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DocuSign Envelope ID: 742EOA27-3C44-4776-BD32-AD6A2FO7984E <br /> NORTH CAROLINA FARM BUREAU MUTUAL INSURANCE COMPANY, INC. <br /> CERTIFICATE OF LIABILITY INSURANCE <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 <br /> to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to <br /> the certificate holder in lieu of such endorsement(s). <br /> INSURED NELSON ALARMS INC. CERTIFICATE ORANGE COUNTY <br /> NAME AND PO BOX 10 HOLDER PO BOX 81881 <br /> ADDRESS RANDLEMAN, NC 27317 HILLSBOROUGH, NC 27278 <br /> COVERAGES <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 /> Y TYPE OF INSURANCE ADDL:SUBR POLICY NUMBER POLX3YEFF POLICYEXP LIMITS <br /> ® COMMERCIAL GENERAL LIABILITY SIVIP 0113241 5/26/2015 5/26/2016 GENERAL AGGREGATE $1,000,000 <br /> -OCCURRENCE PRODUCTS-COMPIOPS <br /> AGGREGATE $1,000,000 <br /> GEN'L AGGREGATE:APPLIES PER POLICY PERSONAL&ADV INJURY $1,000,000 <br /> EACH OCCURRENCE $1,000,000 <br /> PREMISETO Qcwrfence $1001000 <br /> MED EXP(Anyone person) $5,000 <br /> ❑ <br /> BUSfNESSOWNERS EACH OCCURRENCE $ <br /> AGGREGATE $ <br /> ❑ <br /> COMBINED SINGLE LIMIT UTOMOBILE LIABILITY (Each accident) $ <br /> SCHEDULED AUTOS BODILY INJURY(Per person) $ <br /> ❑ <br /> HIRED AUTOS BODILY INJURY(Per accident) $ <br /> NON-OWNED AUTOS PROPERTY DANIAGE $ <br /> Per aoeEdent) <br /> ❑ GARAGE LIABILITY <br /> ❑ (Other) <br /> F1 EXCESS LIABILITY— EACH OCCURRENCE $ <br /> OCCURRENCE AGGREGATE $ <br /> ® WORKERS COMPENSATION N WC STATUTORY LIMITS <br /> lA - - <br /> AND EMPLOYERS'LIABILITY WC 0213731 6/21/2015 6/21/2016 E.L.EACH ACCIDENT $100,000 <br /> POLICY APPLIES TO THE WORKERS E.L.DISEASE-EAEMPLOYEE $100,000 <br /> COMPENSATION LAW IN THE STATE OF NC E.L.DISEASE-POLICY LIMIT s500,000 <br /> OTHER: <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES: <br /> CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED AUTHORIZED REPRESENTATIVE <br /> BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DATE= 8/27/2015 qla'L <br /> COI 0910 <br />