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DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE <br />THISCERTIFICATEISISSUEDASAMATTEROFINFORMATIONONLYANDCONFERSNORIGHTSUPONTHECERTIFICATEHOLDER.THIS <br />CERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND,EXTENDORALTERTHECOVERAGEAFFORDEDBYTHEPOLICIES <br />BELOW.THISCERTIFICATEOFINSURANCEDOESNOTCONSTITUTEACONTRACTBETWEENTHEISSUINGINSURER(S),AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT:IfthecertificateholderisanADDITIONALINSURED,thepolicy(ies)musthaveADDITIONALINSUREDprovisionsorbeendorsed. <br />IfSUBROGATIONISWAIVED,subjecttothetermsandconditionsofthepolicy,certainpoliciesmayrequireanendorsement.Astatementon <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />CONTACTPRODUCERNAME: <br />PHONEFAX(A/C, No, Ext):(A/C, No): <br />E-MAILADDRESS: <br />INSURER(S) AFFORDING COVERAGENAIC # <br />INSURER A : <br />INSURED INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: <br />THISISTOCERTIFYTHATTHEPOLICIESOFINSURANCELISTEDBELOWHAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIOD <br />INDICATED.NOTWITHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS <br />CERTIFICATEMAYBEISSUEDORMAYPERTAIN,THEINSURANCEAFFORDEDBYTHEPOLICIESDESCRIBEDHEREINISSUBJECTTOALLTHETERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSRADDLSUBR POLICY EFFPOLICY EXPTYPE OF INSURANCEPOLICY NUMBER LIMITSLTRINSDWVD(MM/DD/YYYY)(MM/DD/YYYY) <br />COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE$ <br />DAMAGE TO RENTEDCLAIMS-MADEOCCUR $PREMISES (Ea occurrence) <br />MED EXP (Any one person)$ <br />PERSONAL & ADV INJURY$ <br />GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ <br />PRO-POLICYLOC PRODUCTS - COMP/OP AGG$JECT <br />OTHER:$ <br />COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea accident) <br />ANY AUTO BODILY INJURY (Per person)$ <br />OWNEDSCHEDULEDAUTOS ONLYAUTOS BODILY INJURY (Per accident)$ <br />PROPERTY DAMAGEHIREDNON-OWNED (Per accident)$AUTOS ONLYAUTOS ONLY <br />$ <br />UMBRELLA LIAB OCCUR EACH OCCURRENCE$ <br />EXCESS LIAB CLAIMS-MADE AGGREGATE$ <br />DEDRETENTION$$ <br />PEROTH-WORKERS COMPENSATION STATUTEERAND EMPLOYERS' LIABILITY Y / NANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$N / AOFFICER/MEMBER EXCLUDED?(Mandatory in NH)E.L. DISEASE - EA EMPLOYEE$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE HOLDERCANCELLATION <br />SHOULDANYOFTHEABOVEDESCRIBEDPOLICIESBECANCELLEDBEFORE <br />THEEXPIRATIONDATETHEREOF,NOTICEWILLBEDELIVEREDIN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03)© 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />Erica Berger <br />GEOPL-1OP ID: EBER <br />12/05/2017 <br />703-361-3191Donna Roche <br />Brown & Brown Ins Agency VA-JS <br />11220 Assett Loop, Ste 304Manassas, VA 20109Erica Berger <br />703-361-3191703-361-5182 <br />droche@bbdcmetro.com <br />Sentinel Insurance Company LTD11000 <br />Hartford Accident & Indemnity22357Geopliant, LLC <br />901 N. Monroe Street #1209 <br />Arlington, VA 22201 Lloyd's <br />A X 1,000,000 <br />X 1,000,000X42SBAPG442603/18/201703/18/2018 <br />10,000 <br />1,000,000 <br />2,000,000 <br />2,000,000 <br />A 1,000,000 <br />42SBAPG442603/18/201703/18/2018 <br />XX <br />B X <br />42WECCU125509/14/201709/14/2018 500,000 <br />500,000 <br />500,000 <br />C CYBER LIABILITYUCS272636209/10/201709/10/2018 Limit1,000,000 <br />Retention5,000 <br />Orange County North Carolina is included as additional insured under thegeneral liability policy as required by written agreement. <br />ORANGEC <br />Orange County North Carolina <br />200 S. Cameron Street <br />Hillsborough, NC 27278 <br />DocuSign Envelope ID: A1FBB564-E645-46C0-9C14-EFF16AB19E59