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DocuSign Envelope ID:74211493-D876-4700-813D-OA9F75861508
<br /> INTECOU-01 MSUMMERS
<br /> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
<br /> 7/1/2020
<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 /> CONTACT
<br /> PRODUCER NAME:
<br /> Summers Thompson Lowry,Inc. PHONE FAX 919 942-4221
<br /> 2113 Cameron Street (A/c,No,Ext):(919)968-4472 (A/C,No):( )
<br /> Suite 219 E-MAIL info@STLinsure.com
<br /> Raleigh,NC 27605-1370 INSURER )AFFORDING COVERAGE NAIC#
<br /> INSURER A:Alliance for Non-Profits for Insurance Risk Retention Group 10023
<br /> INSURED INSURER B:Eastern Alliance Insurance Co
<br /> Inter-Faith Council for Social Service Inc. INSURER C:Hartford Fire Insurance Company 19682
<br /> 110 W.Main Street INSURER D,The Hanover Ins Co 22292
<br /> Carrboro,NC 27510
<br /> INSURER E
<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 /> INSR TYPE OF INSURANCE ADDLI WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MMIDD MM/DD 1,000,000
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
<br /> CLAIMS-MADE X OCCUR X 2016-17838 7/1/2020 7/1/2021 PREMISES(ERENTED
<br /> occu ante $ 520,000
<br /> X Professional 1M/2M A MED EXP An one arson $ 20,000
<br /> PERSONAL&AOV INJURY $ 11000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ 21000,000
<br /> POLICY❑PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> JECT
<br /> OTHER: SEXUAL ABUSE 1 M $
<br /> A AUTOMOBILE LIABILITY fE,accide COMBINED'SINGLE LIMIT $ 1,000,000
<br /> X ANY AUTO 2016-17838 7/1/2020 7/1/2021 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> A X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000
<br /> EXCESS LIAB HX CLAIMS-MADE X 2020-17838-UMB 7/1/2020 7/1/2021 AGGREGATE $ 1,000,000
<br /> X DED I I RETENTION$ 10,000 $
<br /> B WORKERS COMPENSATION X STATUTE OTH-
<br /> AND EMPLOYERS'LIABILITY QQQ0583899 7/1/2020 711/2021 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ NIA E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? 1,000,000
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> C CrimeIERISA 22BDDHK5511 7/1/2020 7/1/2021 1,000,000
<br /> D D&O/Employment Pract LH68785106 7/1/2020 7/1/2021 1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD iOl,Additional Remarks Schedule,may be attached If more space Is required)
<br /> It is understood and agreed that the certificate holder is included as additional insured as respects General Liability as required by written contract.
<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 /> Hillsborough,NC 27278
<br /> AUTHORIZED REPRESENTATIVE
<br /> ((��
<br /> 39On1,.(Pt Sun^nir l 5
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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