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eeililii <br /> AC°® CERTIFICATE OF LIABILITY INSURANCE 10/25/22013 013DATE /YYYY) <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 CONT Cl <br /> NAME:A Karen Sherman <br /> Rutherfoord PHONE FAX <br /> 6230 Fairview Road, Suite 230 - - A/C No: - - <br /> Charlotte NC 28210 ADDRIE s. <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Hartfor_d Underwriters Insurance Com 30104 <br /> INSURED TAXMANAGE INSURER B <br /> Company <br /> Tax Management Associates Inc. INSURER C: Company 42374 <br /> 2225 Coronation Blvd. <br /> Charlotte NC 28227 INSURER D:TraveleM lodemnity <br /> INSURER E: <br /> INSURER F:Hartford Fire Insurance <br /> COVERAGES CERTIFICATE NUMBER:703413120 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 /> ILTR TYPE OF INSURANCE A UB POLICY EFF POLICY EXP <br /> INSR WVD POLICY NUMBER MM/DD MM/DD/YYYY LIMITS <br /> D GENERAL LIABILITY 680005C176122 11/15/2012 1/15/2013 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMA E T RENTED <br /> PREMISES Ea occurrence $300,000 <br /> CLAIMS-MADE OCCUR MED EXP(Any one person) $10,000 <br /> PERSONAL 8 ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY PRO LOC $ <br /> A AUTOMOBILE LIABILITY 22UECUD6523 11/15/2012 1/15/2013 Ea accident $1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE <br /> L $ <br /> AUTOS Per accident $ <br /> B X UMBRELLA LIAB OCCUR UH6976249300 11/15/2012 1/15/2013 EACH OCCURRENCE $10,000,000 <br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $10,000,000 <br /> DED X I RETENTION$10,000 $ <br /> F WORKERS COMPENSATION 2WBCNN1391 11/1512012 1/15/2013 X WC STATU- X OTH- <br /> AND EMPLOYERS'LIABILITY Y/N FIR <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 <br /> OF EXCLUDED? ❑ NIA <br /> If in and E.L.DISEASE-EA EMPLOYE $500,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 <br /> 2Rr,tro fessional Liability H71218651 11/15/2012 1/15/2013 Limit $1,000,000 <br /> ims-made Deductible $5,000 <br /> date 12/30/1997 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> Professional Liability insurance policy: The insurance company with which this coverage has been placed is not licensed by the State of <br /> North Carolina and is not subject to its supervision. In the event of the insolvency of the insurance company, losses under this policy will not <br /> be paid by any State insurance guarantee or solvency fund. <br /> Waiver of subrogation in favor of certificate holder for Worker's Compensation insurance applies. <br /> i <br /> I <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 /> Orange County NC ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 200 South Cameron Street <br /> Hillsborough NC 27278 AUTHORIZED REPRESENTATIVE j <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />