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DocuSign Envelope ID:6C8590DE-FA6E-4FC1-BD52-3C6B887F1569
<br /> 1 CUSTO-1 OP ID: Cl
<br /> ,ACORL? CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> `---'' 09/18/2017
<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 NAMEACT Lynn Crayton, CIC
<br /> The Insurance Center of Durham
<br /> 1920 Front St.,Suite 710
<br /> PHONE No,Ext):919-471-2541 FAX(A/C,No); 919-471-2132
<br /> P.O. Box 15369 E-MAIL
<br /> Durham,NC 27704- ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:Travelers Indem of Connecticut 25682
<br /> INSURED Custom Light&Sound, Inc. INSURER B:Auto-Owners Insurance Co. 18988
<br /> &Audio Video Specialist, Inc.
<br /> 2506 Guess Rd. INSURER C:Travelers Indemnity Company 25658
<br /> Durham, NC 27705 INSURER D:Appalachian Underwriters,Inc.
<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
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER /Y LIMITS
<br /> (MM/DD/YYYY) (MM/DD YYY)
<br /> C X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> X 16609583A06517 02/01/2017 02/01/2018 DAMAGES( RENTED 100,000
<br /> CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $
<br /> MED EXP(Any one person) $ 5,000
<br /> PERSONAL&ADVINJURY $ 1,000,000
<br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY X JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> (Ea accident)
<br /> A X ANY AUTO BA7G785998 02/01/2017 02/01/2018 BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS AUTOS PERTY X HIRED AUTOS X NATO-OWNED (peOra DAMAGE
<br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000
<br /> B
<br /> EXCESS LIAB CLAIMS-MADE 4888002300 02/01/2017 02/01/2018 AGGREGATE $ 3,000,000
<br /> DED X RETENTION$ 10,000 $
<br /> WORKERS COMPENSATION PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE X ER
<br /> Y
<br /> D ANY PROPRIETOR/PARTNER/EXECUTIVE n, WC005872044
<br /> /A WC005872044 02/01/2017 02/01/2018 E.L.EACH ACCIDENT $ 500,000
<br /> OFFICER/MEMBER EXCLUDED? APPLIES IN NEW JERSEY
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000
<br /> C Equipment 16609583A06517 02/01/2017 02/01/2018 Rented 5,000
<br /> Floater
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> EMERG01
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Emergency Management THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> g y g ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Coorrdinator/NC ISAAC Flo
<br /> Orange County Emergency Svcs
<br /> 510 Meadowlands Dr
<br /> AUTHORIZED,REPRPESENTATIVE
<br /> Hillsborough, NC 27278 wt�� Tom{ Y
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