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6THWA-1 OP 1D:LJ <br /> .400/20" DATE(MMIDD/YYYY) <br /> �,Y� CERTIFICATE OF LIABILITY INSURANCE 02/07/2014 <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 Phone:919-556-3698 CONTACT <br /> Post Office&Nash Agency,Inc. Fax:919-556-8758 PHONE FAX <br /> Post Offlce Box 1109 A/c o x<: A/c No <br /> Wake Forest,NC 27588 E-MAIL <br /> Lorie Borrelli,CIC,AAI ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC S <br /> INSURER A:Hartford Casualty Ins Co. 29424 <br /> INSURED 5th Wall Building Diagnostics INSURER B:Lexington Insurance Co. 19437 <br /> Consultants LLC <br /> 9601 Bailywick Rd INSURER C <br /> Raleigh,NC 27615 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 POLICY NUMBER MM/DO/YYYY M/DD EXP LIMITS <br /> LTR <br /> GENERAL LIABILITY EACH OCCURRENCE $ 2,000,0 <br /> A X COMMERCIAL GENERAL LIABILITY 22SBAVF0089 12/01/2013 12101/2014 PREMISES(Ea ocwrrence $ 300,00 <br /> CLAIMS-MADE I—XI OCCUR MED EXP(Any one person) $ 10,00 <br /> PERSONAL&ADV INJURY $ 2,000,0 <br /> GENERAL AGGREGATE $ 4,000,0 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,0 <br /> POLICY PRO- LOC $ <br /> AUTOMOBILE LIABILITY COMBINED a aca ent�NGLE LIMIT $ 2,000,0 <br /> A ANY AUTO 22SBAVF0089 12101/2013 1210112014 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> X HIRED AUTOS X NON OWNED Peracddent <br /> PROPERTY AMAGE $ <br /> AUTOS <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,0 <br /> A EXCESS LIAB CLAIMS-MADE 22SBAVF0089 1210112013 1210112014 AGGREGATE $ <br /> DED X RETENTION$ $ <br /> WORKERS COMPENSATION OR STATU- OTH- <br /> I <br /> T <br /> AND EMPLOYERS'LIABILITY <br /> YIN <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE❑ N/A E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS below <br /> B Professional 43926702 02/1212013 02/1212014 ea occ 1,000,0 <br /> Liability aggregate 1,000,0 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required) <br /> RE:Window Condition Assessment Southern Human Services Chapel Hill, NC <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORAN818 <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, <br /> PO Box 8181 <br /> Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />