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DocuSign Envelope ID: 7ABD659C-FDOD-4E93-AC94-156B826FAE17 <br /> �► o® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br /> 08/06/2014 <br /> PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br /> Marsh Dawson Insurance Agency,LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 5410 INC Highway 55,Sutie Al HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Durham,NC 27713 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 919-806-5109 <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: Nationwide Mutual Insurance Company <br /> Fun2Ref,LLC INSURER B: Riverport Insurance Company <br /> 1105 Infinity Road <br /> Durham,NC 27712-9795 INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADDT OLICY EFFECTIVE POLICY EXPIRATIO <br /> LTRINSRE TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD1YY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE b 1,000,000 <br /> X A ® COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 <br /> ACP GLGO 2235150455 08!1612014 08/16/2015 <br /> ❑ ❑CLAIMS MADE N OCCUR PRODUCTS-COMPIOP AGG $ 2,000 000 <br /> ❑ _ PERSONAL&ADV INJURY b <br /> ❑ - DAMAGE TO RENTED E 300,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER MED EXP(Any one person) b 5,000 <br /> ® POLICY u JECOT L LOC <br /> b <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) b <br /> 1:1 <br /> ❑ ALL OWNED AUTOS BODILY INJURY b <br /> F1 <br /> SCHEDULED AUTOS (Per person) <br /> ❑ HIRED AUTOS BODILY INJURY <br /> X NON-OWNED AUTOS (Par accident) 5 <br /> ❑ PROPERTY DAMAGE b <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT b <br /> ❑ ANY AUTO OTHER THAN EA ACC b <br /> ❑ AUTO ONLY: AGG b <br /> EXCESS/UMBRELLA LIABILITY ACP CAF 2235150455 08/1612014 08/16/2015 EACH OCCURRENCE b 1.000,000 <br /> ❑ OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 <br /> b <br /> ❑ DEDUCTIBLE b <br /> RETENTION b b <br /> B WORKERS COMPENSATION AND TORY LIMITS L ER <br /> EMPLOYERS'LIABILITY WC-32-90-018509-03 08/30/2013 08/30/2015 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT b 100,000 <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 <br /> If yes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT b 500,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> Certificate Holder is listed as Additional Insured for Liability. <br /> CERTIFICATE HOLDER CANCELLATION <br /> ADDITIONAL INSURED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Orange County DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> PO BOX 8181 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Hillsborough,NC 27278 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> 919-644-3042 REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> 7onya M Dawson <br /> ACORD 25(2001/08) ©ACORD CORPORATION 1988 <br />