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AC°R°® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDMW) <br /> 8/9/2012 <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 CONTACT Lucinda Engel <br /> HSA Insurance Services PHONE . (866)443-4309 FAX. <br /> No:(866)443-4310 <br /> 310 North Midvale Blvd ACRE :lucinda.engel @onlinehsa.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> Madison WI 53705 INSURERA:CNA Insurance Company <br /> INSURED <br /> INSURERS: <br /> Williams Appraisers Inc, DBA: Williams INSURER C: <br /> PO BOX 33786 INSURER D: <br /> INSURER E: <br /> Raleigh NC 27607 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER-CL128902402 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 POLI CIES.LIMITS SHOWN MAY HAVE BEEN REDU CED BY PAID CLAIMS. <br /> INSR ADDLISUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSR VWVVD POLICY NUMBER IM MIDDIYYYY) (MM/DDIYYYYI LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY AMA E T EN E <br /> -PRE MISE Ea occurrence $ <br /> CLAIMS-MADE El 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 r LOC $ECj <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALLOWNED SCHEDULED BODILY INJURY Per accident $ <br /> AUTOS AUTOS ( ) <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE <br /> AUTOS Per accident $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION WC STATU- I OTH- <br /> AND EMPLOYERS'LIABILITY Y/N TORY LIMITS EEL <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? NIA <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A RNP25414655012 /29/2012 /29/2013 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> Professional Liability E & O Insurance -- Claims Made Policy -- $1,000,000 per claim/$1,000,000 aggregate <br /> DBA -- Williams Appraisers Inc <br /> PLEASE NOTE THIS CERTIFICATE IS FOR INFORMATIONAL PURPOSES ONLY AND DOES NOT CHANGE THE TERMS AND <br /> CONDITIONS OF THE POLICY. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Williams Appraisers, Inc. ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> James Candler/JAMES — c <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> INS025 rgMnn51 M Tho Ar`npn name�nrl Inn^mro ronieforori m2rlre of Ar`non <br />