Orange County NC Website
DocuSign Envelope ID:A2DC2EF9-6C9A-438D-A97D-84CEA493644C <br /> KIDZHIL-01 ZDIAMOND <br /> ,4coR0` CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) <br /> 2/10/2021 <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 <br /> NAME: <br /> High&Rubish Insurance PHONE FAX <br /> 6015 Farrington Rd.,Ste 101 (A/C,No,Ext):(919)913-1144 (A/C,No):(919)913-1155 <br /> Chapel Hill,NC 27517 ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Philadelphia Insurance Co <br /> INSURED INSURER B:Hartford Underwriters Ins. 30104 <br /> Kidzu Children's Museum INSURER C: <br /> 201 S Estes Dr,Ste A9 INSURER D: <br /> Chapel Hill,NC 27514 <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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR IN SD WVD MM/DD/YYYY MM/DD/YYYY <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE Flrl X OCCUR PHPK2217162 2/20/2021 2/20/2022 DAMAGE TO RENTED 100,000 <br /> X PREMISES Ea occurrence $ <br /> MED EXP(Any oneperson) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY El jE LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: Empl Dishonesty $ 100,000 <br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> Ea accident $ <br /> ANY AUTO PHPK2217162 2/20/2021 2/20/2022 BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> X HIRED X NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 <br /> X EXCESS LIAB CLAIMS-MADE PHUB749839 2/20/2021 2/20/2022 AGGREGATE $ 1,000,000 <br /> DED X RETENTION$ 10,000 $ <br /> ER <br /> B WORKERS COMPENSATION X STATUTE EERH <br /> AND EMPLOYERS'LIABILITY Y/N 22WECNY6264 4/10/2020 4/10/2021 500,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N/A <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 /> A Sexual Abuse/Mole PHPK2217162 2/20/2021 2/20/2022 Each Occu and aggr 1,000,000 <br /> A Directors&Officers PHSD1532483 4/10/2020 4/10/2021 D&O liability 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Childrens Museum/located at University Place,201 S Estes Drive Suite A9 Chapel Hill,N C 27514 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange Count Government THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 300 W Tryon St <br /> Hillsborough,NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />