2012-072 Child Support - Starpoint Gloval Services for CSE Scanning Project

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A~~~RD" C E sTARP-1 DATE (MMIODD/YyDyySM _ RTIFICATE OF LIABILiTY INSURANCE ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.~ THIS CERTIFICATE 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 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 I certificate holder in lieu of such endorsement(s1. PRUDUCER 919-553-71 Triangle Insurance Group, Inc PO Box 1179 919-553-67 Clayton, NC 27528 James H: Nappier, Jr. INSURED Starpoint, Inc. . PO Box 5151 Chapel Hill, NC 27514 wsuReR a: FCCI Msurance G ~NSUReR e : Regent Insurance INSURER C : INSURER D : - ----'- ~vVE~CAc3E~ CEi~TIF'iCA i E NU~BER: THIS IS Tn CFRTIFY THA1' TuF oni iri~c ~~ i.~~~ „~,,.~,.~ ~ _ REVISION NUMBER: 10178 I NDICATED. NOTWITHSTANDING ANY R EQUI ~~.~~ REME R~-+~v~,~ u~ i cu tstww nHVt tit NT, TERM OR CONDITION OF AN tN ISSUED T Y CONTRAC O THE INSUR T OR ED NAMED ABOVE FOR THE POLICY PERIOD C ERTIFICATE MAY BE ISSUED OR MAY PER TAIN, THE INSURANCE AFFORDED BY THE POLICI OTHER ES DESCRIBE DOCUMENT WITH RESPECT TO WHICH THIS D HEREIN IS SUBJECT TO ALL TH E XCLUSIONS AND CONDITIONS OF SUCH POLI CIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAI E TERMS, INSR ~ MS . L7R TYPE OF INSURANCE ~ GENERAL LIABILITY ADDL U POLICY NUMBER MM/DD/YYYYY MM/DD/YEYXYY LIMITS A X EACH OCCURRENCE $ 'I,OOO,OO COMMERCIAL GENERAL LIABILI7Y 11164871 03/25/12 03/25/1$ '4 A E T RENTE i . PREMISES Eaoccurrence $ 1~~~0~~ ~ CLAIMS-MADE ~ OCCUR MED EXP (Any one person) $ $,~~~ ~ ~ ~ ~ PERSONAL&ADV INJURY -- --- $ 'I,OOQ,OO'~Is !-J -~ -~ GENER4L AGGREG Z OOO OO~ i ~ GEN'L AGGREGATE LIMIT APPLIES PER: `-~ PRO- I I POLICY LOC I ATE PRODUCTS - COMP/OP AGG $ , ~ - -- i $ Incl in Ayg~ "--" ~ ~ ! AUTOMOBILE LIABILITY ~ I COMBINED SINGLE LIMIT Ea accident $ ~ $ ~,~~~,a~~ A ANY AUTO QAU0096946 02/26/12 02/26/13 BODILY INJURY (Per person) $ _ ALL OWNED SCHEDULED AUTOS X AUTO _. S NON-OWNED BODILY INJURY (Per accident) -~ $ X HIREDAUTOS X AUTOS PROPERTYDAMAGE -- g Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREG ATE $ DED RETENTION $ WORKERS COMPENSATION WC STATU- OTH- $ AND EMPLOYERS' l1ABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N CWCO77F)HO7 04/12/11 04/12/12 T RY LIM TS ER ~ ~ OFFICER/MEMBER EXCLUDED? ^ N/ A E.L. EACH ACCIDENT $ ~~OOO,O : lMandatory in NH) j If yes, describe under . _ E.L. DISEASE - EA EMPLOYEE __-__ $ ~~00~~00~ __ ~ DESCRIPTION OF OPERATIONS below ~ E.L. DISEASE - POLICY LIMIT __ $ '~,Od~,~~3 ~ I ~ ~ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ~ i , ~ ORAN131 Orange County Chiid Support Enforcement Janet Sparks, Keith Chnupa 131 West Margaret Lane Hillsborough, NC 27278 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEPOi2E THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORI2ED REPRESENTATIVE MAR 15 2012 ~~p~a- :,~~~~p O 1988-2010 ACORD CORPORATION. All rights reserved. I ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD