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A�� C DATE(MMIDDIYYYY) <br /> �� ERTIFICATE 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(les)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 coNTACr Donna Gilmore <br /> CMA Insurance <br /> 45-C Odell School Road PHONE . (704)795-4550 FAx (704)795-4559 <br /> Concord E='L donna@cma-insurance.com <br /> NC 28027 <br /> E RM)AFFORDING C CS <br /> ANSLIRERA,Auto Owners Insurance Company 18988 <br /> INSURED <br /> Gonzalez Painters and Contractors,LLC INSURER C <br /> 3518 Guess Rd <br /> Durham NC 27705- <br /> s INSURER F,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 SUER POLICY EFF POLICY EXP <br /> LTR LIMITS <br /> A GENERAL LIABILITY 3569190013 1/15/2013 1/15/2014 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 <br /> nrA <br /> CLAIMS-MADE a OCCUR MEDEXP A ny one Person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2.000,000 <br /> X POLICY PRO. LOG <br /> $. <br /> A AUTOMOBILE LIABILITY 3569190013 1/1512013 1/15/2014 C.OM&NED SINGLE LIMIT 1,000,000 <br /> ANYAUTO BODILY INJURY(Per person) $ <br /> ALL AUTOS OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> Ix HIRED AUTOS r <br /> AUTOS PROPERTY PROPERTY DAMAGE $ <br /> It <br /> UMBRELLA LIAB OCCUR <br /> EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE <br /> A WORKERS COMPENSATION 35056247 1/15/2013 1/15/2014 X 142,s rATU- oTH- <br /> ANO EMPLOYERS'LIABILITY Y l N ! <br /> ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 100,000 <br /> OFFICER/MEMBER EXCLUDED? u NIA <br /> (Mandatory In NH) EL DISEASE-EA EMPLOYEE 100,000 <br /> If yes,describe under 500,000 <br /> ON OF OPERATIONS below EL DISEASE-POLICY LIMIT <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks S0heduN,It more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION A1001661 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange County THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> 9 ty ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> Hillsborough NC 27278- AUTHORIZED REPRESENTATIVE <br /> Fax:( ) 01988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />