2021-588-E-Social Svc-Inter-Faith Council-Outside agency funding emergency assistance program

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DocuSign Envelope ID:081 EF70B-AC4D-47A1-8412-D6A5365AE30C INTECOU-01 MSUMMERS ACO�Q CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYYY)7/8/2021 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). CONTACT PRODUCER NAME: Summers Insurance Group HONE No,Ext):(919 968-4472 FAX 2113 Cameron Street ) (A/c,No):(919)942-4221 Suite 219 A oRIE .info@STLinsure.com Raleigh,NC 27605-1370 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Alliance for Non-Profits for Insurance Risk Retention Group 10023 INSURED INSURER B:Eastern Alliance Insurance Co Inter-Faith Council for Social Service Inc. INSURER c:Hartford Fire Insurance Company 19682 110 W.Main Street INSURER D:The Hanover Ins Co 22292 Carrboro,INC 27510 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 500�QQ0 CLAIMS-MADE X OCCUR X 2021-17838 7/1/2021 7/1/2022 occ ace $ X Professional 1M/2M A MED EXP(Any oneperson) $ 20,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 PE� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY❑ OTHER: ISEXUAL ABUSE 1M A AUTOMOBILE LIABILITY COMBINED(Ea ac SINGLE LIMIT $ 1�000,000 X ANY AUTO 2021-17838 7/1/2021 7/1/2022 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILYBODILY INJURY Per accident $ AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE X 2021-17838-UMB 7/1/2021 7/1/2022 AGGREGATE $ DED X RETENTION$ 10,000 Aggregate $ 1,000,000 B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY ER 0000583899 7/1/2021 7/1/2022 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1000000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ ' ' C Crime(Includes Burg 22BDDHK5511 7/1/2021 7/1/2022 1,000,000 D D&O/Employment Pract LH68785106 7/1/2021 7/1/2022 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) It is understood and agreed that the certificate holder Is included as additional insured as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange Count THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 y ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE ea„^�f� 5w.,r.,--Q 5 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD