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655098 XENTEGRA, LLC Certificate of Insurance (page 1 of 1) 05/06/2014 04:26 29 PM , Colic CERTIFICATE OF LIABILITY INSURANCE DAT 16/20,D/YYYY) �---+''� 5!6/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE ao o Techlnsurance AIC No Ext: 800-668-7020 AIC No: (877)826-9067 �o• 1301 Central Expy.South,Suite 115 E-MAIL eosTeehinsuranee Allen,TX 75013 PRODUCER CUSTO ER ID INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: The Hartford 30104 XENTEGRA,LLC INSURER B: Philadel hia Indemnity Insurance Com an 18058 PO BOX 1954 INSURER C Huntersville,NC 28078- INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER INSR MMIDD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 ✓ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 1,000,000 PREMISES Ea occurrence $ CLAIMS-MADE ❑OCCUR MED EXP(Any one person) $ 10,000 A 46SBAR07207 11/15/2013 11/15/2014 PERSONAL&ADVINJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 ✓ POLICY PE O LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY(Per person) $ A SCHEDULED AUTOS 46SBAR07207 11/15/2013 11/15/2014 BODILY INJURY(Per accident) $ PROPERTY DAMAGE ✓ HIRED AUTOS (Per accident) $ ✓ NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN ✓ ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBER EXCLUDED? [ NIA 46WBCAG8499 11/15/2013 11/15/2014 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 B Professional Liability(Errors and Omissions) PHSD914140 1/28/2014 1/28/2015 Occurrence/Aggregate $2,000,0001$2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) A:ERISA Bond 46BDDDGQ3532 1/1/2014-1/1/2017$265,000 i i CERTIFICATE HOLDER CANCELLATION - I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County Information Technologies THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 South Cameron St. ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE Q / ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD