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,4coR CERTIFICATE OF LIABILITY INSURANCE DATE 7/25/2017(11 <br /> �,. 07/25/2017 <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 /> CONTACT <br /> PRODUCER NAME: <br /> PHONE FAX <br /> IC <br /> E AIC No: <br /> E-MAIL <br /> Scott Ethridge&Associates,Inc ADDRESS: <br /> 4946 WINDY HILL DR INSURERS AFFORDING COVERAGE NAILS <br /> RALEIGH NC 27609-5187 INSURER A: NATIONWIDE MUTUAL FIRE INSURANCE COMP/ 23779 <br /> INSURED INSURERS: <br /> INSURER C: <br /> PIEDMONT FOOD&AGRICULTURAL PROCESSING CENTEF INSURERD: <br /> 500 VALLEY FORGE RD INSURER E: <br /> HILLSBOROUGH NC 27278-9502 1 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 SUBR POLICY NUMBER MMM r EFF MID POLICY EXP LIMITS <br /> LTR <br /> X <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTE <br /> CLAIMS-MADE FRI OCCUR PREMISES Ea occurrence $ 100,000 <br /> MED EXP(Any one person) $ 5,000 <br /> A ACP GLGO 2245971225 02/01/2017 02/01/2018 PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY❑JEC7 �LOC PRODUCTS-COMP/OP AGG S 2,000,000 <br /> $ <br /> OTHER: <br /> AUTOMOBILE LIABILITY EaMBINdeOtSINGLE LIMIT $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS H AUTOS <br /> Per accident <br /> $ <br /> UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 <br /> A EXCESS LIAR CLAIMS-MADE ACP CAF 2245971225 02/01/2017 02/01/2018 AGGREGATE $ 1,000,000 <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANYPROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? ❑ NIA <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> I es,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 I more space Is required) <br /> Location: 5800 North 86,Room 308,Hillsborough,NC 27278 <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 AUTHORIZED REPRESENTATIVE <br /> PO Box 8181 Sonya MCKaig <br /> Hillsborough NC 27278 <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />