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DocuSign Envelope ID:4109B2DB-ED41-4F53-BO69-OD7CB196EEA9 <br /> BERKSHIRE HATHAWAY <br /> GUARDINSURANCE AmGUARD Insura e ConripanV - A Stock Company <br /> COMPANIES PoficV Number PRWC663376 <br /> Renewal of PRWCS52943 <br /> NCC1 No. 2187 1. <br /> Policy Information Page <br /> ... -------- <br /> ]Named Insured and Mailing Address <br /> PRO NET SYSTWS INC. <br /> 3200-107 Gerl Royal Road <br /> Ratelgh, NC 27517 <br /> 9 4 <br /> Federal Employer's 10 56-2234077 Insured is Corporation <br /> Risk 10 Number 6049357 <br /> .............­­ ............ *............. .......................................................*.................................r.,.._. ......... <br /> [21 Policy, Period <br /> From Apr-H 3, 201.5 to April 3, 2016, 12:01 AM, standard time at the Insureds mailing address,, <br /> .................. ....... <br /> 13i Coverage <br /> A Worker;" Compensation Insurance - Part On of this PDtiCY applies to Lhe Workers' Compensation <br /> Law of the following states: North Carohna, <br /> B, Employer's Liability insurance - Part Two of this policy applie,,,to work in each of the ytateS fasted <br /> in ';tern [31A. The, iiinits of ow liability under Part Two are: <br /> Bodily Injury by Accident- each accident <br /> Bodily Injury by Disease - each enlployef! <br /> Bodily Injury by Diseasa - policy limit $1,000,1000 <br /> c Other States Insurance- Part Three of this policy appijeF,to all stater,,except any state fisted in <br /> itern [3)A, and the states of North Dakota, Ob o, Washington, and Wyoming. <br /> D. Phis policy inciudes these endorsements; and schedules: <br /> See, Extensron of Information Page - Schedule of Form!; <br /> J <br /> ...................... . ......*.... ...... <br /> [4) Premium <br /> The Premium basis and, therefore,the premium will be deterrnined by our Manual of Rules, <br /> ClassificaVons, FWtes, and Rating Plans. Ak required information is sut)Je1-.t o verification and change by <br /> audit. (Continued on another page.) <br /> .......... <br /> Total Estimated Policy Premium <br /> Total Surtharges/Assessments 0.010 <br /> Total Estimated Cost 6,558.00 <br /> I - information Page <br /> AGA PRWC663-476 <br /> DatQ 04?'02,r2015 <br /> Usoing OMce,P.O.Sax A-H, 16 S.River Str"A,Wilkes-Barre,PA 10703-0020 www.gluard.ram <br />