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DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B <br /> NATIONWIDE MUTUAL INSURANCE COMPANY 60483 <br /> ONE NATIONWIDE PLaAZ�l RENEWAL <br /> COLUMBUS,OH 43216-2220 <br /> COMMERCIAL GENERAL LIABILITY DECLARATIONS <br /> -22729943 <br /> N 83 <br /> t e�tr�va I�r��€a' : ACP <br /> N,, i d =t PRO NET SYSTEMS INC. <br /> {� 3200 GLEN ROYAL RD STE 907 <br /> RALEIGH NC 27617-7419 <br /> Agent. KEN L.AWSON,JR. 32-80483.001 <br /> Address: RALEIGH NC 27615 PRODUCER: KENNETH l3 LAWSON JR <br /> Policy Period: From 02/22/16 to 02J22/17 12:01 A.M. standard time at the address of the earned insured as stated <br /> herein. <br /> In return for the payment of the premium, and subject to all the terms of this policy,we agree with you to provide the <br /> insurance as stated in this policy. <br /> LI€WITS OF INSURANCE <br /> GENERAL AGGREGATE LIMIT(other than roduct -com Ieted operations) $ 2,000,000 <br /> PRODUCTS�t:1MPLETEi3 OPERATIONS AS OR LIT 3 2,000,000 <br /> PERSONAL AND ADVERTISING INJURY LIMIT $ 1,000,000 <br /> EACH OCCURRENCE LIMIT 3 11000,000 <br /> DAMAGE TO PREMISES,RENTED TO YOU LIMIT(any one promises) $ 100, 000 <br /> MEDICAL EXPENSE LINT (any one person) <br /> Retroactive Date (CC00W only) <br /> i he Narned Insured is: CORPORATION <br /> Business of the Married Insured is: ELECTRICAL APPARATUS <br /> Audit Period: ANNUAL _ <br /> EPIC3LZRSEht1EN"fS ATTACHED TO THIS POLICY�.M._.......__v...... ,..,.�..,�,..��..,,�......, .,.,.�..m ...�..�.,.., <br /> SEE COMMERCIAL GENERAL LIABILITY FORMS AND ENDORSEMENTS SCHEDULE <br /> TOTAL ADVANCE PREMIUM 1,635.00 <br /> Replacement or <br /> Renewal Number ACP GLO 2262094353 <br /> A PACKAGE MODIFICATION FACTOR HAS SEEN APPLIEL? <br /> Countersigned By 4 <br /> GL-D(10-95) <br /> DIRECT BILL L6DQ 15009 AGENT COPY ACP GLr3 2272994383 837701611 22 0007234 <br />