2020-872-E Social Svc - PORCH Chapel Hill-Carrboro outside agency agreement

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DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB PORCCHAP-1 MUMMERS ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDDIYYYI)8/1 712 0 2 0 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). CONTACT PRODUCER NAME: Summers Insurance Group PHONE 919 968-4472 FAX 919 942-4221 2113 Cameron Street (A/C,No,Ext):( ) (AIc,No):( ) Suite 219 ADDARES_S_:info@STLinsure.com Raleigh,NC 27605-1370 INSURERS AFFORDING COVERAGE NAIL# INSURER A:Alliance for Nan-ProFlts for Insurance Risk Retention Group 10023 INSURED INSURER B: PORCH Chapel Hill-Carrboro INSURER C: Christine Cotton,Founder 218 Lake Manor Road INSURER D: Chapel Hill,NC 27516 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVO MIDD/YYYY MMIDD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 2020-43783 6/4/2020 6/4/2021 DAMAGE TO Eaacaurrance $ 500,000 MED EXP An one erson $ 20,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑jECT LOC _ PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY (Ea accodeDtSINGLE LIMIT $ 1�000�QQQ ANY AUTO 2020-43783 6/4/2020 6/4/2021 BODILY INJURY Per erson $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ SONL P. .del AMAGEU XO ., $ATOS ONLY NON -OWNED A X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE 2020-43783-UMB 6/4/2020 6/4/2021 AGGREGATE $ DIED X RETENTION$ 10,000 Prod/Cops 1,000,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MFIMBER EXCLUDED? (Mandatary n NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Addltlonal Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County Government THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 tY ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Risk Manager P.O.Box 8181 Hillsborough,INC 27278 AUTHORIZED REPRESENTATIVE lion^ry�' Swnma.5 ACORD 25(2016/03) L ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD