Orange County NC Website
DocuSign Envelope ID: F807B28A-EF75-498C-9EC8-5863109A5978 <br /> ___81N W CEN-02 MSUMMERS <br /> ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(M 7/222021/2021 <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 /> Summers Insurance Group PHONE 919 968-4472 FAX 942-4221 <br /> 2113 Cameron Street (A/C,No,Et):( ) (A/C,No):(919) <br /> Suite 219 AD AIL Info@STLinsure.com <br /> Raleigh, NC 27605-1370 <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Alliance for Non-Profits for Insurance Risk Retention Group 10023 <br /> INSURED INSURER B:Travelers Casualty&Surety 19038 <br /> The Women's Center dba/ INSURER C: <br /> Compass Center for Women and Families <br /> PO Box 1057 INSURER D: <br /> Chapel Hill, NC 27514 INSURERE: <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 W D MM DD MM DD <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE X OCCUR 2021-17883 7/1/2021 7/1/2022 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- ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> JECT <br /> OTHER: <br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> Ea accident $ <br /> ANY AUTO 2021-17883 7/1/2021 7/1/2022 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 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 <br /> EXCESS LIAB CLAIMS-MADE 2021-17883UMB 7/1/2021 7/1/2022 AGGREGATE $ <br /> DED I X I RETENTION$ 10,000 lAggregate 2,000,000 <br /> B W KERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> YIN U B2J 566000 7/1/2021 7/1/2022 1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT <br /> A Sexual abuse 2021-17883 7/1/2021 7/1/2022 Each Claim 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 included as an additional insured as respects General Liability as required by written contract. <br /> Annual Aggregate Limit for Professional Liability and Abuse Molestation $2,000,000 <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 /> g Y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attn: Risk Manager <br /> 300 W.Tryon St. <br /> Hillsborough, NC 27278 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 />