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ACC)RDi CERTIFICATE OF LIABILITY INSURANCE DATH(MwOD/YYYY) <br /> `� 06/03/2014 <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 WANED,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 <br /> NAME_ <br /> Knight Insurance =,' 919-245-1020 Fax No:919-245-1010 <br /> 110 Boone,Square Street,Suite 18 EMAIL <br /> ADDRESS: kni htinsurance ralei h.twcbc.com <br /> Hillsborough,NC 27278 INSURERS AFFORDING COVERAGE I NAIC9 <br /> INSURER A:Travelers Pro a Casualty Co of America <br /> INSURED INSURER B: <br /> Michael Ryan Askins <br /> INSURER C: <br /> 5914 Chnstys Ln,Lot 6 <br /> INSURER D <br /> Mebane,NC 27302 <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 7 ADDL SUER' POLIGY.EFF POLICY EXP <br /> LTR'! TYPE OF INSURANCE. POLICY NUMBER. MMIDDIYYW MMIDDfYYYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE S <br /> DAMAGE TORE ED <br /> COMMERCIAL.GENERAL LIABILITY ISES Ea occurrence <br /> CLAIMS-MADE r OCCUR MED EXP(Any one person $ <br /> PERSONAL 6 ADV INJURY 5 <br /> GENERAL AGGREGATE.. S <br /> GEN'L AGGREGATE LIMIT APPLIES PER; PRODUCTS-COMPlOP'AGG $ <br /> POLICY PRO LOC S <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea acci ent <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) S <br /> NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS AUTOS Per accident $ <br /> $ <br /> UMBRELLA LIAB. OCCUR <br /> j EACH OCCURRENCE `$ <br /> EXCESS LIAB. CLAIMS-MADE AGGREGATE $. <br /> DED I I RETENTION$ $. <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY <br /> A ANY PROPRIETORfPARTNERIFXECUTIVE YIN ID 25013990 12/21/13 12/21/14 E.L.EACH ACCIDENT 5100,000 <br /> OFFICERIMEMBER EXCLUDED? NIA <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE -5.100,000 <br /> D s,describe under. . E.L.DISEASE.-.POLICY LIMIT S 500 000 <br /> DESCRIPTION OF OPERATIONS below. <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach.ACORD 101 Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County Government <br /> PO BOX 8181 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Hillsborough,NC 27278 <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 9 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHOR REPRESENTATIVE <br /> t q) - <br /> l <br /> i <br /> 1888 40 ft ACORD C R ORA ION. All rights reserved. <br /> ACORD25(2010/05) The,ACORD name and logo are registered marks AG RD` <br />