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DocuSign Envelope ID: B2795506-A9C4-4F3C-BA37-9A4696263D77 <br /> AC4OREP CERTIFICATE OF LIABILITY INSURANCE DATE(MMDLYYYYY) <br /> 12/28/2016 <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 NAME CT Louise Churchill <br /> Herring&Bickers Insurance Agency (A/CC.No. Ext) FAX No): (919)479-1868 <br /> 2344 Operations Drive ADDRESS: <br /> Suite 101 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Durham NC 27705 INSURER A: Erie Insurance Exchange 26271 <br /> INSURED INSURER B: HARTFORD CAS INS CO 29424 <br /> Pickett Sprouse Real Estate,Inc. INSURER C: <br /> P O Box 52118 INSURER D: <br /> INSURER E: <br /> Durham NC 27717 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 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 /> INSR TYPE OF INSURANCE ADDL W W POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> (MM1DD/YYYY) (MM/DDIYYYY) <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br /> CLAIMS-MADE X OCCUR DAMAGE TO RENTED <br /> PREMISES(Ea occurrence) $ 1000000 <br /> MED EXP(Any one person) $ 5000 <br /> A Y N Q41-3190096 05/31/2016 05/31/2017 PERSONAL&ADV INJURY _$ 1000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 <br /> X POLICY JPER0- LOC PRODUCTS-COMP/OP AGG $ 2000000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ;$ 1000000 <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY Per person) $ <br /> A ALL OWNED X AUTOS SCHEDULED <br /> AUTOS ) <br /> N N Q05-3130190 05/31/2016 05/31/2017 BODILY INJURY(Per accident $ <br /> NON-MANED PROPERTY DAMAGE <br /> X HIRED AUTOS $ <br /> AUTOS (Per accdent) <br /> UMBRELLA LIAB _OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION X STATUTE OTH <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> B OFFICER/MEMBEREXCLUDED? Y N/A N 22WBCNY9560 05/31/2016 05/31/2017 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Certificate holder is listed as certificate holder with respects to General Liability per form CG2010. <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> P 0 Box 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 <br /> � . ,✓" .o. <br /> Fax:(919)644-3056 Email: ®1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />