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, 14 <br /> DocuSign Envelope ID:5390EF36-4M1-4377-8652-50D30B3AF28E <br /> DRAPADE-01 JWESTERDALE <br /> AC e DATE(MMIDDIYYYY) i <br /> 16......---- CERTIFICATE OF LIABILITY INSURANCE 1211212014 <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 pollcy(les)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 /> NAME: <br /> Ames&Gough IIUcNNo,Ext1:(703)827-2277 I{AIC,No):(703)827-2279 <br /> 8300 Greensboro Drive EMAIL <br /> Suite 980 ADDRESS: <br /> McLean,VA 22102 INSURERS}AFFORDING COVERAGE NAIL II <br /> INSURERA:Continental Casualty Company(CNA)A(XV) 20443 <br /> INSURED INSURER B: ,'K <br /> 1 <br /> Draper Aden Associates,Inc. INSURER C: <br /> 2206 South Main Street INSURER 0: <br /> Blacksburg,VA 24060 INSURERE: <br /> INSURER F: <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 /> INSR TYPE AWL SUER POLICY EFF POLICY EXP LIMITS <br /> LTR INGO WVD POLICY NUMBER (MMIDDIYYYYI (MMIDDIYYYY)COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED I'.=. <br /> CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ <br /> MED EXP(Any one person) $ <br /> PERSONAL&AOV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY JEC LOC PRODUCTS-COMP/OP AGE $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ t <br /> AUTOS _AUTOS — I <br /> HIRED AUTOS AUIOSWNEO Derr accident DAMAGE $ I.-: <br /> $ <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> — <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTIONS $ <br /> WORKERS COMPENSATION I PER Y OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER 1,. <br /> ANY <br /> OFFICER/MEMBER EXCLUDED?PROPRIETOFJPARTNER/EXECUTIVE <br /> XCLUDEDXECUTIVE ( 1 N i A E.L.EACH ACCIDENT $ <br /> ■ <br /> (Mandatory in NH) I E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe Under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Professional Liab. AEH288351149 05/1412014 05/14/2015 Per ClaimlAggregate 5,000,000 <br /> A Deductible AEH288351149 05/1412014 05/14/2015 Limit 125,000 <br /> f <br /> DESCRIPTION OF OPERATIONS/LOCATIONS(VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) i <br /> CERTIFICATE HOLDER CANCELLATION <br /> I <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 /> Y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1207 Eubanks Road . <br /> P.O.Box 17177 <br /> Chapel Hill,NC 27516 AUTHORIZED REPRESENTATIVE <br /> O i <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br /> • <br />