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CERTIFICATE OF INSURANCE Page 1 of 1 <br /> CERTIFICATE OF INSURANCE <br /> Underwritten by Philadelphia Indemnity Insurance Company <br /> PRODUCER <br /> Hoffman Insurance Services, Inc. <br /> 141 Linden Street <br /> PO Box 9002 <br /> Wellesley, MA 02482-9002 <br /> Phone: 781-235-0087 <br /> Fax: 781-235-6665 <br /> INSURED <br /> Nancy Alton <br /> 3917 Marklyn Place <br /> Hillsborough NC 27278 <br /> Policy Number: 8171 <br /> Master Policy Number: PHPK1129642 <br /> Renewal: Yes <br /> Program: ACE <br /> Certificate Number: T 74618 <br /> Group Name: None <br /> Effective Dates: 05/14/2014 to 12:01 AM 05/14/2015 <br /> Additional Insured: There are currently no additional insured. <br /> LIMITS OF LIABILITY <br /> Type of coverage afforded: Commercial General Liability/Professional Liability <br /> Limits of Coverage: <br /> Each Occurence Limit: $1,000,000 <br /> Professional Liability Limit: Included <br /> Personal and Advertising Injury Limit: $1,000,000 <br /> General Aggregate Limit*: $3,000,000 <br /> Products/Completed Operations Aggregate Limit: $3,000,000 <br /> Damage To Premises Rented To You Limit: $100,000 <br /> Medical Expense Limit(Any One Person): $1,000 <br /> Abuse/Molestation Occurence Limit: $100,000 <br /> Abuse/Molestation Aggregate Limit: $300,000 <br /> *Other than Products—Completed Ops <br /> COVERAGE FORMS <br /> For a complete listing of forms, please go to www.insureyourclub.com/resources. <br /> Policy Coverage includes Online Training <br /> PREMIUM <br /> Certificate Premium: 172.00 <br /> Taxes/Surcharges: 0.00 <br /> NOTE:All premium is fully earned at inception of policy <br /> Authorized By: Robert Kuchefski <br /> https://www.insureyourclub.com/my-account/certificate.php 5/14/2014 <br />