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13/02 2015 12:24 FAX 9197321574 rickashby <br /> @1002 <br /> �a CERTIFICATE OF LIABILITY INSURANCE ozn&2µ 0 <br /> THIS CERTIFICATE 19 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEOATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT 0ETWEEN THE 19SUIN0 INBURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certilicab holder Is an ADDITIONAL INSURED, the policy([")must be endorsed. If SUORWATION IS WAIVED,subject to <br /> the ter me and conditions of the policy,certain policies may require an endorsemont A statement On this certificate doss not confer rights to the <br /> cerOcate holder In lieu of such sndomemen s. <br /> PRODUCER a Sharon English <br /> ASHBY INSURANCE AGENCY N Ne gig•132.1052 819.732-1574 <br /> StateFarm 206 Millstone Drive �t sheron.engl1shss27Qgms1l.Wm s <br /> Hiifaborough, NC 27278 INSUIIPRIgLALORDINOCOVERAOE N e <br /> I,NeuAp jStats Ferro Mutuel Automobile Insurance Company fi1T1 <br /> ir+fuREti- -PAUL STANLEY PITTMAN INeURER9: <br /> 4506 Harmony Chruch Rd, �Neuaa"C: <br /> Efland, NC 27243 INiyRaRO: _, <br /> INKPAIII <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 /> ADM <br /> TR ` <br /> TYP80FINBURANE!'_-- NUWE Y - LIMITS <br /> COMMERCIAL GENERAL UAe1LM EACH OCCURRENCE / -, <br /> CLAIMS-MADE OCCUR PREM <br /> MEO EXP qny oro pN1en i __ <br /> �^ PERSONALiADVINJURY <br /> OEN'L ADOREGATE LIMIT APPLIE6 PER: GENERAL AoORE0AT15 f ,_`- <br /> POLICY U jECT EJ LOC PgDDV.9TS;COMPIOP AOG t <br /> s <br /> OTHER: <br /> A AUTOMOBILE Lus1U1Y dooll f .., <br /> ANY AUTO 16"350-A30-33 0113012016 071012015 BWI'Y INJURY(Pi+PW1a1j 3 90,DD0 <br /> ALL OWNED x SCHEDULED BODILY INJURY(Per fod") f 100,000 <br /> AUTOS AUTOS ip' D� f 50,000 <br /> HIRED AVTOS AU106 —gam— -- <br /> i <br /> 1UMBRELLA Wa _ O�Uq EACH OCCURRENCE f <br /> EXCESS UAS CLAIMS-MADE AGOREGATE S <br /> ,,Z_7'FRpT TIN I i <br /> WORKERSCOMPENIATION _ TAT <br /> AND EMPLDYURV LIABILITY YIN <br /> ANY PROPRIETORIPARTNERIEXECVTIVE ❑NIA E.L.EACH ACCIDENT f „-, <br /> OFFICERAIEMSEREXCLVDE07 E.L.DISEASE-EAEMPLOYE f <br /> (Mmdetery In NH) — <br /> 11yyes d�,oiDe undN E.L.DISEA69-POLICY LIMIT f <br /> DEC IPTIDN OF OPERATIONS <br /> Di9C upnoN OF OPERATIONS/LOCA71ONA I VENICLa81ACONO 10t,AddRlo"61 RNAWN schfdulff,maybe 0tood M—nwN1 1 Has lo nqui=) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE COUNTY GHOULD ANY OF THE ABOVE DEBCRI§20 POLICIES B!CANCItLl.110 OWFORB <br /> PO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL 0E DELIVERED IN <br /> Hillsborough,NC 27270 ACCORDANCE WITH THE POLICY PROVISIONS, <br /> Attn: Kevin Lindley AUTHOR sENTATIV <br /> 1 Ib. ?-,/ <br /> 1060.2014 OR C RPORATION,All rights rassrved. <br /> ACORD 21;(2014/01) The ACORD name and logo are reglatereVerks of ACOR 1001466 132849.9 OZ-04.2014 <br />