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GENEFAM-01 LJENKINS ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 5/23/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE 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). PRODUCER Moulton Insurance Groupe Group250 Church Street NE Concord, NC 28025 CONTACT PHONE(A/C, No, Ext): (704) 782-6917 ESS: COi@moultoninsgroup.com ,No):(704) 792-0634 INSURER(S) AFFORDING COVERAGE INSURER A: Beazley Insurance Co, Inc. NAIC # 37540 INSURED Generations Family Services Inc 7283 NC Hwy 42 W Raleigh, NC 27603 COVERAGES CERTIFICATE NUMBER: INSURER B : INSURER C: INSURERD: INSURERE: INSURERF: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATEDNOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH 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 CLAIMSINSRLTRTYPE OF INSURANCE ADDL SUBRINSD WVD COMMERCIAL GENERAL LIABILITY CLAIMS-MADE ☐ OCCUR GEN'L AGGREGATE LIMIT APPLIES PER POLICY OTHER AUTOMOBILE LIABILITY ANY AUTO OWNEDAUTOS ONLY WIREDS ONL LOC SCHEDULEDAUTOS NON-OWNED UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE DED RETENTION S WORKERS COMPENSATIONAND EMPLOYERS' LIABIIY YINANY PROPRIETOR/PARTNER/EXECUTIVEFICER/MEMBER EXCLUDED?Mandatoryn NH) If yes, describe underDÉSCRIPTION OF OPERATIONS below NIA A Sexual Misconduct A Sexual Misconduct POLICY NUMBER POLICY EFF POLICY EXP(MM/DD/YYYY)(MM/DD/YYYY)LIMITS EACH OCCURRENCE DAMAGE TO RENTEDea occurrence)S MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE S PRODUCTS-COMP/OP AGG S S COMBINEDCOMBINED SINGLESINGLE LIMIT BODILY INJURY (Per person)S BODILY INJURY (Per accident) PROPERTY DAMAGE(Per accident S EACH OCCURRENCE S AGGREGATE PERITESTATUTE OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S SML000000418952B SML000000418952B 6/9/2025 6/9/2025 6/9/2026 6/9/2026 E.L. DISEASE -POLICY LIMIT Per Claim Aggregate 1,000,000 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Orange County, its officers, agents, and employees are to be designated as "additional ensured" with respect to the general liability insurance policy CERTIFICATE HOLDER Orange County NC 300 West Tryon St PO Box 8181 Hillsborough NC 27278 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Laurie Genkins ACORD 25 (2016/03)©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: 70AC4468-78AF-419C-B7E2-DE41EBDA559F