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Client#:1170996 30MARTIMCG <br /> ACORDTh, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDfYYYY) <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 poiicy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain pollcles 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 NAMEACT Susan Stephenson <br /> BB&T-Wright Dobbins PHONE 828 277-3930 (FAx 888-827-9875 <br /> C No Ext: AlC,No <br /> PO Box 5318 E-MAI <br /> ADDL <br /> RSS: <br /> Asheville,NC 28813 E <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> 828 277-3930 INSURER A: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 /> LTR TYPE OF INSURANCE ADDL WVDR POLICY NUMBER MM/DDY/YYYY MM%DDmYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY BP90652916 1/23/2016 01/23/201 EACM�Hqq OC7CURRRENCE $1,000,000 <br /> CLAIMS-MADE OCCUR PREMISESOEa oaTuEr ence $50 000 <br /> MED EXP(Any one person) s5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $1,000000 <br /> PRO- <br /> POLICY JECT <br /> LOG PRODUCTS-COMP/OP AGG $1,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY AU90652916 1/23/2016 01/23/201 Eeamiid.n')SINGLE 1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Per accident <br /> $ <br /> A X UMBRELLA LIAB X OCCUR UL90652916 1/23/2016 01/23/201 EACH OCCURRENCE $110001000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 <br /> DED X RETENTION$1 OOOO $ <br /> A WORKERS COMPENSATION WP90652916 1/23/2016 01/23/201 X PER OTH- <br /> AND EMPLOYERS'LIABILITY <br /> YIN <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500000 <br /> OFFICER/MEMBER EXCLUDED? N NIA <br /> (Myandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 describe <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 5500 000 <br /> DESCRIPTION OF OPERATIONS/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 /> ©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 />