2023-127-E-Housing Dept-Benevate-Application Management

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© 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD Orange County Housing Department 300 W. Tyron Street, PO Box 8181 Hillsborough, NC 27278 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC OTHER 10 SBA AJ1MSR 01/18/2023 01/18/2024 EACH OCCURRENCE $1,000,000.00 DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000.00 MED EXP (Any one person)$10,000.00 PERSONAL & ADV INJURY $1,000,000.00 GENERAL AGGREGATE $2,000,000.00 PRODUCTS - COMP/OP AGG $2,000,000.00 A AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED HIRED AUTOS ONLY NON-OWNED AUTOS ONLY 10 SBA AJ1MSR 01/18/2023 01/18/2024 COMBINED SINGLE LIMIT (Ea accident) $1,000,000.00 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE Each occurence Aggregate WORKERS COMPENSATION AND EMPLOYERS` LIABILITY ANYP ROPRIETOR/PARTNER/EXECUTIV OFFICER/MEMBER EXCLUDED? Y/N N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER STATUTE OTHER E.L. EACH ACCIDEN E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT B C A Crime Cyber Liability,Errors & Omissions,Media Liability,Privacy Property UC24874470.22 C-4LQ0-142725-CYBER-2023 10 SBA AJ1MSR 07/15/2022 01/18/2023 01/18/2023 07/15/2023 01/18/2024 01/18/2024 $ 1,000,000 per occ $1,000,000 in agg $ 5,000,000 per occ $5,000,000 in agg $ 13300.00 BPP $1,000 deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence Only CERTIFICATE HOLDER CANCELLATION COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: Hiscox Insurance Company Inc.INSURER B : 10200 Arch Specialty Insurance CoINSURER C : 21199 Aspen Specialty Insurance CoINSURER D : 10717 INSURER E : INSURER F : INSURED Benevate 3423 Piedmont Rd NE Atlanta, Georgia 30305 CONTACT NAME: 646-854-1058PHONE (A/C No. Ext): FAX (A/C No): E-MAIL ADDRESS: coi@foundershield.com INSURER(S) AFFORDING COVERAGE NAIC # Hartford Underwriters Ins Co (Hartford)INSURER A : 30104 PRODUCER Millennial Specialty Insurance LLC dba Founder Shield 114 E 25th St, Floor 4 New York, New York, 10010 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). 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 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 02/21/2023 DocuSign Envelope ID: 6F63C4B7-5267-4E60-BA02-25D6B13BE7C6