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DocuSign Envelope ID:78B556CA-0O28-4315-8EF4-948059C1C6F0
<br /> 7DATE(MM/DD/YYYY)
<br /> ,4cv�o� CERTIFICATE OF LIABILITY INSURANCE
<br /> /16/2020
<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 CONTACT
<br /> NAME: Charlotte Boren
<br /> Sutter, McLellan&Gilbreath, Inc PHONE FAX
<br /> 1424 North Brown Road LAIC,
<br /> /C No Ext:770-246-8300 A/C No):678-802-3971
<br /> Suite 300 ADDRESS: cboren@smginsurance.com
<br /> Lawrenceville GA 30043 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:Travelers Indemnity Co. 25658
<br /> INSURED NETPSYS-01 INSURER B: Phoenix Insurance CO. 25623
<br /> NetPlanner Systems, Inc.
<br /> 3145 Northwoods Parkway INSURER C:Travelers Prop Cas Co of Ameri 25674
<br /> Suite 800 INSURER D:Travelers Cas&Surety Co America 31194
<br /> Norcross GA 30071 INSURER E: Charter Oak Fire Ins.Co. 25615
<br /> INSURER F: St.Paul Surplus Lines Ins.Co
<br /> COVERAGES CERTIFICATE NUMBER:978708077 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR IN SD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y D-CO-1J389435-IND-20 12/31/2020 12/31/2021 EACH OCCURRENCE $1,000,000
<br /> DAMAGE TO
<br /> CLAIMS-MADE � OCCUR -PREMISES
<br /> (Ea occurrDence) $300,000
<br /> MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY� PECOT- LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY Y Y 8101L511122-20-26-G 12/31/2020 12/31/2021 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED �( NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> C X UMBRELLA LAB X OCCUR Y Y CUP-1J4562674-20-26 12/31/2020 12/31/2021 EACH OCCURRENCE $10,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000
<br /> DIED X RETENTION$1 n nnn $
<br /> D WORKERS COMPENSATION Y UB-8J495959-20-26-G 12/31/2020 12/31/2021 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE NIA
<br /> E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> E Leased/Rented Equipment 6608725M595COF20 12/31/2020 12/31/2021 Deductible:$2,500 150,000
<br /> F Pofessional Liability ZCO 81 N3718A 12/31/2020 12/31/2021 $10Ea Act E&O/Agg 10,000,000
<br /> E Crrime-Incld 3rd Party 6608725M595COF20 12/31/2020 12/31/2021 Deductible:$25,000 2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be 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 /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> SPECIMEN CERTIFICATE A.UUTyH�O,RIZEDREPRE/�ENTATIVE
<br /> f d Iryri� C��r,�-r—�.
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 25
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