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

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OP ID: SM '`~` °'~O~ CERTIFICATE OF LIABILITY INSURANCE DATE~MM/DD/YYYY) 03/14/12 7HIS 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 certificate holder in lieu of such endorsement(s). PRODUCER 919-553-7103 NAMEACT Triangle Insurance Group, Inc 919-553-6759 PHONE FAx ac No Exe : ac, No : PO Box 1179 Clayton, NC 27528 ADDR~ESS: James H. Nappier, Jf. PRODUCER STARP-1 CUSTOMER ID #: INSURER(S AFFORDING COVERAGE NAIC # INSURED Starpoint, Inc. ~NSUReRa: Regent Insurance Compan PO Box 5151 INSURER B: Chapel Hill, NC 27514 INSURER C : INSURER D : INSURER E : ~ ~ INSURER P : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ ~,OOO~OOO A X COMMERCIAL GENERAL LIABILITY CCI0775960 03l25/11 03/25/12 pREMISES Ea occurrence $. ~0~,00~ CLAIMS-MADE ~ OCCUR MED EXP (Any one person) $ 5,~~0 PERSONAL & ADV INJURY $ 'I ~OOO~OOO ~ GENERALAGGREGATE $ Z,OOO,OOO ~ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Z~OOO,OOO I POLICY PR~ LOC $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ rjOO,OOO 02/26/11 02/26/12 A ANY AUTO CBA0765763 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ X. X SCHEDULED AUTOS HIRED AUTOS ~ PROPERTY DAMAGE (Per accident) $ X NON-OWNEDAUTOS ' $ - ~ . - $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE . $ GEDUCTIBLE ~ $ ~ RETENTION $ I $ ~ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X WC STATU- OTH- TO Y IM T$ ER A ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N ^ N / A CWC0776807 04/12/11 04/12/12 E.L.EACHACCIDENT _ $ ~,OOO,OO OFFICERlMEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ ~,~~~,~~ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 'I,OOO,OOO DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION ORAN131 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE , THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I Orange Counry Child Support ACCORDANCE WITH THE POLICY PROVISIONS. ~ Enforcement ~ Janet Sparks, Keith Chnupa AUTHORIZED REPRESENTATIVE 131 West Margaret Lane .,/~~~ I Hiilsborough, NC 27278 ~~~~ 15 2092 ~lr~~~~~ ~~~L~~~`'~+r j i O 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD