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AtC ® DATE(MWDDNYYY) <br /> �.►� CERTIFICATE OF LIABILITY INSURANCE 2/28/2014 <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(les)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 c TACT Janet Davis CISR CRIS AAI <br /> NAME: <br /> First Citizens Insurance Services PHONE (919)833-9761 FAQ (919)716-2226 <br /> P O Box 29611 AE-MDARfLESS:janet.daLvis@firstcitizens.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> Raleigh NC 27626-0611 INSURERA:Sentinel Ins Co LTD 11000 <br /> INSURED INSURERB:Trumbull Ins CO 7120 <br /> Intellicom, Inc. INSURERC: <br /> 2902 S Miami Blvd INSURER D: <br /> Suite C INSURER E: <br /> Durham NC 27703 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:2014-2015 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 /> ILTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRE 1 E a N $ 1,000,000 <br /> A CLAIMS-MADE ❑X OCCUR 22SBMN5619 /1/2014 /1/2015 MEDEXP(Any one person) $ 10,000 <br /> PERSONAL&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 /> X POLICY PRO LOC $ <br /> AUTOMOBILE LIABILITY EOMBIINEDt IN LE LIMIT 11000,000 <br /> A X ANY AUTO BODILY INJURY(Per person) $ <br /> ALLOSVNED SCHEDULED 2UECRE6948 /1/2014 /1/2015 BODILY INJURY(Per accident) $ <br /> HIRED AUTOS NON-0VUNED PROPERTY DAMAGE $ <br /> AUTOS Per accident <br /> Uninsured motoristoombined $ 1,000,000 <br /> X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 <br /> A EXCESSUAS X I CLAIMS-MADE AGGREGATE $ 5,000,000 <br /> DED I X I RETENTION$ 10,00 2SBABN5619 /1/2014 /1/2015 $ <br /> B WORKERS COMPENSATION WC STATU- I 10TH- <br /> AND EMPLOYERS'LIABILITY Y/N TORY LIMITS FR <br /> ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICERIMEMBER EXCLUDED? NIA <br /> (Mandatory In NH) 2WBCC19398 /1/2014 /1/2015 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 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 /> 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 /> P.O. Box 8181 <br /> Hillsborough, NC 27278 AUTHORREDREPRESENTATIVE <br /> J Davis CISR CRIS AAI <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> INSD25 mmnnsi m Tho A(`npn name onrl Inn^aro ronictorori mark*of Art')Qn <br />