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OP ID:SLS <br /> CERTIFICATE OF LIABILITY INSURANCE DAT06/M16/14 D/4 I <br /> 05/16 <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 Phone:919-286-7473 CONTACT <br /> NAME: <br /> Dominick Huckabee Noblin Trent <br /> Insurance Agency Fax:919-286-5170 AIC.Ext, Fc No): <br /> POBox 52239 ADDRESS: <br /> Durham,NC 27717-2239 PRODUCER KINGBRC <br /> J.G.Huckabee,III CUSTOMER ID N: <br /> INSURER(S) AFFORDING COVERAGE NAK:0 <br /> INSURED King Brothers Electric Co,Inc INSURER A:State Auto Insurance 25135 <br /> Lee Anne King INSURER B: <br /> 1701 Camden Ave. <br /> Durham,NC 27704 INSURER C <br /> INSURER D: <br /> 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 /> INSR rypE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP <br /> LTR POLICY NUMBER MM/DD/YYYY) 1MM/DD/YYYY1 LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ 1,000,00 <br /> A � X COMMERCIAL GENERAL LIABILITY SOC 2485972 04/01/14 04/01115 DAMA R ENTED <br /> ttt PREMGE ISES TO Ea occurrence $ 100,00 <br /> CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,00 <br /> _ PERSONAL&ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 2,000,00 <br /> H <br /> N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 <br /> POLICY FXI PRO- LOC $JECT [7 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00 <br /> A X ANY AUTO BAP2288261 04/01/14 04/01/15 (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY(Per person) $ <br /> BODILY INJURY(Per accident) $ <br /> SCHEDULED AUTOS <br /> PROPERTY DAMAGE <br /> X HIREDAUTOS (Per accident) $ <br /> X NON-OWNEDAUTOS $ <br /> $ <br /> UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 5,000,00 <br /> --I <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,000,00 <br /> A SOC 2485972 04101/14 04101/15 <br /> DEDUCTIBLE <br /> X RETENTION $ 10,000 $ <br /> WORKERS COMPENSATION WCSTATU- OTH- <br /> AND EMPLOYERS'LIABILITY YIN <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? r NIA --- <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Inland Marine SOC 2485972 00 04101114 04101/15 RentedEqu 55,00 <br /> InstFloat 504,00 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE <br /> ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD <br />