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Client#: 1536997 201NCHEA2 DATE(MM/DDNYYY) <br /> ACORD,. CERTIFICATE OF LIABILITY INSURANCE 3/2012014 <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 NAME: <br /> BB&T Insurance Services,Inc. PHONE 919 281-4500 AX,No): 8887468761 <br /> AIC No,Ext <br /> Post Office Box 13941 E-MAIL <br /> ADDRESS: <br /> Durham,NC 27709 INSURER(S)AFFORDING COVERAGE NAIC# <br /> 919 281-4500 INSURER A:Sentinel Insurance Company,Ltd 11000 <br /> INSURED INSURER B:Allied World Assurance Company 19489 <br /> North Carolina Health Information Exch <br /> INSURER C: <br /> 2300 Rexwoods Drive;Suite 390 <br /> INSURER D <br /> Raleigh,INC 27607 <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 CONTRACTOR 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 /> LTRR TYPE OF INSURANCE NSR WVD POLICY NUMBER MMIDDmYY MM/DDYIYYYY LIMITS <br /> A GENERAL LIABILITY 22SBABK5678 7101/2013 07101/201 -EACH OCCURRENCE $11,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea RENTED $1,000,000 <br /> CLAIMS-MADE [�OCCUR MED EXP(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 /> POLICY 7 PR10T_ LOC COMBINED SINGLE LIMIT $ <br /> A AUTOMOBILE LIABILITY 22SBABK5678 7/01/2013 07/01/201 Ea accident 1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> LHIRED NED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS PROPERTY DAMAGE $ <br /> NON-OWNED Per accident <br /> X AUTOS X AUTO S <br /> A X UMBRELLA LIAB X OCCUR 22SBABK5678 7/01/2013 07/011201 EACH OCCURRENCE $11.000.000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 <br /> DED X RETENTION$10000 $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? ❑ N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> B Errors&Omi 03074541 4106/2013 04/061201 $2,000,000 Limit <br /> $50,000 Ded <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 /> North Carolina Health THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Information Exchange ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2300 Rexwoods Drive,Ste 390 <br /> Raleigh,INC 27607 AUTHORIZED REPRESENTATIVE <br /> ©1 88-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S12018184/M12018171 SB7 <br />