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DocuSign Envelope ID:9839211 F-ECEB-401 D-BC3A-102ABODAF2A7
<br /> BIRSI.2 OP ID: LIE
<br /> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD""")
<br /> 05/06/2014
<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 /> 9ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br /> ' tEPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)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 Lynne A Meyer,C1C,CPIW,AINS
<br /> Senn Dunn-GSO -
<br /> 3625 N.Elm St. $N o E n;336-346.1302 _ A No):336.612-3818
<br /> Greensboro,NO 27455 EMAIL
<br /> David R.Clem,CIO ADDRESS:Imeyer @senndunn,com
<br /> INSURERS AFFORDING COVERAGE NAIC q
<br /> INSURER A:Continental Casualty Co. 20443
<br /> INSURED BIRS,Inc, _ INSURER B:Builders Mutual Ins.Co. 10844
<br /> Mr.Raven Brooker INSURER C:Columbia Casualty Company 31127
<br /> PO Box 36197
<br /> Greensboro,NC 27416-6197 INSURER t
<br /> INSURER E:
<br /> 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 TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE D S`UBR POLICY NUMBER MMIDDIIYEYYY MG DD/Y YY LIMITS
<br /> LTR
<br /> GENERAL LIABILITY FACHOCCURRENCE $ 1,000,00
<br /> A X COAIMERCIALGENERALLIABILITY 01071978219 0510112014 0510112015 PREMISES Ea occurrence $ 100,00
<br /> CLAIMS-MADE nXOCCUR MED EXP(Anyone person) $ 5,00
<br /> PERSONAL&AOV INJURY $ 1,000,00
<br /> X GENERAL AGGREGATE $ 2,000,00
<br /> GEN'L AGGREGATE LIMITAPPLIES PER PRODUCTS-COMFIOPAGG $ 2,000,00
<br /> POLICY PRO. LOC $
<br /> X
<br /> AUTOMOBILE LIABILITY COMBINED SINGLELIAIIT 1,000,00
<br /> Ea acddenl
<br /> A HX ANYAUTO C1071978222 05/0112014 05/01/2015 BODILY INJURY(Per person) $
<br /> A LOWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> HIREDAUTOS X AUTOS NED PERACCIDENT�GE $
<br /> AUTOS Comp/Coll Ded $ 1,00011,00 UMBRELLALIAB X OCCUR EACHOCCURRENCE $ 5,000,0E
<br /> A EXCESS LIAB _ CLAIMS-MADE 01071978253 05/0112014 05101/2015 AGGREGATE S 5,000,00
<br /> DED I X I RETENTION$ 10,000 $
<br /> WORKERS COMPENSATION WCSTATU•AND LIABILITY X TO Y LIMITS ER YIN B ANY PROPRIETORIPARTNEREXECUTIVEI -- N/A PWC100029002 0510112014 0510112015 E.L.EACH ACCIDENT $ 500,00
<br /> OFFICER/MEMBER EXCLUDED? LNJ
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 500,00
<br /> If es describe under
<br /> D SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00
<br /> A Rental Equipment 01071978219 05101/2014 05101/2015 Limit 100,00
<br /> C E&O/Pollution CE05091855996 05/01/2014 05101/2015 Limit 1,000,00
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD Het,Additional Remarks Schedule,If more space Is required)
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> ORANINS
<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 /> PO Box 8181
<br /> Hillsborough,NC 27278 AUTHORIZED IREPRESENNrAATIVE
<br /> J RJ',1 � a, ",
<br /> ©1988.2010 ACORD CORPORATION, All rights reserved.
<br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
<br />
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