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DATE (MM/DD/YYYY) <br /> ACQRD° CERTIFICATE OF LIABILITY INSURANCE <br /> 01/14/2013 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER Phone: (336)47&9762 Fax: (336)475.9764 CONTACT Insurance Service Corp. f America <br /> INSURANCE SERVICE CORP.OF AMERICA PHONE p FAX <br /> 24 SALEM STREET ac No Ext: 336 475-9762 ac No: (336)475-9764 <br /> THOMASVILLE NC 27360 E-MAL anet@lscofa.com <br /> ADDRESS: janet@lscofa.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER :Hanover Insurance Group 22292 <br /> INSURED <br /> MCGILL ASSOCIATES,PA INSURERS <br /> 55 BROAD ST C <br /> ASHEVILLE NC 28801 D: <br /> E <br /> F <br /> COVERAGE S CERTIFICATE NUMBER: 7312 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE 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 /> INSR TYPE OF INSURANCE ADD'L SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSR WVD POLICY NUMBER MIWD (MM1DDrYYYY) <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED $ <br /> IkMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) <br /> CLAIMS-MADE F1 OCCUR MED.EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY PRO LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Ea accident) $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED ffUTOS CHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS <br /> HIRED AUTOS ON-OWNED PROPERTY DAMAGE $ <br /> UTOS (per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAe HCLAIMS-MADE AGGREGATE $ <br /> DED I RETENTION$ $ <br /> WC STA7U- O <br /> WORKERS COMPENSATION TORY LIMBS ER R <br /> $ <br /> AND EMPLOYERS' LIABILITY <br /> ANY PROPRIETORMARTNERIEXECUTIVE Y/N E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A PROFESSIONAL LIABILITY LHR9434119-00 01/23/12 01/23/13 $3,000,000 Each Claim <br /> $3,000,000 Annual Aggregate <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 200 South Cameron Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Hillsborough NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Attention: <br /> Candice H.Tickle <br /> ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />