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DocuSign Envelope ID:3A6DC95C-F02F-4889-9A56-571430E33C9F <br /> il.-1 Erie CERTIFICATE OF INSURANCE <br /> eitisLs,..` Insurances -THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY- <br /> MO Fps:ins Pi • E r'lt3 PA lEPL P7 CERTIFICATE HOLDER COPY <br /> NAME AND NUMBER OF AGENCY DATE ISSUED <br /> 09/01/20 <br /> THE HAAPER A6ENCH+ JJ 1156 16 <br /> 1037 S MAIN ST NAME AND ADDRESS OF CERTIFICATE HOLDER <br /> SUPTUNSEMIEN , NTI 27219-5758 336-227-4271 <br /> NAME AND ADDRESS OF NAMED INSURED <br /> ORANGE COUNTY <br /> NICE AND GREEN COMMERCIAL ATTN: TAMMY COMAR <br /> FLOOR CARE SERVICES LLC PO BOX 8181 <br /> 1940 CRAWFORD RD LOT 27 HILLSBOROUGH NC 27278- <br /> GRAHAM NC 27253-9077 <br /> This is to certify that policies,as indicated by Policy Number below„are in force for the Named Insured at the time that the certificate is being issued. <br /> POLICY POUCY <br /> TYPE OF INSURANCE POLICY NUMBER <br /> EFFECTIVE EXPIRATION DATE LIMITS OF INSURANCE <br /> GENERAL LIABILITY 0253121000 01/31/2016 01/31/2017 EACH OCCURRENCE S 10.000 nr, <br /> COMMERCIAL GENERAL LIABILITY UP <br /> OCCURRENCE FORM FIRE DAMAGE <br /> GENI AGGREGATE LIMIT APPLIES ' (Any one premrses) 1000000 <br /> PER POLICY 1 ' <br /> VOITINTARY PROPERTY DAMAGE MED EXP(Any 000 Amnon) S 5000 <br /> PERSONAL 8,ADV INJURY $ 1000000 <br /> GENERAL AGGREGATE 'S 2000000 <br /> PRODUCTS COMP OP ACC$ 2000000 <br /> BODILY INJURY , <br /> AUTOMOBILE LIABILITY 0100630737 'I 0/06/2016 10/06/2017 (EACH PERSON) S' 100000 <br /> ANY AUTO(OWNED,HIRED, BODILY INJURY ,), 300000 <br /> NON.OWNED) (EACH ACCIDENT( <br /> PROPERTY DAMAGE s opaao <br /> BODILY INJURY AND s <br /> PROPERTY DAMAGE <br /> COMBINED <br /> EACH OCCURRENCE <br /> AGGREGATE <br /> 220, 2 <br /> STATUTORY <br /> BODILY ACCIDENT $ EACH ACCIDENT <br /> INJURY DISEASE S ROMS LIMIT <br /> [ BS DISEASE S EACH EMPLOYEE <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> CANCELLATION:SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and <br /> conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such <br /> endorsement(s). <br /> THIS CERTIFICATE IS ISSUED FOR INFORMATION PURPOSES ONLY AND ERIE INSURANCE <br /> CONFERS NO RIGHTS ON THE CERTIFICATE HOLDER,IT DOES NOT <br /> AFFIRMATIVELY OR NEGATIVELY LIST,AMEND,EXTEND OR OTHERWISE <br /> ALTER THE TERMS,EXCLUSIONS AND CONDITIONS OF INSURANCE <br /> COVERAGE CONTAINED IN THE POLICY(IES)INDICATED ABOVE.THE TERMS SEE REVERSE SIDE <br /> AND CONDITIONS OF THE POLICY(IES)GOVERN THE INSURANCE COVERAGE <br /> AS APPLIED TO ANY GIVEN SITUATION.LIMITS SHOWN MAY HAVE BEEN <br /> REDUCED BY CLAIMS PAID.THIS CERTIFICATE OF INSURANCE DOES NOT <br /> CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED ' <br /> REPRESENTATIVE OR PRODUCER AND CERTIFICATE HOLDER. AUL HORIZED <br /> REPRESEN TAT IVE <br /> UF-1 551 09/12 CIF <br />