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DocuSign Envelope ID:879481CD-E306-4784-9294-DEA1E30B4717 <br /> Client#: 113055 80HOBBSUPC <br /> ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) <br /> 01/05/2015 <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 policles 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 NAMEA Cyndy Cagle <br /> BB&T Insurance Services,Inc. PHONE ut:336 547-2137 A/C,No): 8888318409 <br /> 3318 West Friendly Ave., AE <br /> SS:400 SS, ccagle @bbandt.com <br /> Greensboro,NC 27410 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Berkley Insurance Company 32603 <br /> INSURED <br /> Hobbs Upchurch&Associates PA INSURER 8 <br /> PO Box 1737 INSURER C: <br /> 300 SW Broad Street(28387) INSURER D: <br /> Southern Pines,INC 28388-1737 INSURER E: <br /> INSURER F r <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 /> IN6R ADDLSUBR 'POLICY _ .... . <br /> LTR TYPE OF INSURANCE POLICY EFF EXP <br /> INSR WVD POLICY NUMBER .11MMID5/YYYY I MMIDDIYYYY1 LIMITS <br /> GENERAL LIABILITY <br /> F ACH OCCURRENCE $ <br /> ®Dpp TT <br /> COMMERCIAL GENERAL LIABILITY PFb&�MIF4S ocwlrrOanca� $ <br /> .... <br /> CLAIMS-MADE [ OCCUR MED EXP(Any one parson) $ <br /> PERSONAL 3 ADV INJURY $ <br /> .. ........ GENERAL AGGREGATE $ <br /> GE N L AGGREGATE LIMIT APPLIES <br /> PER: <br /> PRODUCTS-COMP/OPAGG $PRO-I.POLICYEI , LOC $ <br /> AUTOMOBILE LIABILITY � OMDINE"D LIMIT <br /> AUTOS A BODILY BODILY INJURY <br /> C <br /> ANY AUTO BODILY INJURY(Par parson) $ <br /> ALL OWNED SCHEDULED <br /> m AUTOS INJURY(Per accident) $ <br /> _. <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Par arxldcent., <br /> UMBRELLA LIAB OCCUR <br /> F� EACH OCCURRENCr $ <br /> EXCESS LIAB <br /> 1CLAIMS-MAD.K. <br /> DE D RETEO <br /> NTNi _ _. AGGREGAT_E. <br /> $WORKER8 COMPENSATION $ <br /> .. <br /> E WC:iTATU m TOTH- <br /> AND EMPLOYERS'LIABILITY P r jF <br /> ANY PROPRIETOR/PARTNER/E::XECUTIVE Y/N LEACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? NIA _ a <br /> (Mandatory in NH) _ MPLOYEE $ <br /> If rs,describe under E..L.DISEASE-POLL�� _ _. <br /> r.L OISEASF EA E <br /> D 1,CRIPTION OF OPERATIONS below CY LIMIT If <br /> A Professional AEC900253000 9/16/2014 09116/201 $1,000,000 Per Claim <br /> Liability $1,000,000 Aggregate <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,It more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 200 South Cameron Street ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hillsborough,INC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> 01988-2010 ACORD CORPORATION.Ali rights reserved. <br /> ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S13518480/M13518469 CC1 <br />