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DocuSign Envelope ID: AA64950D -38F4- 4699- BAF9- 21838E59B811 <br />KIRKAPP -01 EVANSICKLE <br />AC ©�� CERTIFICATE OF LIABILITY INSURANCE <br />�� <br />DATE(MMIDDIYYYY) <br />04/25/2018 <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 have ADDITIONAL INSURED provisions or be 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 Tracey Shannon <br />PHONE FAX <br />(A/C, No, Ext): (919) 362 -8310 4095 (A/C, No): (919) 362 -4101 <br />Rogers Insurance Agency <br />512 W Williams Street <br />Apex, NC 27502 <br />ADDRESS: tacey @rogersinc.net <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />01/11/2019 <br />INSURER A: Auto-Owners Insurance Company <br />18988 <br />INSURED <br />INSURER 13: CNA/ Continental Casualty Company <br />20443 <br />INSURER C: <br />$ 5,000 <br />Kirkland Appraisals, LLC <br />INSURER D: <br />PERSONAL & ADV INJURY <br />9408 Northfield Court <br />Raleigh, NC 27603 <br />INSURER E <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY El PECOT- 1:1 LOC <br />OTHER: <br />INSURER F: <br />$ 2,000,000 <br />PRODUCTS - COMP /OP AGG <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 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM DD YYYY <br />POLICY EXP <br />MM DD YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 5 OCCUR <br />35593104 <br />01/11/2018 <br />01/11/2019 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />50,000 <br />$ <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />X <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY El PECOT- 1:1 LOC <br />OTHER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY Per person) <br />$ <br />BODILY INJURY Per accident <br />$ <br />PROPERTY DAMAGE <br />Per acciden t) <br />$ <br />A <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />5059310400 <br />01/11/2018 <br />01/11/2019 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />AGGREGATE <br />$ 1,000,000 <br />DED X RETENTION $ 10,000 <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR /PARTNER/EXECUTIVE ❑ <br />OFFICER /MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />B <br />Errors 8r Ommissions <br />RFB- 254141705 -17 <br />08/21/2017 <br />08/21/2018 <br />Per claim /aggregate <br />1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2016/03) ©1988 -2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Department of Environment, Agriculture, Parks and <br />p 9 <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Recreation <br />306A Revere Rd <br />AUTHORIZED REPRESENTATIVE <br />Hillsborough, NC 27278 <br />ACORD 25 (2016/03) ©1988 -2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />