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— DocuSign Envelope ID:789E95FE-A609-46D6-AEOC-EDB3D189AD23 <br /> Client#: 1877352 04EXCHACLU1 <br /> DATE(MMIDDIYYYY) <br /> ACORDTM CERTIFICATE OF LIABILITY INSURANCE 07127/2020 <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 any rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> McGriff Insurance Services aco"r o Ext:888 743-2217 1 a,No): 8888279861 <br /> 7701 Airport Center Dr E-MAIL <br /> ADDRESS: <br /> Suite 1800 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Greensboro, NC 27409 INSURER A:Philadelphia Indemnity Insurance Co. 18058 <br /> INSURED INSURER B:Stonewood Insurance Company 11828 <br /> The Exchange Club's Family Center in INSURER C:United States Liability Insurance Co. 25895 <br /> Alamance County Mount Vernon Fire Insurance Company 26522 <br /> INSURER D: p y <br /> 200 N Main Street <br /> INSURER E <br /> Graham,NC 27253 <br /> 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 /> LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER ADDLISUBR MMIDIDNYYY MMIDD POL Y EXP LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY PHPK2155837 7/06/2020 07/06/2021 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE [X OCCUR PREMISES Ea occu D nce $100 000 <br /> MED EXP(Any one person) s5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> PRO- <br /> POLICY JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> � <br /> OTHER: OM $ <br /> A AUTOMOBILE LIABILITY PHPK2155837 7/06/2020 07/06/2021 Ea ao.IdentsiNGLE LIMIT 1,000,000 <br /> IANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> XAUTOS ONLY X AUTOS ONLY Per accident <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR HCLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> B WORKERS COMPENSATION WC10000748812020A 7/01/2020 07/01/2021 X PER OTH- <br /> AND EMPLOYERS'LIABILITY <br /> STATUTE IER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $100 000 <br /> OFFICER/MEMBER EXCLUDED? a N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100 000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 <br /> A Professional Liab PHPK2155837 7/06/2020 07/06/2021 1,000,000/2,000,000 <br /> C Directors&Offic ND01573934C 0710612020 07/06/20211 $1,000,000 Aggregate <br /> D I C ber Covera I I CY2111371A 7/30/2019 07/30/202 1,000,000/2500 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) - <br /> PHPK2155837:Sexual Abusive Policy <br /> Aggregate:$2,000,000 <br /> Each Abusive Conduct Limit:$1,000,000 <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County Gov't SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange County, NC ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 200 South Cameron Street <br /> P.O. Box 8181 AUTHORIZED REPRESENTATIVE <br /> Hillsborough, NC 27278 <br /> �44, (Iikl>votaA <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S26233744/M26233650 LRN <br />