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A CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 I 0DATE 3/30/2011' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Willis of Pennsylvania, Inc. 26 Century Blvd. A FXT1 877- 945 -7378 1 (AAr. Nn), 888- 467 -2378 E P. 0. Box 305191 MALn I AnnRFCS certificates@Willis.com Nashville, TN 37230 -5191 I INSURER(S)AFFORDINGOOVERAGE NAIC# IINSURERA:Illinois National Insurance Company 23817 -001 INSURED INSURERB:Illinois National Insurance Company 23817 -010 Burgess & Niple, Inc. 5085 Reed Road INSURERC:National Union Fire Ins. Co. of Pittsburgl19445 -001 Columbus, OH 43220 INSURER D: North River Insurance Company 121105 -001 INSURERE:Insurance Company of the State of Pennsyll19429 -002 IINSURERF:Continental Casualty Company 120443 -010 COVERAGES CERTIFICATE NUMBER: 15699020 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE �1DD'L SUB\ POLICY NUMBER I TR INSRr WVIY POLICYEFF POLICYEXP 1 LIMITS lINM /DD/VWV� (wnn/vvvvn A GENERAL LIABILITY GL4360775 4/1/2011 4/1/2012 1 EACH OCCURRENCE $ 1, 000, 000 X COMMERCIAL GENERAL LIABILITY PREMISES (EaEo RENTED $ 1, 000 , 000 _-1 CLAIMS -MADE OCCUR MED EXP (Any one person) $ 10.000 PERSONAL& ADV INJURY $ 11000.000 _ I GENERAL AGGREGATE 1$ 2.000.000 _ GEN'L AGGREGATE LIMIT APPLIES PER: ( PRODUCTS - COMP /OPAGG 1$ 2,000,000 FFQ Is POLICY I I LOG B AUTOMOBILE LIABILITY CA3976452 4/1/2011 4/1/2012 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 _ C X ANYAUTO CA3976453 4/1/2011 4/1/2012 I BODILY INJURY(Per person) $ ALL OWNED SCHEDULED I BODILY INJURY(Per accident) $ _ AUTOS X HIREDAUTOS X AUTOS NON -OWNED AUTOS PROPERTY DAMAGE I (Per accident) Is _ I 1$ D X UMBRELLALIAB X I OCCUR 5530941495 4/1/2011 4/1/2012 EACH OCCURRENCE 1$ 15. 000, 000 EXCESS LIAB IN CLAIMS-MADE I AGGREGATE 1$ 15. 000, 000 DED I X (RETENTION$ 10,000 I$ E WORKERS COMPENSATION WCO26149154 4/1/2011 4/1/2012 X I wcsrATU- FIR' EMPLOYERS' LIABILITY Y� ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L. EACH ACCIDENT $ 11000,000 OFFICER/MEMBER EXCLUDED? Mandatory in NH) I E.L. DISEASE - EA EMPLOYEE I$ 1,000,000 , DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT Is 1,000,000 F AEH008215011 4/1/2011 4/1/2012 Professional Liability $10,000,000 per claim $10,000,000 aggregate $500,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Evidence of Coverage Coll:3311913 Tpl:1242453 Cert:15699020 c 1988- 2010ACORDCORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD