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NICEAND-01 JNEWTON <br /> ACORL�' CERTIFICATE OF LIABILITY INSURANCE DATE 5/1/2 D/YYYY) <br /> � 5/1/2014 <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 /> PRODUCER CONTACT Jennifer S. Newton FAX <br /> Winfred C.Harper Agency A"�"N :(336 227-4271 A/C No <br /> PO Box 1867 <br /> 1037 S.Main Street <br /> E-MAIL jennifer.newton harperinsurance.com <br /> Burlington,NC 27216-1867 <br /> INSURERS AFFORDING COVERAGE NAIC IY <br /> INSURER A:Erie Insurance Exchange 26271 <br /> INSURED INSURER B: <br /> Nice&Green Flooring Solutions,LLC INSURER C: <br /> 1183 University Drive#105-113 INSURER D: <br /> Burlington,NC 27215 INSURER E: <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 /> I"SR TYPE OF INSURANCE ADDL UBR POLICY NUMBER MM/DDIYYYY MMIDD EXP LIMITS <br /> LTR <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0 <br /> CLAIMS-MADE OCCUR Q39-0750764 03/0712014 03/0712015 PREMISES Ea occurrence $ 1,00090 <br /> MED EXP(Any one person) $ 5,0 <br /> PERSONAL&ADV INJURY $ 1,000,0 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,0 <br /> X POLICY❑PRO F—]LOC PRODUCTS-COMP/OP AGG $ 29000,0 <br /> JECT <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMEa BIacadeNEnt D SINGLE LIMIT $ 1,000,00 <br /> A X ANY AUTO 003-0730727 0310712014 03107/2015 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS PROPERTY DAMAGE $ <br /> NON-0WNED Per a.d I <br /> HIRED AUTOS AUTOS <br /> UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> ER <br /> WORKERS COMPENSATION X <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> Y/N <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A Q87-0700668 03/0712014 0310712015 E.L.EACH ACCIDENT $ 500,00 <br /> OFFICER/MEMBER EXCLUDEI <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,0 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,0 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> County of Orange THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ty g ACCORDANCE WITH THE POLICY PROVISIONS. <br /> P.O.Box 8181 <br /> Hillsborough,NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> p <br /> 191- <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />