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DocuSign Envelope ID:070B775A-08EF-420D-8785-C326C9282933
<br /> AC J DATE(MM/DD/YYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE 7/11/2016
<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 Jud Mello
<br /> NAME: y
<br /> Johnson & Bryan, Inc. c N o (404)351-8434 � X (404)351-3923
<br /> (A/C,PHONE
<br /> Ext): FAX
<br /> 1575 Northside Drive E-MAIL A ud @ '-binc.com
<br /> ADDRESS: .z 7
<br /> Bldg 100 Ste 100 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Atlanta GA 30318 INsuRERAMassachusetts Bay Insur Co,A, XIV 22306
<br /> INSURED INSURER B Allmerica Financial Benefit, A,XIV 41840
<br /> Intersect Group, LLC, (The) INSURERC:Hanover Insurance CO, A, XIV 22292
<br /> 10 Glenlake Pkwy INSURERD:Indian Harbor Insurance Co, A, XV 36940
<br /> Suite 300 South INSURERE:Federal Insurance Co, A++, XV 20281
<br /> Atlanta GA 30328 INSURERF:
<br /> COVERAGES CERTIFICATE NUMBER:2016-17 Liability 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY)
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> DAMAGE TO RENTED
<br /> A CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 100,000
<br /> ZDA982581803 1/15/2016 1/15/2017 MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY X JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000
<br /> OTHER: Employee Benefits $ 1,000,000
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> (Ea accident)
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> B ALL OWNED SCHEDULED
<br /> AUTOS AUTOS AWAA08194303 1/15/2016 1/15/2017 BODILY INJURY(Per accident) $
<br /> NON-OWNED PROPERTY DAMAGE
<br /> X HIRED AUTOS X AUTOS (Per accident) $
<br /> $
<br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 9,000,000
<br /> C EXCESS LIAB CLAIMS-MADE AGGREGATE $ 9,000,000
<br /> DED X RETENTION$ 0 UHA982581903 1/15/2016 1/15/2017 $
<br /> WORKERS COMPENSATION X PER 0TH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N/A
<br /> A (Mandatory in NH) WDA982582303 1/15/2016 1/15/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> D E&O/Prof Liab/Cyber Liab MTP003657504 1/15/2016 1/15/2017 Each Claim/Aggregate $5,000,000
<br /> E Crime 82345302 1/15/2016 1/15/2017 3rd Party Client Coverage $5,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Orange County, North Carolina THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 200 S. Cameron Street ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Hillsborough, NC 27278
<br /> AUTHORIZED REPRESENTATIVE
<br /> Scott Gregory/JUDY �-C-
<br /> ©1988-2014 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
<br /> INS025 nmam t
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