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DocuSign Envelope ID: 5EF6EC93-A3D2-4E5A-9344-B85C5B99409C <br /> NORTH CAROLINA FARM BUREAU MUTUAL INSURANCE COMPANY, INC. <br /> CERTIFICATE OF LIABILITY INSURANCE <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 <br /> to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to <br /> the certificate holder in lieu of such endorsement(s). <br /> INSURED CHATHAM ELECTRIC SERVICES LLC CERTIFICATE ORANGE COUNTY <br /> NAME AND 145 RYAN RD HOLDER PO BOX 8181 <br /> ADDRESS PITTSBORO NC 27312 HILLSBOROUGH NC 27278 <br /> COVERAGES <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 /> X TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> INSD WVD (MWDDNYYY) (MMIDDIYYYY) <br /> ® COMMERCIAL GENERAL LIABILITY GL 0525285 1/4/2017 1/4/2018 GENERAL AGGREGATE $2,000,000 <br /> -OCCURRENCE PRODUCTS-COMP/OPS <br /> AGGREGATE $1,000,000 <br /> GEN'L AGGREGATE APPLIES PER POLICY PERSONAL&ADV INJURY $1,000,000 <br /> EACH OCCURRENCE $100,000, <br /> DAMAGE TO RENTED $5,000 <br /> • <br /> PREMISES(Ea Occurrence) • <br /> MED EXP(Any one person) $ <br /> ❑ EACH OCCURRENCE $ <br /> BUSINESSOWNERS AGGREGATE $ <br /> COMBINED n)GLE LIMIT $AUTOMOBILE LIABILITY ch SINGLE <br /> ❑ SCHEDULED AUTOS BODILY INJURY(Per person) $ <br /> ❑ HIRED AUTOS BODILY INJURY(Per accident) $ <br /> ❑ NON-OWNED AUTOS PROPERTY DAMAGE <br /> (Per accident) <br /> ❑ GARAGE LIABILITY <br /> (Other) <br /> EACH OCCURRENCE $ <br /> ❑ EXCESS LIABILITY— <br /> OCCURRENCE AGGREGATE $ <br /> El WORKERS COMPENSATION N/A WCSTAMORYLIMffS <br /> AND EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ <br /> POLICY APPLIES TO THE WORKERS <br /> E.L.DISEASE-EA EMPLOYEE $ <br /> COMPENSATION LAW IN THE STATE OF NC E.L.DISEASE-POLICY LIMIT $ <br /> OTHER: <br /> El <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES: <br /> CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED AUTHORIZED REPRESENTATIVE <br /> BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE CATHY HEAD <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DATE 5/16/2017 <br /> _ I{ <br /> COI 0910 <br />