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DocuSign Envelope ID:835219A9-5F20-4A66-BEOD-37F6AO5F9A58 el'lt 6 <br /> '4ca�o� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 12/16/2020 <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 770-246-8300 FLAX <br /> No:678-802-3971 <br /> 1424 North Brown Road LAIC, <br /> /C No EXt <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 /> RENTED <br /> CLAIMS-MADE � OCCUR PREM SE DAMAGESOEa occurrence) $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 8101 L511122-20-26-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 X 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 $105000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 <br /> DIED X RETENTION$ $ <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 Professional Liability ZCO 81 N3718A 12/31/2020 12/31/2021 $10Ea Act E&O/Agg 10,000,000 <br /> E Crime-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 AUTHORIZED REPR EIS r1T `E <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 25 <br />