2017-061-E IT - Foxster Solutions dba CTS Software for software services for OPT

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DocuSign Envelope ID:2CE95336-BB9E-46CD-BE2D-292E584EAC1A SSY DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE R045 1/27/2017 THIS CERTIFICATEIS 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 have ADDITIONAL INSURED provisions or 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 NAME: BB&T INSURANCE SERVICES INC/PHS (A/,NoExt): (866) 467-8730 a.No(: (888) 443-6112 272545 P: (866) 467-8730 F: (888) 443-6112 ADDRIESS: PO BOX 29611 INSURER(S)AFFORDING COVERAGE NAIC# CHARLOTTE NC 28229 INSURER A: Hartford Casualty Ins Co 29424 INSURED INSURERB: Hartford Underwriters Ins Co 30104 INSURER C: CTS SOFTWARE, INC. C/O HUCK VENTERS INSURERD: 722 CEDAR POINT BLVD PMB 14 INSURERE: SWANSBORO NC 28584 INSURERF: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICYEFF POLICYEXP LIMITS LTR INSR WVD (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2, 000, 000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $300, 000 PREMISES(Ea occurrence) A X General Liab 22 SBA KY9095 11/01/2016 11/01/2017 MEDEXP(Anyoneperson) $10, 000 PERSONAL&ADV INJURY $2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4, 000, 000 POLICY PRO- X LOC PRODUCTS-COMP/OP AGG $4, 000, 000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 2000000 (Ea accident) $ r r ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED 22 SBA KY9095 11/01/2016 11/01/2017 BODILYINJURY(Peraccident) $ AUTOS ONLY AUTOS X HIRED x NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $100, 000 OFFICER/MEMBER EXCLUDED? N/A B (Mandatory in NH) 22 WEC 1E7960 11/01/2016 11/01/2017 E.L.DISEASE-EA EMPLOYEE $100, 000 If yes,describe under E.L.DISEASE-POLICY LIMIT $500, 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured' s Operations . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE Orange County Transportation DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn : Keith Chnupa, MPM, PMP AUTHORIZED REPRESENTATIVE PO BOX 8181 HILLSBOROUGH, NC 27278 � ^ ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD