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DATE(MM/DD/YYYY) <br /> ACRD® CERTIFICATE OF LIABILITY INSURANCE 7/15/2014 <br /> THIS CERTIFICATEIS 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-rHE 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 SUBROGATIONIS WAIVED,subject to the <br /> 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 CONTACT <br /> NAME: <br /> BB&T INSURANCE SERVICES INC/PHS <br /> PHONE (866) 467-8730 (_C'Na): (877) 538-5295 <br /> 272545 P: (866) 467-8730 F: (877) 538-5295 ADDRIESS: <br /> PO BOX 29611 INSURERS)AFFORDING COVERAGE NAIC# <br /> CHARLOTTE NC 28229 INSURERA: Hartford Casualty Ins Co 29424 <br /> INSURED INSURER B: <br /> INSURER C <br /> INFORMATION INC INSURER D: <br /> PO BOX 1306 INSURER E: <br /> CARRBORO NC 27510 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 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 <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPEOFINSURANCE ADDL SUBR POLICYNUMBER POLICYEFF POLICYEXP LIMITS <br /> M"D/YY <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1, 000, 0 0 0 <br /> CLAIMS-MADE F9 OCCUR DAMAGES(RENTED 5 3 0 0, 0 0 0 <br /> PREMISES(Ea occurren:e) <br /> A X General Liab 22 SBM RL1951 11/30/2013 11/30/2014 MED EXP(Any one person) $10, 000 <br /> PERSONAL 8 ADV INJURY $1, 000, 0 0 0 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2, 000, 000 <br /> POLICY PRO LOC PRODUCTS-COMP/OP AGG s2, 000, 000 <br /> JECT 17 <br /> OTHER: $ <br /> A COMBINED SINGLE LIM T <br /> AUTOMOBILE LIABILITY (Ea accident) $1, 000,accident) � <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> A ALL OWNED SCHEDULED 22 SBM RL1951 11/30/2013 11/30/2014 BODILY INJURY(Per as idant) $ <br /> AUTOS AUTOS PROPERTY DAMAGE <br /> X HIRED AUTOS X NON-OWNED <br /> AUTOS (Per accident) $ <br /> S <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> 5 <br /> DED I RETENTION$ <br /> WORKERS COMPENSA TION PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? ❑ <br /> (Mandatory in NH) N/A E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe Under E.L.DISEASE-POLICY-IMIT $ <br /> DESCRIPTION OF OPERATIONS below <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Those usual to the Insured' s Operations. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> BEFORE THE EXPIRATION DATE THEREOF,NOTICE=WILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Orange County D S S AUTHORIZED REPRESENTATIVE 4 <br /> 113 MAYO ST <br /> HILLSBOROUGH, NC 27278 <br /> ©1988-2014 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />