2015-243-E VB - Simpleview, LLC for website creation, host and support $128,000

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DocuSign Envelope ID: 79E3BFD4-30BE-4A79-9674-5A78DD593240 F DATE(MMIDDIYYYY) AC"R" CERTIFICATE OF LIABILITY INSURANCE 6/4/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Jim Chamb erlin NAME: FA , Koty-Leavitt Insurance Agency, Inc. PH WCE�N N..Extl, (520)571-1900-1900 1 1,CX No):(520)571-9667 6992 E. Broadway Blvd E-MAIL SS:3. .3-M-C amb h erlin@leavitt.com .ADDRE INSURERS)AFFORDING COVERAGE NAIC# Tucson AZ 85710-2803 INSURER A:Travelers Indemnity Co America 25666 INSURED INSURER B: Simpleview LLC INSURERC: New Media Gateway LLC INSURER D: 7458 N La Cholla Blvd INSURER E: Tucson AZ 85741-2397 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1491916645 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE lam 22M POLICY NUMBER _ (MMIDDNYYY) (MM/DDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE To RENTED 300,000 X COMMERCIAL GENERAL LIABILITY PREMISES(E.occurrence) $ A CLAIMS-MADE FxI OCCUR x 6800159P2881442 9/4/2014 9/4/2015 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: [PRODUCTS-COMP/OP AGG $ 2,000,000 1 7X POLICY D LOC $ 1,000,000 AUTOMOBILE LIABILITY (CEO,accident LIMIT ,d.ntis $ A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 6800159P2881442 9/4/2014 9/4/2015 AUTOS AUTOS BODILY INJURY(Per accident) $ X NON-OWNED PROPERTY DAMAGE AUTOS Per accident) $ HIRED AUTOS x I I Non-owned — $ 1,000,000 UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAR F ]CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ _WORKERS COMPENSATION WC STATU_ OTH- AND EMPLOYERS'LIABILITY Y/N __iTnRY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE F---1 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) General Liability: ADDL INSR per CG D417 (01/12) , attached. CERTIFICATE HOLDER CANCELLATION tifuller@visitchapelhill.o SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County, North Carolina ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Tina Fuller 200 S Cameron Street AUTHORIZED REPRESENTATIVE Hillsborough, NC 27278 pp Gayleen Swan/GASWAN I ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 onion-,,)ol Tho Ar.r)pn name nnrl Innn nra ronictaresei m=rkc of Ar-r)pn