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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMDDYYYY) <br />04/24/2025 <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 POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE 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 policles may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lleu of such endorsement(s). <br />PRODUCER <br />Harris & Associales Insurance Group LLC <br />PO BOX 98717 <br />CONTACTNAME James Harris <br />PHONE (919) 916-5902(A/C. No. EXI <br />FAXFNel:(919) 882-1196A/C, <br />certificates@Jharrisinsurancegroup.com <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />ADDRESS: <br />RALEIGH NC 27624 INSURER A: AMTRUST <br />INSURED <br />INSURER B: <br />Generations Family Services INSURERC : <br />5300 Atlantic Ave INSURERD: <br />Suite 106-Р INSURERE: <br />Raleigh NC 27609 INSURER F ; <br />CERTIFICATE NUMBER:COVERAGES 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 PERIODINDICATED. 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,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.INSR TYPE OF INSURANCЕ ADDL SUBRINSD WYD <br />COMMERCIAL GENERAL LIABILITY <br />☐ CLAIMS-MADE ☐ OCCUR <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRO-POLICY LOC <br />OTHER <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNEDAUTOS ONLY <br />HIRED <br />_ AUTOS ONLY <br />SCHEDULED_ AUTOS <br />☐NON-OWNEDAUTOS ONLY <br />POLICY NUMBER POLICY EFF(MM/DD/YYYY POLICY EXP(MM/DD/YYYY LIMITS <br />EACH OCCURRENCE <br />DAMAGE TO RENTEDPREMISES (Ea occurrence) <br />MED EXP (Any one person)S <br />PERSONAL & ADV INJURY S <br />GENERAL AGGREGATE S <br />PRODUCTS-COMP/OP AGG S <br />S <br />COMBINED SINGLE LIMITEa accident <br />BODILY INJURY (Per person) <br />$ <br />S <br />BODILY INJURY (Per accident <br />PROPERTY DAMAGE <br />|S <br />s(Per accident) <br />S <br />EACH OCCURRENCE S <br />AGGREGATE $ <br />S <br />XATUTEHYIN <br />☐NIA SWC1556660 E.L. EACH ACCIDENT s 100,0004/24/2025 4/24/2026 <br />E.L. DISEASE - EA EMPLOYEE S 100.000 <br />E.L. DISEASE- POLICY LIMIT $ 500.000 <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS-MADE <br />DED RETENTION S <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />A ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?(Mandatory in NH) <br />yes doscribe undorDÉSCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schodule, may be attached if more space is required) <br />Orange County, its officers, agents and employees are to be designated as "additional insured" <br />with respect to the general liability insurance policy. <br />CERTIFICATE HOLDER <br />Orange County NC <br />300 West Tyron St, <br />PO Box 8181 <br />Hillsborough NC 27278 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANGE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />her sein <br />ACORD 25 (2016/03)1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />Docusign Envelope ID: 70AC4468-78AF-419C-B7E2-DE41EBDA559F