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ACORD. INSURANCE BINDER 108113 DATE/2014 <br /> THIS BINDER IS A TEMPORARY INSURANCE CONTRACT,SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. <br /> PRODUCER PHONE 803-746-7850 COMPANY BINDER* <br /> FAx Wilshire Insurance Company JFA0707154 <br /> EFFECTIVE EXPIRATION <br /> AAA — THE MIELAK GROUP DATE TIME QAIE TIME <br /> 6277 CAROLINA COMMONS DR STE 800 08/13/2014 01.16 AM 08/13/2015 NOON <br /> 12:01 AM <br /> • X PM <br /> INDIAN LAND, SC 29707 <br /> THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY <br /> CODE: SUB CODE: PER EXPIRING POLICY#: <br /> AGENCY DESCRIPTION OF OPERATIONSIVEHICLES/PROPERTY(including Location) <br /> CUST INSURED TRANSPORT OF STUDENTS AROUND CAMPUS <br /> BUZZ ENTERPRISES LLC DBA BUZZ RIDES <br /> 173 1/2 EAST FRANKLIN STREET <br /> CHAPEL HILL, NC 27514 <br /> COVERAGES LIMITS <br /> TYPE OF INSURANCE COVERAGE/FORMS DEDUCTIBLE COINS% AMOUNT <br /> PROPERTY CAUSESOFLOSS <br /> BASIC F-1 BROAD E-1 SPEC <br /> GENERALLIABILITY EACH OCCURRENCE $ <br /> DAMAGETO <br /> COMMERCIAL GENERAL LIABILITY RENTED REMISES $ <br /> CLAIMS MADE FI OCCUR MED EXP(Anyone person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> RETRO DATE FOR CLAIMS MADE: PRODUCTS-COMP/OP AGG $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANYAUTO Combined UM/UIM BI Limit BODILY INJURY(Per person) $100,000 <br /> ALL OWNED AUTOS BODILY INJURY(Per accident) $ <br /> SCHEDULEDAUTOS $ 100,000 per person/$ 300,000 PROPERTY DAMAGE $50,000 <br /> HIRED AUTOS per accident MEDICAL PAYMENTS $ <br /> NON-OWNEDAUTOS Combined UM/UIM PD Limit : PERSONAL INJURY PROT $ <br /> $ 50,000 property damage UNINSURED MOTORIST $ <br /> AUTO PHYSICAL DAMAGE DEDUCTIBLE ALL VEHICLES SCHEDULED VEHICLES ACTUAL CASH VALUE <br /> COLLISION: STATEDAMOUNT $ <br /> OTHER THAN COL: OTHER <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION $ <br /> WC STATUTORY LIMITS <br /> WORKER'S COMPENSATION E.L.EACH ACCIDENT $ <br /> AD <br /> EMPLOYER'S LIABILITY E.L.DISEASE-EAEMPLOYEE $ <br /> E.L.DISEASE-POLICY LIMIT $ <br /> SPECIAL UNIT LIST:2013 Gem E6 (04151) ,2013 Gem E6 (04122) FEES $ <br /> OTHER <br /> CONDITIONS/ 2013 Gem E6 (04116) ,2013 Gem E6 (04119) , <br /> OTHER TAXES $ <br /> COVERAGES <br /> ESTIMATED TOTAL PREMIUM $ <br /> NAME&ADDRESS <br /> MORTGAGEE ADDITIONAL INSURED <br /> LOSS PAYEE <br /> LOAN# <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 75(2001/01) NOTE:IMPORTANT STATE INFORMATION ON REVERS DACOAD CORPORATION 1993 <br />