2015-370-E Finance - OE Enterprises, Inc. - 2015-16 Outside Agency Performance Agreement $45,100

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DocuSign Envelope ID:9CF9255F-E15B-41B8-ABE3-86DA8134FBO3 CERTIFICATE LIABILITY INSURANCE DATE(MM/DD/YYYY} _ 6/26/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the cortificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsornent(s). PRODUCER ONTACT Clint Chappell Jennings Bryan-Chappell Insurance Services (HOE Ext). (336)227-7458 _ iv c_No): (336)343-1000 PO Box 1118 E-MAIL ADDRESS:elint@jbcins,com INSURER(Sj AFFORDING COVERAGE NAIC# Burlington NC 27216 INSURERA:Philadelphia Indeminity Ins, Co. 18058 _-..._. ...... ......... ......... INSURED INSURER B;United Heartland OE Enterprises, Inc. INSURER C: 348 Elizabeth Brady Road INSURER D: INSURER E: Hillsborough NC 27278 INSURER F; COVERAGES CERTIFICATE NUMBER:CL1562601418 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ...... NTR.�... ADD�SUOR' .... POLICY EFF POI-ICY Exit -- TYPE OF INSURANCE D i POLICY NUMBER IMM/DD.fYYYY ? MMIDDIYY`!Y LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE T(0 REi�1TEb - - A t LAIMS-MADE X OCCUR PREMISES Ea occurrenee� $ 100,000 X f PHPK13BB362 6/30/2015 6/30/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT"APPLIES PER: GENERAL AGGREGATE 21000,000 POLICY ) PRC�- ] LOG PRODUCTS-COMP/OP AGG $ 2,000,000 i W+111 I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMi'T $ 1,000,000 A X ANY AUTO BODILY INJURY(Per person) $ _ ALL OWNED SCHEDULED AUTOS AUTOS PHPK1358362 6/30/2015 6/30/2016 BODILY INJURY(per accident) $ NON-OWNED Pi2OPFRIYDAMAGE __ X HIRED) X AUTOS C (Flo]acuidont,)_ $ Medical Pavments $ 5,000 X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 4 000,000 EXCESS LIAB A CLAIMS-MADE j AGGREGATE $ 41000,000 DFD ( X I Rk'lFNTION$ 10,000 PMMS05354 6/30/2015 6/30/2016 $ WORKERS COMPENSATION X GTATUTF, FR 6P EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E L EACH ACCIDENT — 1 $ _ 500;000 B OFFICER/MEMBER EXCLUDED? (_ ] NIA --- (Mandatory in NH) 2000011130 7/1/2015 7/1/2016 E L DISEASE-EA EMPLOYEE' $ 500;,000 If yes,describe under '" DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 500 000" A Directors & Officers PHSD1055405 6/30/2015 : 6/30/20161 3,000,000 A Sexual Abuse/Molestation PHSD1055405 6/30/2015 ' 6/30/2016 1,000,000 1,000,00 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 5181 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE Clint Chappell./CC O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025 rontanli