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'` 1. o ® CERTIFICATE OF LIABILITY INSURANCE DATE 1213112013 NYYY) <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. 1f 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 /> NAME; <br /> Watson Insurance PHONE FAX <br /> 245 East Second Avenue E-MAIL ° - - <br /> Gastonia NC 28053 ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC 0 <br /> INSURER ALincinnati-Insurance Company 10677 <br /> INSURED INSURER B-TraveleM CBS-&Surety Co. 90311 <br /> Stewart-Cooper-Newell, INSURER C <br /> 719 East Second Ave <br /> Gastonia NC 28054 INSURER 0: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1063758464 REVISION NUMBER: E <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, I <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I <br /> ILTR TYPE OF INSURANCE B POLICY NUMBER MMIDDY EFF MMIOD EXP LIMITS <br /> A GENERAL LIABILITY Y EPP0184359 f7/2013 /7/2014 EACH OCCURRENCE $1,000,000 <br /> _15AMlin to <br /> It MERCIAL GENERAL LIABILITY occurrence <br /> (Ea )_ $500 ODO <br /> CLAIMS-MADE KI OCCUR MED EXP An one arson $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 E, <br /> GENERAL AGGREGATE $2,000,000 e <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/0PAGG 1$2,000,000 <br /> POLICY PRO- LOC $ <br /> A AUTOMOBILE LIABILITY EBA0184359 71712013 /7/2014 a ecG a $500,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> AUTOSWED AUTOS BODILY INJURY(Per accident) $ <br /> NON-OWNED PROPERTY DAMAGE <br /> X HIRED AUTOS X AUTOS Per dert $ <br /> $ a <br /> A UMBRELLA LIAR X OCCUR EPP0184359 17/2013 7f712014 EACH OCCURRENCE $1,000,000 <br /> EXCESS UAB CLAIMS-MADE AGGREGATE $1,000,000 <br /> DED RETENTION $ <br /> C WORKERS COMPENSATION IG152021901 /7/2013 /712014 X WC STATU- I OTH• <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE O N/A E.L.EACH ACCIDENT $100,000 t <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEO$100 ODO 'd <br /> If yes,describe under ?r <br /> DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $50D,000 <br /> B Professional Liability 105598431 /17!2013 /17/2014 Occurence $1,000,000 <br /> Aggregate $2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) 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 ACCORDANCE WITH THE POLICY PROVISIONS. e <br /> PO Box 8181 <br /> Hillsborough NC 27278 AUTHORIZED REPRESENTATIVE 0-4— <br /> 01988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 26(2010/06) The ACORD name and logo are registered marks of ACORD <br />