2012-088 Child Support - Longent Instllation of equipment for cell phone coverage $18649

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190181 ~~ °~ CERTIFICATE OF LIABILITY INSURANCE DAT~/5I2O'I~) 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 certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lisa Ishee NAME: Commercial Lines - 800-868-8834 PHONE . 704-557-2285 aC Na : 866-332-3051 Wells Fargo Insurance Services USA, Inc. nooR~ess: lisa.a.ishee@wellsfargo.com 6100 Fairview Road INSURER S AFFORDING COVERAGE NAIC # Charlotte, NC 28210 ~NSURERA: Hartford Casualty Insurance Company 29424 INSURED iNSUReR e: Sentinel Insurance Company Ltd. 11000 Longent, LLC iNSUReR c: Hartford Undenvriters Insurance Company 30104 7517 Precision Drive, Suite 102 INSURER D: ~ Raleigh NC 27617 I INSURER F: r.nvFRnr,FS f_FRTIRIrATF NIIMRCD• 4'IR'IR44 o~v~~~nu w~uoco. .. 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 PO~ICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR 7ypE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY 22SBABG9302 ~9~~2/~'~ 09/02/12 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence 300,000 S CLAIMS MADE ~ - OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4,000,000 POLICY PRO- LOC $ B AUT OMOBILE LIABILITY 22UECB02450 12/6/2011 12/6/2012 COMBINED SINGLE LIMIT Ea accident 1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS x SCHEDULED AUTOS BODILY INJURY Per accident ( ~ $ x x NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ A X UMBRELLA LIAB X OCCUR 22SBABG9302 O9IOZI'I ~ O9IOZI'I Z EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED x RETENTION $ $ WORKERS COMPENSATION X WC STATU- OTH- C ANDEMPIOYERS'LIABILITY 22WECNJ2286 9/Z/ZO'I'I JIZ/ZO'IZ ~,~N ANY PROPRIETOR/PARTNER/EXECUTIVE ~ N ~ A E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) . (:tK I Irl(:A I t 1'1ULUtK (;AN(:tLLA 1 IUN Orange County PO Box 8181 Hillsborough, NC 27278 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEILED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE /~ y(rtA..~/~,~,~i~._ ~ The ACORD name and logo are registered marks of ACORD OO 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05)