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DocuSign Envelope ID: 3B3F50AB- B018 -4E62- 8372- AAC56B81 FD49 <br />® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM1001YYYY) <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1$ SUBJECT TO ALL THE TERMS, <br />02/1412018 <br />THIS CERTIFICATE 15 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 have ADDITIONAL INSURED provisions or he endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT TRACY MEADOWS <br />NAME: <br />INSURE <br />A . %. ems; (919)781 -1115 A1c, Na : {919)783 6427 <br />2607 GLENWAIOOD AVENUE (27608) <br />EMAIL TMEADOWS @INSURE- NC.COM <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAtC # <br />PO BOX 31508 <br />RALEIGH NC 27622 <br />INSURI=RA: TRAVELERS INDEMNITY OF CONNECTICUT <br />INSURED <br />INSURER e: TRAVELERS CAS INS CO OF AMERICA <br />DESIGN DIMENSION INC <br />INSURER,, TRAVELERS INDEMNITY COMPANY <br />-Moor In <br />PREMISES Ea occurrence <br />901 NORTHWEST STREET <br />INSURER 0: <br />MED EXP (Any one person) <br />INSURER E: <br />RALEIGH NC 27603 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: Std -17118 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 NTH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1$ SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />RAND <br />POLICY NUMBER <br />POLICY EFF <br />Mmmoh'YY'Y <br />POLICY EXP <br />MMIOD <br />LIMITS <br />`x <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 1,DOO,000 <br />CLAIMS-MADE ^I OCCUR <br />-Moor In <br />PREMISES Ea occurrence <br />g 340,000 <br />MED EXP (Any one person) <br />S 5,000 <br />PERSONA[ s ADV INJURY <br />1,900,000 <br />A <br />I- 660- 7A930152 -TCT <br />1012512017 <br />10125/2018 <br />GEN'L AGGREGATE LIMIT APPLIES PER.: <br />GENERAL AGGREGATE <br />5 2,DO0,000 <br />POLICY ❑ Pao- n LOC <br />PRODUCTS - COMPIOP AGu^ <br />S 2,D00,000 <br />S <br />OTHER: <br />AUTOMOOSILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />S 1,000,000 <br />BODILY INJURY (Per person) <br />5 <br />X ANY AUTO <br />B <br />OWNED SCHEDULED <br />AUTOSONLY AUTOS <br />BA- 7A387415 <br />10/2512017 <br />10125/2418 <br />BODILY INJURY (Per aw.denl) <br />S. <br />HIRED NON - OWNED <br />AUTOS ONI:Y AUTOS ONLY <br />PROPERTY DAMAGE <br />'Par accidaM <br />s <br />X <br />UMBRELLA LIAR <br />I '�- <br />.00CUR <br />EACH OCCURRENCE <br />5 1.000,000 <br />AGGREGATE <br />S 1,000,000 <br />C <br />EXCESS LIAR <br />CLAIMS -MADE <br />CUP- 7A930336 <br />1012512017 <br />1012512018 <br />DED RETENTION 3 <br />S <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS` LIABILITY .11 N <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERlMEMB.EREXCLUDED? <br />(Mandatory in NH) <br />NIA <br />IH- UB- 7A38701 -0 <br />10/2512017 <br />10/25/2018 <br />v PER OI, <br />I� STATUTE ER <br />E.L. EACH ACCIDENT <br />5 1.404,000 <br />E.L DISEASE - EA EMPLOYEE <br />$ 1,909;904 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L DISEASE - POLICY LIMIT <br />1 044;440 <br />§ <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 401, Additional Remarks Schedule, may be attached if more space is required) <br />C_FRTIFI(:ATF HOI DFR CAN(CFI I ATI(TN <br />Q 1988 -2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ORANGE CO DEPT OF ENVIRONMENT, AGRICULTURE, <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />PARIS AND RECREATION <br />AUTHORIZED REPRESENTATIVE <br />PC BOX 8181 <br />HILLSBOROUGH NC 27278 <br />x, <br />Q 1988 -2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />