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DocuSign Envelope ID:940647BB-C452-4FF2-AAFO-B40FF7102054 <br /> AID°RO® CERTIFICATE OF LIABILITY INSURANCE 911/201 W' <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 endorsement(s). <br /> PRODUCER CONTACT Crystal Ireland <br /> NAME: <br /> Business Insurers of Carolinas PHONE . (919)968-4611 FAx -8991 <br /> A/C No:(919)968 <br /> 800 Eastowne Drive, Suite 208 E-MAIL <br /> ADDRESS:cireland @business-insurers.com <br /> PO BOX 2536 INSURERS AFFORDING COVERAGE NAIC# <br /> Chapel Hill NC 27515-2536 INSURER A:Emcasco 21407 <br /> INSURED INSURER B:Em to ers Mutual Casualty 1415 <br /> DISPUTE SETTLEMENT CENTER INC INSURERC: <br /> 302 W WEAVER ST STE A INSURER D: <br /> INSURER E: <br /> CARRBORO NC 27510-6004 INSURER F: <br /> COVERAGES 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 REDU CED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL S BR POLICY EFF POLICY EXP <br /> S D POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTED <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 300,000 <br /> A CLAIMS-MADE OCCUR 4W54487 6/17/2014 6/17/2015 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 /> 1 JECT F-1 <br /> X POLICY PRO- <br /> AUTOMOBILE $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALLOWNED SCHEDULED BODILY INJURY Per accident $ <br /> AUTOS AUTOS ( ) <br /> HIRED AUTOS <br /> NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Per accident <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> B WORKERS COMPENSATION X WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY Y/N LIMITS I I ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 <br /> OFFICERlMEMBER EXCLUDED? N/A <br /> (Mandatory in NH) 4H54487 6/17/2014 6/17/2015 E.L.DISEASE-EA EMPLOYE $ 100,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ]ethompson@ orangecountync. 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 /> PO Box 8181 <br /> Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE <br /> C Ireland/IRELOI ` O<` <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> INS025 19mnnFi m Tt,o ArtnRn name mnrl Inn^mru renieferorl mmrke of ARr1Rtl <br />