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DocuSign Envelope ID: 101Cr041'1882-4o1e'e573-6722r0C82307 <br /> Policy Continental Personal Catastrophe Liability Policy <br /> Issued by CNA Insurance Companies Declarations Page <br /> CmAP|�a <br /> Chicago,C NA ACCOUNT#1unoocey7o <br /> ITEM 1. pouv,muwnen <br /> NAMED Anthony E Flinchum --- ------ ----- <br /> INSURED 280 Niblick Drive <br /> AND ADDRESS Summerfield, NC 27358-9766 CNA#GPE 223471070 <br /> Anm#41o4znom <br /> For information concerning your policy call: <br /> AICPA Plus Plan <br /> 159 East C Line Road <br /> Hatboro,PA 19040-1218 <br /> ITEM 2. MO. DAY YEAR MO. DAY YEAR 1'800'2e3-7473 <br /> POLICY PERIOD <br /> 11 01 2016 1 ll 01 2017 | 12:ow�m/�AwoA*or�s�THE AooxEco <br /> FROM T0 <br /> J --J OF�H�N�MEb��SUREbAS STATED HEREIN <br /> ITEM 3. <br /> LIMITS OF LIABILITY <br /> PREMIUM <br /> EACH OCCURRENCE <br /> Personal Liability $5.000.000 $874.00 ANNUAL PREMIUM <br /> THE FOLLOWING BECOMES A PART OF POLICY clssozs_« <br /> ON ITS EFFECTIVE DATE: <br /> G136011-x c136036-A c26700-A c26699-A G26701-A <br /> REPORTING REQUIREMENT IS WAIVED FOR ADDITIONAL OR NEWLY ACQUIRED onzvsus, cxxS, RECREATIONAL VEHICLES, WATERCRAFT, <br /> RESIDENCE PREMISES AND HOUSING PROPERTIES. <br /> NO UNINSURED AND UNDERINSURED MOTORIST COVERAGE PROVIDED. <br /> ---' -- - ---` <br /> Henn 4. Schedule of Underlying Insurance. The named insured agrees to maintain, during the term of the policy, at/eao/the following <br /> underlying coverages and minimum required underlying limits. When minimum required underlying limits are unavailable, overseas residents <br /> must obtain the maximum limits and coverages available within the country of residency Underlying automobile coverage iI be maintained <br /> if anyone in the household possesses a driver's license, even if there are no vehicles. If exposure exists, the named insured further agrees <br /> to maintain at least the limits stated below for recreational vehicle, watercraft,snowmobile and employers'liability. Underlying comprehensive <br /> personal liability must be maintained for all housing property and residence premises as defined in the policy. Liability for premises applies <br /> only for those dwellings defined in the policy <br /> Automobile Liability COVERAGES MINIMUM RETAINED LIMITS <br /> (Car, Recreational <br /> ' Bodily Injury $250,000 $500,000 Occurrence <br /> vemo|oonuSnowmnm|o ' Person, ' <br /> Liability) Property Damage $100'000 Per Occurrence <br /> or <br /> Commneuomg|eumn �3n8'oonPe,Ooou,moom <br /> Homeowner Combined Single Limit $oon'nnn Per Oucurmnoa <br /> Personal Liability (Required for All pnoporty Owned ornonmd) <br /> Watercraft Liability Comuinru8ing|�U�it $300,000 <br /> Employers'Liability Combined Sing|eUmit $100,000 Per Occurrence <br /> •'----- ------ <br /> Date: 0906/2016 By: <br /> G136011`A(7/89) AUTHORIZED REPRESENTATIVE L/ <br /> JAMES R. HARDING <br /> X-8597-0914 <br />