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OEENT-1 OP ID:CWC <br /> CERTIFICATE OF LIABILITY INSURANCE DATE 0 713 1 1201 YY) <br /> 07/31/2013 <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 CONTACT <br /> Jennings Bryan-Chappell Ins. Phone:336-227-7458 NAME: Dee Ann Cobb,CIC,CISR <br /> P.0.Box 1118 Fax:336-343-1000 p ,.336-227-7458 AX,No):336-343-1000 <br /> Burlington,NC 27216 E-MAIL <br /> Jennings M. Bryan III ADDRESS:deeann@jbcins.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:United Heartland <br /> INSURED OE Enterprises,Inc. INSURERS:Philadel hia Insurance Co <br /> Mr.Roger Francis INSURER C: <br /> 348 Elizabeth Brady Road <br /> Hillsborough,NC 27278 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 /> IITR TYPE OF INSURANCE ADDL SU POLICY NUMBER MMIDDIIYYYY MM/DD YWY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> B X COMMERCIAL GENERAL LIABILITY PHPK1039786 0613012013 06/30/2014 PREMISE Ea oNwrrence $ 100,000 <br /> CLAIMS-MADE F�OCCUR MED EXP(Any one person) $ 5,000 <br /> B X ProfE&O PHSD841592 06/30/2013 06/30/2014 PERSONAL&ADV INJURY $ 1,000,000 <br /> X Employee Benefits GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> POLICY PRO- n LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident g 1,000,000 <br /> B X ANY AUTO PHPK1039786 06/30/2013 06/30/2014 BODILY INJURY(Per person) $ <br /> X ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> X HIRED AUTOS NON-OWNED PROPERTY DAMAGE <br /> AUTOS Per accident is <br /> $ <br /> X <br /> EXCESS LIAO X OCCUR EACH OCCURRENCE $ 4,000,000 <br /> B EXCESS LIAB CLAIMS-MADE PHUB425686 06/30/2013 06/30/2014 AGGREGATE $ 4,000,000 <br /> DED I X I RETENTION$ 10000 $ <br /> WORKERS COMPENSATION WCSTATU- OTH <br /> AND EMPLOYERS'LIABILITY X <br /> A ANY PROPRIETOR/PARTNERIEXECUTIVE YIN - <br /> 0400120327 07/01/2013 07/01/2014 E.L.EACH ACCIDENT $ 500,000 <br /> OFFICER/MEMBER EXCLUDED? NIA <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEEJ$ 500,00 <br /> Oyes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 <br /> DESCRIPTION OF OPERATIONS below <br /> B Directors/Officers PHSD841592 06/3012013 06/30/2014 D&O 3,000,000 <br /> B E PHSD841692 06/30/2013 06/30/2014 E 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANG-7 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> P.O.Box 8181 <br /> Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE <br /> Jennings M. Bryan III <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD <br />