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DocuSign Envelope ID:9D7D6A39-2FB7-43BE-A9A6-4DB05316237A
<br /> ___..--,,,,, BUYSO-1 OP ID: HLB
<br /> ,a►coRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> `„--i 06/21/2017
<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 CONTACT LAMAR BUTLER
<br /> INSURANCE SERV CTR -CLINTON PHON:
<br /> CLINTON BRANCH tAlC,No,Ext):910-592-3108 lac,No):910-401-9244
<br /> • PO Box 468 E-MAIL
<br /> DDRE Ibutler Iscfa com
<br /> CLINTON,NC 28329 ADDRESS: Y•
<br /> LAMAR BUTLER,CIC INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:AUTO-OWNERS 18988
<br /> INSURED BUY SOD INC. INSURER B:ACCIDENT FUND INS CO 10166
<br /> BUY SOD USA LLC
<br /> INSURER C:THE HARTFORD 22357
<br /> PO BOX 4089
<br /> PINEHURST,NC 28374-4089 INSURER D:SCOTTSDALE INSURANCE COMPANY 41297
<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 ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY)
<br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> 35539656 07/10/2016 07/10/2017 DAMAGE TO RENTED 300,000
<br /> A X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $
<br /> CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADVINJURY $ 1,000,000
<br /> GENERAL AGGREGATE $ 3,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 3,000,000
<br /> POLICY X LOC $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> (Ea accident) $
<br /> C X ANY AUTO 22UENNL1654 07/10/2016 07/10/2017 BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS AUTOS
<br /> X HIRED AUTOS X AU OS APER ACCIDENT ) $
<br /> COMP/COLL DED $ 2,00C
<br /> X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000
<br /> D EXCESS LIAB CLAIMS-MADE XLS0100159 07/10/2016 07/10/2017 AGGREGATE $ 5,000,000
<br /> DED RETENTIONS $
<br /> WORKERS COMPENSATION X WC STATU- 0TH-
<br /> AND EMPLOYERS'LIABILITY TORY LIMITS ER
<br /> Y/N
<br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE WCV6108241 01/31/2017 01/31/2018 E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? y N/A
<br /> (Mandatory In NH) - E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under r
<br /> 1,000 000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> C INLAND MARINE 22MSN18214 07/10/2016 07/10/2017 EQUIPMENT 2,300,000
<br /> C PHYSICAL DAMAGE 22UENNL1654 07/10/2016 07/10/2017 COMP/COLL 2000 DED
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> ORANGE COUNTY
<br /> DEPT OF ENVIRONMENT
<br /> JONATHAN DAIL AUTHORIZED REPRESENTATIVE
<br /> 4710 WEST TEN ROAD . '
<br /> IEFLAND,NC 27243
<br /> ©1988-2010 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
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