Orange County NC Website
Docusign Envelope ID : 3BO8AO48-869F-453D-90BD-AD70C1468FEC <br /> ® DATE (MM/DD/YYYY) <br /> ACCDOR® CERTIFICATE OF LIABILITY INSURANCE <br /> 07/01 /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 Megan Summers <br /> NAME: <br /> Summers Insurance Group PHONE (919) 968-4472 Alc, No <br /> A/C Na Ext <br /> 11215 North Community House Rd &MAIL s : megan .summers@relationinsurance .com <br /> AnnPE <br /> Suite 100 INSURER(S) AFFORDING COVERAGE NAIC # <br /> Charlotte NC 28277 INSURER A : AN ] - Alliance of Nonprofits for Ins 10023 <br /> INSURED INSURER B : Nonprofits Insurance Alliance <br /> Inter-Faith Council for Social Service , Inc. INSURER C : Allied Eastern Indemnity Company 11242 <br /> 110 W. Main Street INSURER D : ACE American Insurance Company 22667 <br /> INSURER E : <br /> Carrbaro NC 27510 INSURER F : <br /> COVERAGES CERTIFICATE NUMBER : CL257138963 REVISION NUMBER : <br /> THIS IS TO CERTIFY THATTHE 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 /> ILTR TYPE OF INSURANCE POLICY EFF POLICY EXP <br /> v INSD WVD POLICY NUMBER MMIDD MMIDDIYYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 ,000,000 <br /> CLAIMS-MADE ® OCCUR PREMISES (Ea o DAMAGE TO lccur RENTED <br /> ) $ 500,000 <br /> MED EXP (Any one person) $ 20 ,000 <br /> A Y 02-CP-0017838-01 -20 07/01 /2025 07/01 /2026 PERSONAL & ADV INJURY $ 11000 ,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 21000,000 <br /> POLICY ❑ JECT PRO ❑ LOC PRODUCTS - COMPIOP AGG $ 21000,000 <br /> OTHER: Annual Meeting $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 ,0001000 <br /> Ea accident <br /> X ANYAUTO BODILY INJURY (Per person) $ <br /> B OWNED SCHEDULED CWA0033505-20 07/01 /2025 07/01 /2026 BODILY INJURY (Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> $ <br /> X UMBRELLA LIAR ^ OCCUR EACH OCCURRENCE $ 110001000 <br /> A EXCESS LIAR CLAIMS-MADE 02-UB-0017838-01 -20 07/01 /2025 07/01 /2026 AGGREGATE $ 110002000 <br /> DED I X1 RETENTION $ 102000 $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS' LIABILITY STATUTE ER <br /> YIN 11000,000 <br /> C ANY PROPRIETOR/PARTNER/EXECUTIVE FV1 N / A 0000583899 07/01 /2025 07/01 /2026 E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? 1 ,000,000 <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under 11000 ,000 <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ <br /> Occurence 11000 ,000 <br /> Commercial Cyber and Privacy Liability <br /> p D97134637 03/01 /2025 03/01 /2026 Aggregate 11000,000 <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 as respects General Liability as required by 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, NC ACCORDANCE WITH THE POLICY PROVISIONS, <br /> 300 West Tryon Street PO Box <br /> AUTHORIZED REPRESENTATIVE <br /> 8181 <br /> Hillsborough NC 27278 � � � <br /> @ 1988 -2015 ACORD CORPORATION . All rights reserved . <br /> ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />