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DocuSign Envelope ID: 6E571D53- 1093- 46BB- B803- EFCBF181D5450 TMASY -1 Op
<br />ATE {M MIDDI"YYYY]
<br />CERTIFICATE OF LIABILITY INSURANCE DATE
<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 have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER 918- 743 -8811 CONTACT Patrick Mandeville
<br />NAME,
<br />RICH & CARTMILL, INC PHONE 91$ ^743 ^8$11 FAX 918 - 744 -8429
<br />2738 East 51st #400 Arc, No, Ext ; Arc, Nu
<br />Tulsa, OK 74105 E -MAIL
<br />Patrick Mandeville ADDRESS: —
<br />INSURERS) AFFORDING COVERAGE NAIL
<br />INSURER A, Hartford Fire Ins Co 19682
<br />INSURED TMA Holdings, L.L.0 dba TMA INSURER B:Hartford Casualty Ins Co 29424
<br />Systems, LLC; ACT Systems, LLC
<br />Risk Partner, LLC; INSURER C'
<br />Maintenance Partner, LLC INSURER D:
<br />5100 E. Skelly Dr., Suite 900 - - - - - - - -
<br />Tulsa, OK 74135 INSURER E:
<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 />-
<br />_
<br />TYPE QF INSURANCE ADDL SUBR POLICY NUMBER - POLICY EFF POLICY EXP LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE ., 1,000,000
<br />_1 CLAIMS -MADE OOCUR
<br />38UUNZRO497
<br />09122/2017
<br />09/2212018
<br />DAMAGE TO RENTED 300,040
<br />PREMISES (Ea occurrence)
<br />10,000
<br />_.,_, -�... ..
<br />. MED EXP {Anyone person? S
<br />1,000,440
<br />PERSONAL & ADV INJ'_RY .,
<br />2,000,400
<br />GENT AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE ,,
<br />POLICY PLO �.1 LOC
<br />2,000,044
<br />PRODUCTS - COMP /O
<br />OTHER:
<br />'p' AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT 1.000 000
<br />(Ea accident}
<br />ANY AUTO
<br />38UUNZR0497
<br />4912212017
<br />0912212018
<br />BODILY INJURY (Per person) $
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY {Per accident} S _
<br />X WIRED ,( NON•QWNED
<br />AUTOS ONLY A QS ONLY
<br />PROPERTY DAMAGE
<br />Per accident) S
<br />B X UMBRELLA LIAR X OCCUR
<br />EACH OCCURRENCE S 4,400,000
<br />EXCESS LIAB1 CLAIMS -MADE
<br />39RHUZR1426
<br />0912212017
<br />09122/2018
<br />AGGREGATE S 4,000,000
<br />DEC X I RETENTION $ 5400
<br />A WORKERS COM PEN SATION
<br />X PER OTH-
<br />AND EMPLOYER S° LIABILITY
<br />YIN
<br />38WEAK9876
<br />09!2212017
<br />49!2212418
<br />.. . STATUTE ER
<br />1,040,440
<br />ANY PROPRIETORIPARTNERIEXBCLITIVB
<br />OFFICERIMEMBER EXCLUDED? ❑
<br />NH)
<br />NIA
<br />E.L EACH ACCIDENT S
<br />1,040,000
<br />(Mandatory In
<br />E.L. DISEASE - EA EMPLOYEE
<br />If yes, describe under
<br />1,444,444
<br />CF_SCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $
<br />I
<br />DESCRIPTION OF OPERATIONS r LOCATIONS l VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
<br />Orange County
<br />P,0. Box 8181
<br />Hillsborough, NC 27278
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2016/03) C 1988 -2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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