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DocuSign Envelope ID:ADECABE9-2675-4A6F-9AD9-49D5748BA36D DATE(MM/DOIYYYY) <br /> i-- .--- CERTIFICATE LIABILITY' INSURANCE <br /> 07!09!2015 <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 BELOW, THIS <br /> CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR <br /> 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 the terms <br /> and condltIons of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rigflts to the certificate holder <br /> in lieu Of such endorserhetf*Cs). <br /> PRODUCER CONTACT <br /> FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER <br /> HOME OFFICE:P.O. BOX 328 (a C,,No,Ext):888-333-4949 (A/C,NO):507-446-4664 <br /> OWATONNA,MN 55060 ADDRESS:CLIENTCONTACTCENTER aFEDINS.COM <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 <br /> INSURED 252-856-0 INSURER B: <br /> HARRIS BROTHERS ELECTRIC AND CONTROLS INC INSURER C: <br /> 2712 HILLSBOROUGH RD <br /> DURHAM, NC 27705 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:38 REVISION NUMBER:0 <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, EXCLUSIONS <br /> AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL.WVD POLICY NUMBER W M(PDIYYYYY) , (MMIDDIYYYYI UMITS <br /> GENERAL LIABILITY EACH OCCUU0RRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY <br /> DAMAGE MISES(Ea occurrence) $100,000 <br /> MED EXP(Any one person) EXCLUDED ' <br /> i CLAIMS-MADE X OCCUR <br /> A N N 0749677 07/14/2015 07/14/2016 PERSONAL&ADV INJURY $1,000,000 <br /> — OENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AOG $2,000,000 <br /> )7IPOUCY PRO- <br /> JECT ' I LOC • <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 <br /> (Ea accident) <br /> X ANY AUTO BODILY INJURY(Per person)—ALL A AUTOS AUTOS N N 0749677 07/14/2015 07/14/2016 BODILY INJURY(Per accident) <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE <br /> AUTOS (Peracddent) <br /> X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $5,000,000 <br /> _ <br /> A EXCESS LIAB CLAIMS MADE N N 0749678 07/14/2015 07/14/2016 AGGREGATE _ $5,000,000 <br /> DED I RETENTION <br /> WORKERS COMPENSATION WC STATU• 0TH• <br /> X TORY LIMITS ER <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L,EACH ACCIDENT - $1,000,000 <br /> A OFFICER/MEMBER EXCLUDED? N I A N 0749679 07/14/2015 07/14/2016 <br /> (Mandatory In NH) E.L.DISEASE•EA EMPLOYEE $1,000,000 <br /> It yes,describe under <br /> EL OF OPERATIONS below L DISEASE•POLICY LIMIT $1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required) <br /> • <br /> CERTIFICATE HOLDER CANCELLATION <br /> 252-856-0 36 0 <br /> ORANGE COUNTY SHOULD ANY OF THE-ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> PO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> HILLSBOROUGH,NC 27278-8181 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> - @ 1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010/05) , The ACORD name and logo are registered marks of ACORD • - <br />