Orange County NC Website
DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A <br /> REFUCOM-01 VDECAMP <br /> ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD YYYY) <br /> 4/23/2021 <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 Victoria DeCamp <br /> NAME: <br /> Titan Risk Consultants LLC PHONE FAX <br /> 107 Conner Drive,Suite 225 (A/C,No,Et):(919)636-3252 2 (A/C,No): <br /> Chapel Hill,NC 27514 ADDD AIL v-decamp@titanriskconsultants.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Alliance for Non-Profits <br /> INSURED INSURER B: <br /> Refugee Community Partnership,Inc. INSURERC: <br /> P.O.Box 461 INSURER D: <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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR IN SD WVD MM DD MM DD <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE X OCCUR 2021-53764 2/1/2021 2/1/2022 DAMAGE TO RENTED 500,000 <br /> X PREMISES Ea occurrence $ <br /> MED EXP(Any oneperson) $ 20,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY PRO-JECT ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> OTHER: <br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> Ea accident $ <br /> ANY AUTO 2021-53764 2/1/2021 2/1/2022 BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> X HIRED X NON-OWNED Per OPERTnDAMAGE $ <br /> AUTOS ONLY AUTOS ONLY <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> OED <br /> CESS LIAB CLAIMS-MADE AGGREGATE $ <br /> RETENTION$ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? NIA <br /> (Mandatory in NH) E.L.DISEASE-Fes,EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT <br /> A General Liability 2021-53764 2/1/2021 2/1/2022 Sexual Abuse Agg 2,000,000 <br /> A General Liability 2021-53764 2/1/2021 2/1/2022 PE&O Agg 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Certificate holder is added 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 /> Orange Count Government THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attention: Risk Manager <br /> P.O. Box 8181 <br /> Hillsborough,NC 2727E AUTHORIZED REPRESENTATIVE <br /> . <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />