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NORTH CAROLINA FARM BUREAU MUTUAL INSURANCE COMPANY, INC. <br /> CERTIFICATE OF LIABILITY INSURANCE <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 <br /> to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to <br /> the certificate holder in lieu of such endorsement(s). <br /> INSURED Susan Koenigshofer CERTIFICATE Chapel Hill/Orange County Visitors Bureau <br /> NAME AND DBA SCK Design LLC HOLDER 501 W Franklin St <br /> ADDRESS 828 Jack Bennett Rd Chapel Hill NC 27516 <br /> Chapel HIII NC 27517 <br /> COVERAGES <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 /> X TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF MPOOLIICY EXP LIMITS <br /> ❑ COMMERCIAL GENERAL LIAIB31LITY GENERAL AGGREGATE $ <br /> -OCCURRENCE PRODUCTS-COMP/OPS <br /> AGGREGATE $ <br /> GEN'L AGGREGATE APPLIES PER POLICY PERSONAL&ADV INJURY $ <br /> EACH OCCURRENCE $ <br /> DAMAGE TO RENTED $ <br /> MED EXP(Any one person) $ <br /> ❑ EACH OCCURRENCE $ <br /> BUSINESSOWNERS AGGREGATE <br /> COMBINED SINGLE LIMIT $ <br /> AUTOMOBILE LIABILITY (Each accident) <br /> ® SCHEDULED AUTOS APM 8092554 8/15/2013 2/15/2014 BODILY INJURY(Per person) $250 <br /> ❑ HIRED AUTOS BODILY INJURY(Per accident) $500 <br /> ❑ NON OWNED AUTOS PeoPaEE DAMAGE $100 <br /> ❑ GARAGE LIABILITY <br /> ❑ (Other) <br /> . EACH OCCURRENCE $ <br /> E] EXCESS LIABILITY— <br /> i OCCURRENCE AGGREGATE $ <br /> ❑ <br /> WC STATUTORY LIMITS <br /> WORKERS COMPENSATION <br /> N/A <br /> AND EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ <br /> PCLICY APPLIES TO THE WORKERS E.L.DISEASE•EA EMPLOYEE $ <br /> COMPENSATION LAW IN THE STATE OF NC E.L.DISEASE-POLICY LIMIT $ <br /> OTHER: <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES: <br /> CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED AUTHORIZED REPRESENTATIVE <br /> BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Robbie Norris <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DATE 11/4/2013 <br /> COI 0910 <br />