Orange County NC Website
Browse       Search
DocuSign Envelope ID: 1BE60CB8-ODEB-4A6C-BF4E-E85200702589 <br /> ACORGI CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) <br /> aB/2o12D20 <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 OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the poiicy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION 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 lieu of such endorsement(s). <br /> PRODUCER NAME:C Steven Viola <br /> ONE (336)945-3713 FAX,Underwriters Inc. PAH! Ent- Ac No (33fi)9454719 <br /> 6380 Shallowtord Road E-MAIL steve@securityunderwriters.com <br /> ADDRESS: <br /> P O Box 369 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Lewisville NC 27023 INSUMRA: Alliance of Nonprofits for Insurance <br /> INSURED INSURER B: <br /> ReEntry House Plus,Inc. INSURER C: <br /> - P.O.BOX 361 INSURER D: <br /> INSURER E: <br /> Hillsborough NC 27278 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CL2082003476 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_ <br /> ILTR TYPE OF INSURANCE INSD WVD POLICYNUMBER NiWO EFF PWDD LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE ® OCCUR PREMISES Ea occurrence $ 500,000 <br /> MED EXP(Anyone Person) $ 20,000 <br /> A 2020-65458 10/0112020 10/01/2021 PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN-L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY ❑PRO- LOC PRODUCTS-COMPIOPAGG $ 2,000,000 <br /> OTHER: JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> Ea accident <br /> ANYAUTO BODILY INJURY(Per person) $ <br /> A OWNED SCHEDULED 2020-65458 10101/2020 10/01/2021 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> X AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLA LIAB OCCUR EACHOCCURR"CF $ <br /> EXCESS LIAR HCLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$_ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANY PROPRIETORIPARTNERIEXECUTNE ❑ N f A E.L.EACH ACCIDENT S <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatary in NH) El.DISEASE-EA EMPLOYEE S <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> Each Wrongful Act $1,000,000 <br /> Directors&Officers Liability <br /> A 2020-65458-ad 1010112020 10/01/2021 Annual Aggregate $1,000,000 <br /> DESCRIP MN OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101,Addirkmal Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> Orange County North Carolina Finance&Administrative Services ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 <br /> OO 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />