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2020-879-E Human Rights Relations - Communication Svc for Deaf and HH ASL video
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2020-879-E Human Rights Relations - Communication Svc for Deaf and HH ASL video
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DocuSign Envelope ID:62ADC21 F-A825-4E2D-A14C-26E69B9A8702 <br /> DATE(MM/DD/YYYY) <br /> A�" CERTIFICATE OF LIABILITY INSURANCE <br /> 11/04/2020 <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(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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 CONTACT Phyllis Carter,CIC,CISR <br /> NAME: <br /> Craft Insurance Center aCC Ext: (336)375-0600 AIX No): (336)375-7004 <br /> 823 North Elm Street E-MAIL ph @ p assured artners.com <br /> ADDRESS: yIlis.carter <br /> PO Box 14946 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Greensboro NC 27415 INSURERA: Selective Ins.Co.OfAmenca 12572 <br /> INSURED INSURER B: Hartford Property&Casualty 34690 <br /> Guilford County Communications Center for INSURER C: <br /> The Deaf and Hard of Hearing,Inc. INSURER D: <br /> 1175 Revolution Mill Drive,Suite 15 INSURER E: <br /> Greensboro NC 27405 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE 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 /> INSR TYPE OF INSURANCEADDLSUBR POLICY EFF POLICY EXP <br /> LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE FX OCCUR PRIM SES Ea oNcE ence $ <br /> MED EXP(Any one person) $ 10,000 <br /> A S 1629360 12/06/2019 12/06/2020 PERSONAL&ADV INJURY $ <br /> GEN-LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 3,000,000 <br /> X JECT LOC PRODUCTS-COMP/OP AGG $POLICY ❑ PRO 3,000,070 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> Ea accident <br /> ANYAUTO BODILY INJURY(Per person) $ <br /> A OWNED SCHEDULED S 1629360 12/06/2019 12/06/2020 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY /� AUTOS ONLY Per accident <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 <br /> A EXCESS LAB CLAIMS-MADE S 1629360 12/06/2019 12/06/2020 AGGREGATE $ 1,000,000 <br /> DED I I RETENTION $ $ <br /> WORKERS COMPENSATION X1 STATUTE ERER H <br /> AND EMPLOYERS'LIABILITY Y/N 500�1J0 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> B OFFICER/MEMBER EXCLUDED? NIA 22WBCCI6834 04/26/2020 04/26/2021 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 <br /> If yes,describe under 500,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional 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 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 ���j <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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