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'4�°RO® 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 pol(cy(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 Cor1T c Janet Davis CISR CRIS AAI <br /> N E: <br /> First Citizens Insurance Services PHONE (919)833-9761 FAC, (919)716-2226 <br /> P O Box 29611 aoAlES janet.davis @firstcitizene.com <br /> R <br /> INSURER(S)AFFORDING COVERAGE NAIC Y <br /> Raleigh NC 27 62 6-0 611 INSURERA:Sentinel Ins Co LTD 11000 <br /> INSURED INSURERB:Trumbull Ins Co 27120 'r <br /> Intellicom, Inc. <br /> INSURER C: <br /> 2902 S Miami Blvd INSURERD: <br /> Suite C INSURERE: <br /> Durham NC 27703 <br /> 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, i <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDU CED BY PAID CLAIMS. E <br /> INTR TYPE OF INSURANCE ADDLISUBRI POLICY EFF POLICY EXP <br /> POLICY NUMBER IDD MMIDO LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> I <br /> X COMMERCIAL GENERAL LIABILITY DEREMISES AMAGE TO RENTED 8 1,000,000 s Cal <br /> A CLAIMS-MADE ❑X OCCUR 2SBABN5619 /1/2014 /1/2015 MEDEXP(An one person) S 10,000 f <br /> PERSONAL 8 ADV INJURY $ 1,000,000 <br /> r <br /> GENERAL AGGREGATE S 2,000,000 <br /> GENI AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGO S 2,000,000 <br /> X POLICY LOC <br /> PR0. $ <br /> AUTOMOBILE LIABILITY Ea COMBINED accident) L LIMIT 11000,000 <br /> A X ANY AUTO BODILY INJURY(Per person) $ <br /> AUTOSWNED 2UECRB6948 /1/2014 /1/2015 BODILYINJURY(Peraccident) S <br /> HIRED AUTOS HSCHEDULED <br /> AUTOS OVVNED War a DAMAGE _ <br /> Uninsured motodstcombined S 1,000,000 <br /> X UMBRELLA LU1B OCCUR EACH OCCURRENCE $ 5,000,000 <br /> A EXCESS LIAB x CLAIMS-MADE AGGREGATE $ 5,000,000 <br /> DED I X I RETENTION$ 10,00C I LSBABIN5619 /1/2014 /1/2015 $ <br /> B WORKERS COMPENSATION I WC TATU- I JOTH_ <br /> AND EMPLOYERS'LIABILITY YIN <br /> ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICERIMEMBER EXCLUDED? NIA <br /> (Mandatory in NH) 21,BCCI9389 /1/2014 /1/2015 E.L.DISEASE-EA EMPLOYE $ 1 000 000 <br /> If es,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1 000 000 <br /> x <br /> DESCRIPTION OF OPERATIONS I 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 /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Orange County <br /> P.O. Box 8181 I <br /> Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE (k <br /> J Davis CISR CRIS AAI <br /> ACORD 25(2010/05) ©1988-2010ACORD CORPORATION. All rights reserved. <br /> INS025 r7nion51 ni Tho Ar`r)Rrl nnmo nnri Innn area ronictororl marlrc of annpn <br />