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DocuSign Envelope ID:83953149-A2B0-4F9F-A63C-BE4C32065413 <br /> AC DATE(24/201'YYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 7/24124/8 <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(les)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 NAME: Donald Morgan <br /> Morgan&Associates LLC-GA PHONE, 7708617509 1-866-713-6171 <br /> 8 AM N®,Ext: (AIC,No); <br /> PO Box 456 ADDRESS: dmorgan rr maginsurance.coin <br /> INSURERS)AFFORDING COVERAGE NAIC# <br /> Kennesaw GA 30156 INSURER A: EVANSTON INS CO 35378 <br /> INSURED INSURER 9: <br /> Medisoultion INSURER C; <br /> 100 N Church ST INSURER D <br /> INSURER E <br /> Burlington NC 27217 INSURER F; <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THATTHE 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 /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY {MMIDOIYYYY) LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X.CLAIMS-MADE OOCCUR PREMISES(Ea occurrence) $ 100,000 <br /> MED EXP(Anyone person) S 5,000 <br /> A NP343324 07/15/2018 07/25/2014 PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 2,000,000 <br /> X <br /> RO <br /> J P _C <br /> ECT <br /> POLICY LOC PRODUCTS-COMPIOP AGG $ 1,000,000 <br /> OTHER: Sexual and Physical Abus "� 1,000,000 <br /> AUTOMOBILE LIABILITY Ea accident $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Peraculdent) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED $ <br /> AUTOS ONLY AUTOS ONLY (Per acdclenl) <br /> S <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE S _ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE S <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION FIER Olti- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE I ER <br /> NY PROPRIETORfPARTNERIEXECUTIVE F7 NIA E.L.EACH ACCIDENT $ <br /> 1=FICERIMEMDER EXCLUDED? - <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> f yyes,describe under <br /> ESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Sexual Misconduct/Molestation/Abuse NP343324 07115/2018 07/15/2014 $1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 701,Additional Remarks Schedule,maybe attached If more 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 /> Orange County Goverment ACCORDANCE WITH THE POLICY PROVISIONS. <br /> RO,Box 8181 AUTHORIZED REPRESENTATIVE <br /> Fanuld,J Mor�dw <br /> Hillsborough,NC 27278 <br /> d 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />