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DocuSign Envelope ID:77803446-26E8-4424-B3DD-15F947931AE8
<br /> BRADS-1 OP ID: CH
<br /> ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE[MMlDDrIYYY]
<br /> 1112812016
<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 Philip R. Merry,Jr.
<br /> Hutson-Etherredge Companies PHONE g03 FAX
<br /> -649-5141
<br /> 129 Park Avenue, S.W. (A/C,No,Ext): (A1C,No): 803-648-3179
<br /> P. O. Box 419 E-MAIL
<br /> Aiken, SC 2 98 02-041 9 ADDRESS:
<br /> Philip R.Merry,Jr. INSURER(S)AFFORDING COVERAGE NAIC p
<br /> INSURER A:State Auto Insurance Co. 25135
<br /> INSURED Bradshaw Consulting Services INSURER B:Auto-Owners Insurance 18988
<br /> Tony Bradshaw INSURER C:Ace American Insurance Company
<br /> 2170 Woodside Executive Ct.
<br /> Aiken, SC 29803 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 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 INSD SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> {MMlDDlYYYY) (MMlDDlYYYY)
<br /> A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE OCCUR BOP9552989 10/13/2016 1011312017 DAMAGETO RENTED 300,000
<br /> PREMISES{Ea occurrence} $
<br /> X Business Owners MED EXP(Any one person) $ 5,000
<br /> PERSONALS ADS INJURY $ 2,000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000
<br /> POLICY X JECT LOC PRODUCTS-COMP/OP AGG $ 4,000,000
<br /> OTHER
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> (Ea accident)
<br /> B X ANY AUTO 4214578800 12/20/2015 12/20/2016 BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS AUTOS
<br /> NON-OWNED PROPERTY DAMAGE
<br /> HIRED AUTOS AUTOS (Per accident)
<br /> X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000
<br /> A EXCESS LIAB CLAIMS-MADE CXS2088563 10/13/2016 10/13/2017 AGGREGATE
<br /> DED RETENTION$
<br /> WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> Y!N
<br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE NIA
<br /> WCP9552991 10/16/2016 10/16/2017 EL.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> C Professional Liab. G4208849-006 05/29/2016 05/29/2017 Ea.Claim 1,000,000
<br /> Ded.$5,000 Aggregate 2,000,000
<br /> DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> ORANGEC
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Orange County Government ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> P.O. Box 8181
<br /> Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE
<br /> eUT/i4,04 ReII /story-•
<br /> I
<br /> ©1988-2014 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
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