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?? <br />'4?? °® CERTIFICATE OF LIABILITY INSURANCE os%io/%ao i <br />page 1 of 1 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions ofthe policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br /> <br />Yli llia O£ Tennessee, Inc. PHONE <br />F"°X <br /> <br />26 Century Hlvd 877-945-7378 <br />888-467-2378 <br />. <br />P. O_ HOx 305191 <br />E-MAIL certificates®williscom <br />Nashville, TN 37230-5191 <br /> INSU RER(S)AFFORDING COVERAGE NAIC # <br /> INSURERA: Kay Risk Insurance Company 10885-001 <br />INSURED <br />v <br />G <br />t T <br />i <br />i <br />I <br />tit <br />t INSURER B: <br />o <br />arx>.man <br />ra <br />n <br />ng <br />ns <br />u <br />e <br />1321 Technology Drive INSURERC: <br />Suite 101 <br />Harnwall <br />SC 29812 INSURER D: <br />, <br /> INSURER E: <br /> INSURER F: <br />COVERAGES - CERTIFICATE NUMBER: 1595857e REVISION NLIM BERG <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 DD' SUB pOLIDY NUMBER POLICY EFF POLICY EXP LIMIT S <br /> GEN ERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ <br /> <br /> CLAIMS-MADEO OCCUR MED EXP(Any one person) $ <br /> PERSONALSADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> PRO <br /> POLICY <br />LOC $ <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Ea acudenQ $ <br /> ANY AUTO BODILY INJURV(Per person) $ <br /> ALLOWNED SCHEDULED BODILY INJURV(Per accident) $ <br /> AUTOS AUTOS <br /> HIRED AUTOS NON-OWNED <br />AUTOS P PERTY DA A <br />(Per accident) <br />$ <br /> <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION $ $ <br />A WORKERS COMPENSATION <br />' WC398400874402 6/6/2010 8/6 ?2U11 X <br /> AND EMPLOYERS <br />LIABILITY <br />Y <br /> ? <br />ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ 1r OOOr 000 <br /> OFFICER/MEMBER EXCLUDED? <br /> ((Mandetory.in NH) E.L. DISEASE-EA EMPLOYEE $ 1. OOOr 000 <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $ 1r OOOr 000 <br /> <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (AHach Acord t 01, Additonal Remarks Schedule. if more apace is required) <br />Covered State: SC <br />APPROVED AS TO >E'ORM <br />/? ? <br />1 <br />1 <br />CFRTI FICATF Hffl 1'fFR l.lJ?? - I -'NCFI 1 ATI['fN <br />-?- R(Ir$A 1.. <br />?---- <br />C? A?r?y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />A? THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> <br />Proof o£ Coverage AUTHORIZED REPRESENTATIVE <br />l] <br /> ?? <br />Co11:3355398 Tp1:1266254 Cert:15958578 ©'1988-20'IO ACORD CORPORATION. All rights reserved. <br />ACORD 25 (20'10/05) The ACORD name and logo are registered marks of ACORD