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DATE (MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE
<br /> 03/14/2025
<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 Barbie Brown
<br /> NAME:
<br /> Sentinel Risk Advisors LLC (PA lc NNo Ext : (919) 926-4623 �� Na : (919) 926-4664
<br /> 4700 Six Forks Road E-MAIL bbrown@sentinelra .com
<br /> ADDRESS :
<br /> Suite 200 INSURER(S) AFFORDING COVERAGE NAIC #
<br /> Raleigh NC 27609 INSURER A : Hartford Underwriters Ins . Co. 36104
<br /> INSURED INSURER B : Accident Fund Insurance Company of America 10166
<br /> Clean Design , Inc. INSURER C : United States Liability Ins . Co. 25895
<br /> 806 McCulloch Street, INSURER D :
<br /> Suite 102 , INSURER E :
<br /> Raleigh NC 27603 INSURER F :
<br /> COVERAGES CERTIFICATE NUMBER: CL2531419657 REVISION NUMBER:
<br /> THIS IS TO CERTIFYTHAT 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 POLICY EFF POLICY EXP LIMBS
<br /> LTR INSD WVD POLICY NUMBER MM/DD MM/DD
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 ,000
<br /> �/ D 1 ,0001000
<br /> GE TO REN ITED
<br /> CLAIMS-MADE X OCCUR PREMISES Ea occurrence $
<br /> MED EXP (Any one person) $ 101000
<br /> A Y 22SBAAK4H6B 03/26/2025 03/26/2026 PERSONAL & ADV INJURY $ 12000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 ,0001000
<br /> X POLICY ❑ PRO- ❑ LOC PRODUCTS - COMP/OPAGG g 2 , 000,000
<br /> JECT
<br /> OTHER: Employee Benefits $ 110002000
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 /000 /000
<br /> Ea accident
<br /> ANYAUTO BODILY INJURY (Per person) $
<br /> A OWNED SCHEDULED Y 22SBAAK4H6B 03/26/2025 03/26/2026 BODILY INJURY (Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> X UMBRELLA LIAB I X OCCUR EACH OCCURRENCE $ 2 , 000,000
<br /> A EXCESS LIAB CLAIMS•MADE Y 22 SBAAK4H6B 03/26/2025 03/26/2026 AGGREGATE $ 2,000,000
<br /> DED I X1 RETENTION $ 10,000 $
<br /> WORKERS COMPENSATION X SPER TATUTE EORH
<br /> AND EMPLOYERS' LIABILITY YIN 1 ,000,000
<br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE N NIA Y AF WCP 100081801 01 /01 /2025 01 /01 /2026 E.L. EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED?
<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 /> Professional Liability Occurrence Limit $2 ,000,000
<br /> C SP 1559388J 03/26/2025 03/26/2026 Aggregate Limit $23000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required)
<br /> Orange County, its officers, agents and employees are included as Additional Insured on General Liability, Auto Liability and Umbrella Liability Coverage
<br /> per written contract. A Waiver of Subrogation is provided on Workers Comp Coverage per written contract .
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS ,
<br /> 300 West Tryon Street
<br /> AUTHORIZED REPRESENTATIVE
<br /> P.O . Box 8181
<br /> Hillsborough NC 27278
<br /> © 1988 -2015 ACORD CORPORATION . All rights reserved .
<br /> ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
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