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ACOODATE(MMIDDIYYYY) <br /> V CERTIFICATE OF LIABILITY INSURANCE 08/19/2013 <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 of the 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 Donna Gilmore <br /> ME,CMA Insurance PHONE (704)795-4550 FAX (704)795-4559 <br /> 45-C Odell School Road E-MAIL <br /> Concord NC 28027 donna @cma-insurance.com <br /> INSURER(S)A FORDING COVERAGE NAIC# <br /> INSURERA,Auto Owners Insurance Company 18988 <br /> INSURED SU <br /> Gonzalez Painters and Contractors,LLC N R C• <br /> 3518 Guess Rd INSURER D <br /> Durham NC 27705- NSURERE: <br /> 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 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 /> A GENERAL LIABILITY 3569190013 1115/2013 01/15/2014 EACH OCCURRENCE $ 1,000,000 <br /> X DAMAGE TO RENTED 300,000 <br /> COMMERCIAL GENERAL LIABILITY <br /> CLAIMS-MADE FX OCCUR MED EXP An one person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> T <br /> GEN'L AGGREGATE $ 2,000,000 <br /> E LIMIT APPLIES PER: <br /> X POLICY PRO- LOC - $ <br /> COMBINED SINGLE LIMIT <br /> A AUTOMOBILE LIABILITY 3569190013 1/15/2013 01/15/2014 _i.._-1,000,000 <br /> BODILY INJURY(Per person) $ <br /> ANY AUTO <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS PROPERTY DAMAGE <br /> NON-OWNED $ <br /> X HIREDAUTOS X AUTOS $ <br /> 4AND BRELLA LIAR OCCUR EACH OCCURRENCE <br /> CESS LIAB CLAIMS-MADE AGGREGATE $ <br /> RETENTION <br /> A RS COMPENSATION 35056247 1/15(2013 01/15/2014 X WCSTATU- OTH- <br /> PLOYERS'LIABI LITY Y 100,000 <br /> IP <br /> ANY PROPRIETORARTNEWEXECUTIVE E.L.EACH ACCIDENT $ <br /> E $ <br /> OFFICER/MEMBER EXCLUDED? NIA 1!)0,000 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE <br /> 500,000 <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT FRATIONS below <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER <br /> CANCELLATION A1001661 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> Hillsborough NC 27278- AUTHORIZED REPRESENTATIVE e <br /> Fax:( ) _ ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />