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® DATE(MM/DDIYYYY) <br /> AC40R L7 CERTIFICATE OF LIABILITY INSURANCE 04/10/2014 <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 /> CONT <br /> PRODUCER NAMEACT EDUARDO MARTINEZ <br /> AAI-WHITEHURST INSURANCE AGENCY A, No t 919-491-5557 A,c No; 919-479-8200 <br /> 2605 GUESS ROAD AbMDRIESS: MARTIE50 @NATIONWIDE.COM <br /> DURHAM,NC 27705 INSURERS AFFORDING COVERAGE NAIC#_ <br /> INSURERA. AUTO OWNERS INSURANCE COMPANY 18988 <br /> INSURED INSURER B: <br /> GONZALEZ PAINTERS AND CONTRACTORS,LLC INSURER C: <br /> 3518 GUESS ROAD INSURERD: _ <br /> DURHAM,NC 27705 INSURER E: <br /> gonzalez_painters @frontier.com 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. _EFF INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DDYIYYYY MM/DD//YYYY LIMITS <br /> LTR <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> A 1 CLAIMS-MADE OCCUR 35691900 01/15/201401/15/2015 DAMAGES RENTED $ 300,000 <br /> PREMISES(Ea occurrence) <br /> MED EXP(Any one person) $ 10,000 <br /> GENERAL AGGREGATE $ 2,000,000 PERSONAL&ADVINJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: - <br /> u PRO- ❑ PRODUCTS-COMP/OP AGG $ 2,0005000 <br /> OTHER: <br /> POLICY JECT LOC <br /> $ <br /> COMBINED SINGLE LIMIT $ <br /> AUTOMOBILE LIABILITY Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS - <br /> NOWOWNED PR Per OPTY t DAMAGE $ <br /> acdd ERen <br /> HIRED AUTOS AUTOS $ <br /> I <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _. <br /> ;L EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ _ $ <br /> WORKERS COMPENSATION STATUTE ERH <br /> AND EMPLOYERS'LIABILITY <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 35056247 01/15/2014 1/15/2015 E.L.EACH ACCIDENT $ 100,000 <br /> OFFICER/MEMBER EXCLUDED? ® NIA <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 <br /> DESCRIPTION OF OPERATIONS below <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> a County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Oran <br /> g ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> psorrell @orangecountync.gov ACCORDANCE WITH THE POLICY PROVISIONS. <br /> nfinnell @orangecountync.gov <br /> AUTHORIZED REPRESENTATIVE <br /> EDUARDO MARTINEZ <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />