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BURKE-1 OP ID:BC <br /> CERTIFICATE OF LIABILITY INSURANCE DATE{04125f 25/1YYYY) <br /> 13 <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(les) 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 CONTA T <br /> THE YOUNG GROUP OF FUQUAY 919-552-8274 NAME: <br /> 411 N Judd Parkway NE,Suite A 919-552-4615 PHONE t FAX No): <br /> Fuquay-Varina,NC 27526 E <br /> ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC N <br /> INSURER A:Hartford Underwriters Ins.Co. 30104 <br /> INSURED Burke Design Group,PA INSURER B:Erie Insurance Group 26271 <br /> Ben Burke INSURER C:National Casualty Company <br /> 3305-109 Durham Drive <br /> Raleigh,NC 27603 INSURER D: <br /> INSURER E, <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 <br /> LTR POLICY NUMBER POLICY <br /> WDDIYYYY MMIDDIYYYY LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE S 1,000,00 <br /> A X COMMERCIAL GENERAL LIABILITY 22SBAV06060 12/23112 12123/13 pREMI E.occurrence $ 1,000,00 <br /> CLAIMS-MADE DK OCCUR MED EXP(My one person) $ 10,00 <br /> X Business Owners PERSONAL&ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ 2,000,00 <br /> POLICY PRO LOG $ <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT 1,000,00 <br /> Ea ccldent <br /> B X ANY AUTO Q12-2330364 12123/12 12123/13 BODILY INJURY(Per person) $ <br /> ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> X HIRED AUTOS X AON SWNED accidenNAMAGE $(per <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION X WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY YIN I <br /> A ANY PROPRIETOR/PARTNERIEXECUTIVE 22WBCRIB697 11/28/12 11/28/13 E.L.EACH ACCIDENT $ 1,000,00 <br /> OFFICERIMEMBER EXCLUDED? N I A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEEI$ 1,000,00 <br /> ff yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT I$ 1,000,00 <br /> C Prof Liability AR00004706 08104/12 08104113 Prof Lia 1,000,00 <br /> Ded 2,50 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGEC <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange County Asset ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Management Services <br /> PO Box 8181 AUTHORIZED REPRESENTATIVE <br /> 131 W.Margaret 3rd Floor <br /> 2 <br /> Hillsborough,NC 27278 <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />