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DocuSign Envelope ID:83953149-A2BO-4F9F-A63C-BE4C32065413 <br /> 1 DATE(MMIDDYYYY) <br /> A,c° CERTIFICATE OF LIABILITY INSURANCE <br /> F 07/24/2018 <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 HAMEACT Angie Cox <br /> Capital Insurance&Financial Services,Inc. M21 EM, 919-571-0685 we No): (919)571-0684 <br /> 3701 Lake Boone Trail ADDARLss: aoax @ca ital-ins.com <br /> Suite 200 INSURER(S)AFFORDING COVERAGE NAIC N <br /> Raleigh NC 2.7607 INSURERA: Philadel ph is Insurance Corn pa nies <br /> INSURED INSURER B: Travelers <br /> Medisolutions Inc INSURER C <br /> 100 N Church St INSURER D <br /> Suite S INSURER E: <br /> BUIRLINGTON NC 27217 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 POLIO POLICY EXP _ LIMITS <br /> LTR TYPE OF INSURANCE POLICY NUMBER MMIDDYYYY MM+DDYYYY <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br /> X COMMERCIAL GENERAL LIABILITY P EMISES Ea accuEfence $ 100000 <br /> CLAIMS-MADE OCCUR MED EXP(An Yone person) $ 5000 <br /> A N N PHPK1742845 11/22/2017 11/22/2018 PERSONAL&ADV INJURY $ 10000DO <br /> GENERAL AGGREGATE $ 2000000 <br /> GENTAGGREGATE UMrr APPLIES PER: PRODUCTS-COMPIOP AGG $ 2000000 <br /> - POLICY PRO LOC $_C F <br /> AUTOMOBILE LIABILITY Ea aBeeideD SIN GLE LIMIT $ <br /> ANYAUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Pa r ace id ard) <br /> AUTOS AUTOS <br /> NON-OWNED YDAMAGE <br /> HIRED AUTOS AUTOS eraccidenl <br /> $ <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DEO RETENTION $ <br /> WORKERS COMPENSATION X WC S7ATU- OTH- <br /> AND EMPLOYERS'UABILITY <br /> ANY PRO PRIETORIPARTNERIEXECUIIE YIN <br /> E.L EACH ACCIDENT $ 1 00000 <br /> B 0PRCER1IetEMBEREXCLUDED? ® NIA N 115911222017 11/22/2017 11/2212018 <br /> (Mandalory in NH) E.L DISEASE-EAEMPLOYE $ 100000 <br /> 1F s describe under <br /> DESCRIPTION OF0PE RATIO NS below E.L.DISEASE-POLICY LIMIT $ 500000 <br /> Professional Liability 1,000,000 each occurrence <br /> A N N PHPK174845 11122/2017 11/22/2018 2,000,000 aggregate <br /> DESCRIPTION OF OPERATIONS I LOCATION SI VEHICLES(Attach AC0RD 1D 1.Additi onal Remarks Schedule,II mare space is required) <br /> CERTIFICATE HOLDER CANCELLATION <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 /> Orange Cou my <br /> PO BOX 8181 AUTHORIZED REPRESENTATIVE <br /> Hiilsl oraugh NC 27278 w �-�i�- <br /> ACORD 25(2010/05) 0 1988-2010 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />