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`164 R CERTIFICATE OF LIABILITY INSURANCE 2�28�201'4 <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 NAA EM CT Janet Davis CISR CRIS AAI <br /> First Citizens Insurance Services PHONE (919)833-976)1 FAX (919)716-2226 <br /> P O Box 29611 'MAIL <br /> ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC N <br /> Raleigh NC 27626-0611 INSURERA:Sentinel Ins Co LTD 11000 <br /> INSURED INSURERB:Trumbull Ins CO 27120 <br /> Intellicom, Inc. INSURER C: <br /> 2902 S Miami Blvd INSURER D: <br /> Suite C INSURER E: <br /> Durham NC 27703 INSURERF: <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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> ILTR TYPE OF INSURANCE A POLICY NUMBER MM/DDY/YYW POLICY D1 EXP LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 1,000,000 <br /> A CLAIMS-MADE a OCCUR 22SBABN5619 /1/2014 /1/2015 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 /> X POLICY PRO LOC $ <br /> AUTOMOBILE LIABILITY (EC SINGLE LIMIT 1,000,000 <br /> A X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED 22UECRB6948 /1/2014 /1/2015 BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Per accident <br /> Uninsured motorist combined $ 1 000,000 <br /> X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 5,000,000 <br /> A EXCESS LIAB X I CLAIMS-MADE AGGREGATE $ 5,000,000 <br /> DED I X I RETENTION$ 10,000 22SBABN5619 /1/2014 /1/2015 $ <br /> B WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1 000 000 <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory In NH) 2WBCCI9388 /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 $ 1,000,000 <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 /> Dept of Purcashing & Central Sery <br /> POB 8181 AUTHORIZED REPRESENTATNE <br /> Hillsborough, NC 27278 <br /> J Davis CISR CRIS AAI <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> INSD25 i9n1nnS1 n1 Tha annon nama 2nrl Inn^ora ranie+nrnrl manta^f anf%pn <br />