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DocuSign Envelope ID: D5C73C19-1B36-45C1-B7DD-03847579E3BD
<br /> M ALLIANCE OF
<br /> ❑ NONPROFITS FOR ALLIANCE OF NONPROFITS FOR INSURANCE
<br /> INSURANCE RISK RETENTION GROUP(AND
<br /> www.insurancefornonprofits.org
<br /> A Head for Insurance.A Heart for Nonprofits.
<br /> COMMERCIAL LINES COMMON POLICY DECLARATIONS
<br /> PRODUCER: POLICY NUMBER: 2020-63307
<br /> Security Underwriters, Inc.
<br /> 6380 Shallowford Road
<br /> Lewisville, NC 27023
<br /> NAME OF INSURED AND MAILING ADDRESS:
<br /> Hope Renovations
<br /> 3807 NC Hwy. 54 W
<br /> Chapel Hill, NC 27516
<br /> POLICY PERIOD: FROM 02/17/2020 TO 02/17/2021
<br /> AT 12:01 A.M.STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE
<br /> BUSINESS DESCRIPTION: Women's Trades Training; Aging-in-Place Repairs & Renovations
<br /> IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS
<br /> POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY.
<br /> THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED.THESE PREMIUMS MAY BE SUBJECT TO ADJUSTMENT.
<br /> PREMIUM
<br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART- OCCURRENCE ............................ $2,858
<br /> COMMERCIAL AUTO LIABILITY COVERAGE PART Not Covered
<br /> IMPROPER SEXUAL CONDUCT AND PHYSICAL ABUSE COVERAGE PART Not Covered
<br /> SOCIAL SERVICE PROFESSIONAL COVERAGE PART Not Covered
<br /> COMMERCIAL LIQUOR LIABILITY COVERAGE PART ............................................................ INCLUDED
<br /> TERRORISM COVERAGE (Certified Acts) ................................................................................ Not Covered
<br /> TOTAL: $2,858
<br /> FORM(S)AND ENDORSEMENT(S)MADE A PART OF THIS POLICY AT TIME OF ISSUE:"
<br /> ANI-EO69 GL 02 19, ANI-EO78 12 18, ANI-E120 09 19, ANI-E123 09 19, ANI-RRG-E03 01 13, ANI-RRG-El1 GL 09 19, ANI-RRG-E15 0117,
<br /> ANI-RRG-E22 09 19, ANI-RRG-E251215, ANI-RRG-E26 11 17, AN I-RRG-E28 01 99, ANI-RRG-E29 12 09, ANI-RRG-E33GL0919, ANI-RRG-E34 09 18,
<br /> ANI-RRG-E42GL0919, ANI-RRG-E5 07 15, ANI-RRG-E56 01 17, ANI-RRG-E59 02 12, ANI-RRG-E60 07 12, AN I-RRG-E61 02 19, ANI-RRG-E67 08 17,
<br /> ANI-RRG-E70 03 19, ANI-RRG-E72 01 17, ANI-RRG-E74 03 14, ANI-RRG-GL 04 01, ANI-RRG-LL 04 01, ANI-RRG-NPO-001 12 19, ANI-RRG-X10618,
<br /> CG 00 01 04 13, CG 00 33 04 13, CG 20 10 04 13, CG 20 12 04 13, CG 20 18 04 13, CG 20 20 11 85, CG 20 21 07 98,
<br /> CG 20 26 04 13, CG 20 34 04 13, CG 20 37 04 13, CG 21 09 06 15, CG 21 35 10 01, CG 21 47 12 07, CG 21 73 01 15,
<br /> CG 21 96 03 05, CG 22 44 04 13, CG 24 07 01 96, IL 00 17 11 98, IL 00 21 09 08, IL 02 69 09 08, SCHEDULE G 01 80,
<br /> SCHEDULE L 01 80
<br /> *Omits applicable forms and endorsement if shown in specific coverage part/coverage form declarations.
<br /> These declarations and the common policy declarations,if applicable,together with the common policy conditions,coverage form(s)and forms
<br /> and endorsements, if any, issued to form a part thereof,complete the above numbered policy.
<br /> "NOTICE
<br /> This policy is issued by your risk retention group. Your risk
<br /> retention group may not be subject to all of the insurance laws BY U
<br /> and regulations of your State. State insurance insolvency (AUTHORIZED REPRESENTATIVE)
<br /> guaranty funds are not available for your risk retention group." 02/19/2020
<br /> ANI-RRG-CO (03700-DB)
<br />
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