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
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