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DocuSiggn Envelope ID:3B617C6F-5AC0-46E6-B1CC-3E58D8A37545 <br /> DDcuSign Envelapa ID:3E4B4B91-8AA8-4IUB-8584-11AAEUCt3t;03 <br /> DATE IMWDD/YYYYI <br /> AC(:?& CERTIFICATE OF LIABILITY INSURANCE 7/2412 0 1 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($),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT; If the certificate holder Is an ADDITIONAL INSURED,the pollcy(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 Ileu of such endorsements. <br /> PRODUCER NAME: Ronald Morgan <br /> Morgan&Associates LLC-GA e,No EA : 7708617509 a ko: 1-866-713.6171 <br /> PO Box 456 ADDRESS; dtnorgan®maginsurance,com <br /> INSURER(S)AFFORDING COVERAGE NAIC9 <br /> Kennesaw GA 30156 INSURER A� SVANSTON INS CO 35378 <br /> ENSURED INSURER B: <br /> Medisoultlon INSURER C <br /> 100 N Church ST INSURER D <br /> INSURER E <br /> Btirlington 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 CONTRACTOR OTHER DCCUMENT WITH RESPECTTO 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 /> PULTCY FIFF POLICY LAP <br /> NS LTRTYPE OF INSURANCE INaDALPLIL I Dr POLICY NUMBER _ MM7DO YYY] MMIDDfYYYY LIMRS• <br /> �( COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X CLAIMS-MADE FI OCCUR PREMISES Wa occurrence] S 100,000 <br /> MEO EXP(Any one person) $ 5,000 <br /> A NP343324 07/15/2018 07/15/2019 PERSONAL&AOV INJURY $ 1,000,000 <br /> GFN%AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE S 2,000,000 <br /> }� POLICY JCRC El LDC PRODUCTS-COMPfOP AGO $ 1,000,000 <br /> OTHER: S exual and Phydoal Abus S 1,000,000 <br /> cam <br /> AUTOMOBILE LIABILITY Ea aocldenl S <br /> ANY AUTO BODILY INJURY[Per person] S <br /> OWNED SCHEDULED BODILY INJURY(Per amlderiO $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED [Per accldant $ <br /> AUTOS ONLY AUTOS ONLY <br /> $ <br /> UMBRELLA LIAR HOCCUR EACH OCCURRENCE: S <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEO RETENTION$ _ S <br /> WORKERS COMPENSATION ISTWTUTE I I ER <br /> AND EMPLOYERS'LIABILITY Y f N <br /> NY PROPRIETORIPARTNERIEXECUTIVE❑ NIA A L.L.EACH ACCIDENT $ <br /> FFICERIMEMBER EXCLUDED? E,L,DISEASE-EA EMPLOYEE <br /> S <br /> Mandatary is NH] <br /> yyea,dmcdba under <br /> ESCRIPTION OF OPERATIONS below E.L.DISEASE.POLICY LIMIT ; <br /> A Sexual Misconduct/Molestation/Abuse NP343324 07/15/2018 07/15/2019 $1,000,000 <br /> DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101,AddijIanal Remarks SeliaduIo,may ba RNa(:had I[mom apace 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 /> P.O.Box 8181 AUTHORIZED REPRESENTATIVE <br /> 0on64J Morgan. <br /> 11E11sbornugU,NC 27278 <br /> 9)1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />