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1 ISSUE DATE <br /> ff=M=1 <br /> August 1,2014 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS <br /> UPON THEIR CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER <br /> THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> The Snowden Company <br /> PO Box 5319 COMPANIES AFFORDING COVERAGE <br /> Florence, South Carolina 29502-5319 <br /> COMPANY A ACE Medical Risk <br /> LETTER <br /> Ace American Insurance Company <br /> INSURED COMPANY B <br /> LETTER <br /> ORANGE COUNTY HEALTH DEPARTMENT COMPANY C <br /> SUSAN WARD LETTER <br /> 300 W.TRYON STREET COMPANY D <br /> HILLSBOROUGH,NC 27278 LETTER <br /> COMPANY E <br /> LETTER <br /> THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR <br /> THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR <br /> OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE <br /> AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH <br /> POLICIES. <br /> Co TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS <br /> LTR DATE D/YY) DATE MM/DD <br /> GENERAL LIABILITY GENERAL AGGREGATE <br /> COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE <br /> CLAIMS MADE F] OCCURRENCE PERSONAL,k.ADVERTISING INJURY <br /> OWNER'S&CONTRACTORS PROTECTIVE EACH OCCURENCE <br /> FIRE DAMAGE(ANY ONE FIRE) <br /> MEDICAL EXPENSE(ANY ONE PERSON) <br /> AUTOMOBILE LIABILITY CSL <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY <br /> INJURY <br /> SCHEDULED AUTOS (PER PERSON) $ <br /> HIRED AUTOS BODILY <br /> INJURY <br /> NON-OWNED AUTOS (PER $ <br /> ACCIDENT <br /> GARAGE LIABILITY PROPERTY <br /> DAMAGE <br /> $ <br /> EXCESS LIABILITY EACH AGGRE <br /> OCCURRENCE GATE <br /> $ $ <br /> OTHER THAN UMBRELLA FORM <br /> STATUTORY <br /> WORKERS'COMPENSATION $ (EACH ACCIDENT) <br /> AND $ (DISEASE-POLICY LIMM <br /> EMPLOYERS'LIABILITY $ (DISEASE-EACH EMPLOYEE) <br /> A OTHER MLP G21686038-12 7/1/2014 7/1/2015 LIMITS: $1,000,000 Each Claim <br /> Professional liability <br /> $3,000,000 Aggregate <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS:Diane Shugars,DDS is provided <br /> professional liability coverage within the scope of services for the Orange County Health Department. <br /> rENPIRATION ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE <br /> DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> DIANE SHUGARS,DDS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br /> ORANGE COUNTY HEALTH DEPARTMENT TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY <br /> N THE COMPANY,ITS AGENTS OR REPRESENTATIVES <br /> 300 W.TRYON STREET RIZED REPRESENTATNE <br /> HILLSBOROUGH,NC 27278 I. SNOWDEN, CPCU <br />