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Client#:30402 26HOBBSUPCI <br /> DATE(MM/DD/YYYY) <br /> ACORD,. CERTIFICATE OF LIABILITY INSURANCE 1 5/23/2014 <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 CONTA <br /> NAME: <br /> BB&T Insurance Services,Inc PHONE 910 693-2610 F� N,: 888 831-8410 <br /> A/C No E.1): <br /> 140 Applecross Road,Suite B E-MAIL <br /> ADDRESS: <br /> Pinehurst,NC 28374 INSURER(S)AFFORDING COVERAGE NAIC# <br /> 910 693-2610 INSURER A:National Trust Insurance Co. 20141 <br /> INSURED INSURER B:FCCI Insurance Company 10178 <br /> Hobbs Upchurch&Associates PA <br /> INSURER C <br /> P.O.Box 1737 <br /> INSURER D: <br /> Southern Pines,NC 28388 <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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSR WVD POLICY NUMBER MMIDDIYVVY MM/DD/YYYY <br /> A GENERAL LIABILITY CPPOO152792 9130/2013 09/30/2014 EEpAAqIC�H OCCURRENCE $110001000 <br /> X COMMERCIAL GENERAL LIABILITY PREMIEEA Ea ENcur ence $300,000 <br /> CLAIMS-MADE O 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 /> X POLICY jE OT LOC $ <br /> B AUTOMOBILE LIABILITY CA00246832 9/30/2013 09/30/201 (CEO..d.n1SINGLELIMIT 1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS $ <br /> X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE <br /> AUTOS Per accident <br /> B X UMBRELLA LIAB X OCCUR UMB00152542 9/30/2013 09/30/2014 EACH OCCURRENCE s4,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $4 OOO OOO <br /> DED I X RETENTION$10,000 $ <br /> B <br /> AND EMPLOYERS'LIABILITY WORKERS COMPENSATION 001 WC13A69276 9/30/2013 09/30/201 X T STATU- OTH- <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $500 OOO <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 OOO <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 OOO <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> Corp.Owners, Fred Hobbs and David Upchurch are excluded from Worker's Compensation coverage. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD TI <br /> Orange County THE EXPIRATION DATE ABOVE THEREOF,DESCRIBED NOTICE IEWIB C IN <br /> E <br /> WILL CBE DELIVERED <br /> 200 S.Cameron Street ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hillsborough,NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2010 ACORD CORPORATION,All rights reserved. <br /> ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S12388686/M11261376 VPG <br />