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2023-658-E-Housing Dept-Rachel Galanter-Motivational Intervewing training
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2023-658-E-Housing Dept-Rachel Galanter-Motivational Intervewing training
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Last modified
11/21/2023 2:37:45 PM
Creation date
11/21/2023 2:37:36 PM
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Contract
Date
11/9/2023
Contract Starting Date
11/9/2023
Contract Ending Date
11/16/2023
Contract Document Type
Contract
Amount
$3,800.00
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CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />10-04-2023 <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 />CONTACT <br />NAME: <br />FAX: 800-589-7316PHONE 800-507-4495 <br />(A/C, No, Ext):(A/C, No): <br />E-MAIL <br />ADDRESS: service@threeinsurance.com <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />PRODUCER <br />Berkshire Hathaway Direct Insurance Company <br />1314 Douglas Street <br />Omaha NE, 68102 <br />INSURER A : Berkshire Hathaway Direct Insurance Company 10391 <br />INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURED <br />RACHEL GALANTER LLC <br />920 N Buchanan Blvd <br />Durham, NC 27701-1544 <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 LTR TYPE OF INSURANCE ADDL <br />INSD <br />SUB <br />R <br />WVD <br />POLICY <br />NUMBER <br />POLICY <br />EFF <br />(MM/DD/Y <br />YYY) <br />POLICY EXP <br />(MM/DD/YYYY <br />) <br />LIMITS <br /> x COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />DAMAGE TO RENTED <br />PREMISES (Ea <br />occurrence) <br />$ 1,000,000 <br />MED EXP (Any one <br />person) <br />$ <br />PERSONAL & ADV <br />INJURY <br />$ 1,000,000 <br />GENERAL <br />AGGREGATE <br />$ <br />x PRODUCTS - <br />COMP/OP AGG <br />$ SEE GENERAL <br />AGGREGATE <br />A <br />CLAIMS-MADE X OCCUR <br /> <br />CP140177262P2 <br />021 <br /> 11/30/2022 11/30/2023 <br />$ <br />AUTOMOBILE LIABILITY COMBINED SINGLE <br />LIMIT (Ea accident) <br />$ <br />ANY AUTO BODILY INJURY (Per <br />person) <br />$ <br /> BODILY INJURY (Per <br />accident) <br />$ <br />X X PROPERTY DAMAGE <br />(Per accident) <br />$ <br />A <br />OWNED <br />AUTOS ONLY <br />HIRED <br />AUTOS ONLY <br />SCHEDULED <br />AUTOS <br />NON-OWNED <br />AUTOS ONLY <br />CP140177262 <br />P2021 <br />11/30/2022 11/30/2023 <br />HIRED AND NON - <br />OWNED <br />$1,000,000/3,000 <br />,000 <br />EACH OCCURRENCE $UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS-MADE AGGREGATE $ <br />DED RETENTION $$ <br />PER <br />STATUT <br />E <br />OTHER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA <br />EMPLOYEE <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N / A <br />E.L. DISEASE - <br />POLICY LIMIT <br />$ <br /> OCCUR <br />x <br />A <br />ERRORS & OMISSIONS <br />CYBER x <br />CP140177262 <br />P2021 <br />11/30/2022 11/30/2023 <br /> PerOccur/Aggregate <br />PerOccur/Aggregate <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Orange County, its officers, agents and employees are designated as "additional insured". <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Orange County <br />300 West Tryon Street P.O. Box 8181 <br />Hillsborough, NC 27278 <br />AUTHORIZED REPRESENTATIVE <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD <br />ACORDs provided by Forms Boss. www.FormsBoss.com; (c) Impressive Publishing 800-208-1977 <br />$1,000,000 / <br />3,000,000 <br />$1,000,000 / <br />3,000,000 <br />OTHER: <br />POLICY PRO- <br /> JECT LOC <br /> GEN'L AGGREGATE LIMIT APPLIES PER:3,000,000 <br />X <br />X <br />X <br />DocuSign Envelope ID: 9198C2D3-819C-488C-B162-EBD936E5D4FA
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