAGE TO RENTED 50 00� PREMISES Ea occurrence $ CLAIMS-MADE L j OCCUR MED EXP(Any one person) $ 5,000 X PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 3,000,000 1-1 POLICY PE OT- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1'000'000 B X ANY AUTO 22UECPG3452 01/19/2021 01/19/2022 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (PER ACCIDENT) NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXX EXCESS LIAB HCLAIMS-MADE AGGREGATE $ XX DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N XXXXXXXXXX E.L.EACH ACCIDENT $ XXXX OFFICER/MEMBER EXCLUDED' ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ XXXXXX If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ XXXXXXX C Professional �NPP1051286 10/22/2020 10/22/2021 Incident 1,000,000 Occurrence Form Gen Aggr 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES JAttach ACORD 101,Additional Remarks Schedule,if more space is required) Orange County is hereby listed as additional insured if required by a written contract or agreement prior to a loss. CERTIFICATE HOLDER CANCELLATION ORANGE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange Count Government THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g y ACCORDANCE WITH THE POLICY PROVISIONS. Orange County Partnership to End Homelessness Box 8181 300 W.Tryon St. AUTHORIZED REPRESENTATIVE Hillsborough, NC 27278 - � P ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD