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® DATE(MM/DD/YYYY) <br />'�° CERTIFICATE OF LIABILITY INSURANCE 5/29/2014 <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 endomement(s). <br /> RODUCER CONTACT Crystal Ireland <br /> NAME: <br /> 3llS1neSS Insurers Of Carolinas PHONE (919)968-4611 FAX No:(919)965-6991 <br /> 300 Eastotme Drive, Suite 208 ADDRESS:Icireland @business-insurers.com <br /> >O BOX 2536 INSURE MS)AFFORDING COVERAGE NAIC S <br />;hapel Hill NC 27515-2536 INSURERA:Emcasco 1407 <br /> JSURED INSURER B:Em to erS Mutual Casualty 1415 <br /> )ISPUTE SETTLEMENT CENTER INC INSURER C: <br /> 302 W WEAVER ST STE A INSURER D: <br /> INSURER E: <br /> :ARRBORO NC 27510-6004 1 INSURER F <br /> :OVERAGES CERTIFICATE NUMBER-.CL1452910672 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 /> SR TYPE OF INSURANCE A DL BR POLICY EFF POLICY EXP LIMITS <br /> TR POLICY NUMBER MMIDD/YYYY MM/DD/YYYY <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTE 300,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ <br /> k CLAIMS-MADE a OCCUR 4W54487 /17/2014 /17/2015 MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ <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 COMBINED SINGLE LIMIT <br /> Ea academ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTO S BODILY INJURY(Per accident) $ <br /> NON OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS Per accident <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I RETENTION $ <br /> 3 WORKERS COMPENSATION X I WC STATU- I OTH- <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $ 100,000 <br /> OFFICER/MEMBER EXCLUDED? � N/A 854487 /17/2014 /17/2015 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 <br /> If yes,desaibe under <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 500,000 <br /> ESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is requlred) <br /> 'ERTIFICATE 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 /> 200 S. Cameron Street <br /> Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE <br /> C Ireland/IREL01 Lf1�► 0� /1O <br /> LCORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> NAn7';r->rrmm5%rn The er±non..--...a I.,.... s Amon <br />