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Client#: 125024 SOUTSEA4 <br /> DATE(MM1DD/YYYY) <br /> ACORDTM CERTIFICATE OF LIABILITY INSURANCE 03/26/2010 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Wells Fargo Ins Sery USA Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 8540 Colonnade Ctr Dr,Ste 111 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> PO Box 97787 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Raleigh,NC 27624-7787 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: The Charter Oak Fire Insurance Compa 25615 <br /> A Southern Season,Inc. INSURER S: The Travelers Indemnity Company 25658 <br /> Ch Box INSURER C: Key Risk Insurance Company 10885 <br /> Chapel Hill,,NC 27515 INSURER D: Phoenix Insurance Company 25623 <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADD' <br /> LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> DATE MM/DD DATE MM/DD LIMITS <br /> A GENERAL LIABILITY 16603279B273 07/01/09 07/01/10 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DDAMn GE TO RENTED mcurrencel $300,000 <br /> CLAIMS MADE 51 OCCUR MED EXP(Any one person) $5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE s2,000.000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2.000000 <br /> POLICY jE O- LOC <br /> D AUTOMOBILE LIABILITY BA833C7093 07/01/09 07/01/10 COMBINED SINGLE LIMIT <br /> X ANY AUTO. (Ea accident) $1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> X HIRED AUTOS BODILY INJURY <br /> X NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO <br /> OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> B EXCESSIUMBRELLA LIABILITY ISMCUP4534Y7381ND 07/01/09 07/01/10 EACH OCCURRENCE s5,000,000 <br /> OCCUR FX]CLAIMS MADE AGGREGATE $5 000 000 <br /> H DEDUCTIBLE $ <br /> X RETENTION $5000 $ <br /> C WORKERS COMPENSATION AND 900000004146109 07/01/09 07/01/10 X WC STATU- OTH- <br /> EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $500,000 <br /> OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500,000 <br /> Syes,AL PR a under E.L.DISEASE-POLICY LIMIT $500,000 <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> **Sample** DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL A_ DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED lREPREySEENTATIVE <br /> �L• PH <br /> ACORD 25(2001/08)1 of 2 9S1561584/M1495826 JBE02 © ACORD CORPORATION 1988 <br />