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DocuSign Envelope ID:5390EF36-4AA1-4377-8652-50D30B3AF28E <br /> AC40 E® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> r12/12/2014 <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 endorsement(s). <br /> PRODUCER CONTACT <br /> Rutherfoord,A Marsh&McLennan Agency LLC Co. PrAiorEie Fax <br /> 1001 Haxall Point,Suite 800 .804-780-0611 <br /> Richmond VA 23219 E-MAIL certificates @rutherfoord.com <br /> RES, INSURERS AFFORDING COVERAGE NAIC# <br /> INSURERA:Westfleld Insurance Company 24112 <br /> INSURED DRAPEADEN1 INSURERB:Travelers Indemnity Company 25658 <br /> Draper Aden Associates, Inc. INSURERC: <br /> 2206 South Main St Ste A <br /> Blacksburg VA 24060 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 1595772671 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 POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY CMM5132771 /1/2014 /1/2015 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE �X OCCUR DAMAGE TO RENTED <br /> PREMISES Ea occurrence $500,000 <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY JEa FX]LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> OTHER: <br /> A AUTOMOBILE LIABILITY CMM5132771 /1/2014 1/2015 M ED IN IMIT <br /> Ea accident $1,000,000 <br /> IX ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> HIRED AUTOS X NON-OWNED PROPERTY DAMAGE <br /> AUTOS Per accident $ <br /> A X UMBRELLA LIAB X OCCUR CMM5132771 /1/2014 /1/2015 EACH OCCURRENCE $5,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 <br /> DED I X I RETENTION$0 $ <br /> B WORKERS COMPENSATION 4017T477 /1/2014 /1/2015 PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN X STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br /> OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $1,000,000 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT 1$1,000,000 <br /> 1 77 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) <br /> CERTIFICATE 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 North Carolina ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1207 Eubanks Road <br /> PO Box 17177 AUTHORIZED REPRESENTATIVE <br /> Chapel Hill NC 27516 <br /> �a'o'tFi...dv <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />