2021-146-E Criminal Justice Resource- OC Rape Crisis Center memorandum of understanding

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DocuSign Envelope ID: D2794395-FEOE-49D6-B73F-057E144073E3 ORANCTY-01 LPOPE ACOROPo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) `.•�-� 2/18/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: High&Rubish Insurance PHONE FAX 6015 Farrington Rd.,Ste 101 (A/C,NLo,Ext):(919)913-1144 (A/C,No):(919)913-1166 Chapel Hill,INC 27517 ADDRIESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Philadelphia Insurance Co INSURED INSURER B:Hartford Casualty Insurance Co 29424 Orange Cty Rape Crisis Center INSURER C:Hartford Bonds 1506 E.Franklin St,Ste 302 INSURERD: Chapel Hill,INC 27514 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP L TYPE OF INSURANCE SD VD POLICY NUMBER DD DDI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE [�]OCCUR PHPK2029814 10/10/2019 10/10/2020 DAMAGE TO RENTED 100,000 PREMISES Ea occurrence) $ X abuse/Moles.$mil MED EXP(Any oneperson) $ 5,000 X prof liab-$2 mill PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Liq Liab $ 1,000,000 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO PHPK2029814 10/10/2019 10/10/2020 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILYBODILY INJURY Per accident $ X W%ONLY X AUTOS ONLY P�Oa�i, nt AMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ B WORKERS COMPENSATION X STATUTE EORH AND EMPLOYERS'LIABILITYYIN 22WBCNY9475 4/24/2020 4/24/2021 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE —] E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Directors&Officers PHSDISS5622 6/30/2020 6/30/2021 1,000,000 C Dishonesty Bond 22BDDHKO780 6/3/2019 6/312020 Bond 300,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Information THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE MAP- ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD