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Client#: 1170996 30MARTIMCG <br /> ACORD,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 4/26/2016 <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 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 Susan Stephenson <br /> BB&T-Wright Dobbins PHONE g28 277-3930 FAX 888-827-9875 <br /> A/C No,Ext: A/C,No <br /> PO Box 5318 E-MAIL <br /> Asheville, NC 28813 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> 828 277-3930 INSURER Pennsylvania National Mutual Ca 14990 <br /> INSURED INSURER B <br /> Martin McGill Inc <br /> P.O.Box 2259 INSURER C <br /> Asheville, NC 28801 INSURER D <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 CONTRACTOR 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 ADDLSUBR <br /> LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD�YY MMILDDY/YYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY BP90652916 01/23/2016 01/23/2017 EACH OCCURRENCE $1.000.000 <br /> CLAIMS-MADE 4 OCCUR PREMISES Ea occuEr "c.) $50,000 <br /> MED EXP(Any one person) $-510-0-0- <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $1,000,000 <br /> PRO- <br /> POLICY JECT E�LOC PRODUCTS-COMP/OP AGG $1,000,000 <br /> _�tOTHER: <br /> BIND <br /> A AUTOMOBILE LIABILITY AU90652916 1/23/2016 01123/201 (CEO accid.ntSINGLE LIMIT 1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> X HIRED AUTOS X AUTOSWNED PROPERTY DAMAGE $ <br /> Per accident <br /> A X UMBRELLA LIAB X OCCUR UL90652916 1123/2016 01/23/2017 EACH OCCURRENCE $1,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $1.000.000 <br /> DED I X I RETENTION$10000 $ <br /> A WORKERS COMPENSATION <br /> ER WP90652916 1/23/2016 01/23/201 X P OTH- <br /> ANDEMPLOYERS'LIABILITY YIN <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? F­N] NIA E.L EACH ACCIDENT $SOO OOO <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$500,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County Planning and SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Inspections Dept ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 131 W.Margaret Lane,Suite 201 <br /> Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE <br /> w'. <br /> ©1988.2014 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S16048355/M15865935 SIS <br />