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DocuSign Envelope ID: 9D2C2858- EOCF- 42BE- B2CA- 3FB2000F25F5 <br />.4C � <br />PRODUCER <br />Maguire Insurance Agency, Inc. <br />27201 Puerla Real Ste 200 <br />Mission Viejo, CA 42691- -7359 <br />877.43 &7439 <br />INSURED <br />Barbara Jan Lang <br />905 Cedar Fork Trail <br />Chapel Hill, NC 27514- <br />COVERAGES <br />CERTIFICATE OF LIABILITY INSURANCE <br />U417717(Iaa <br />THIS CERTIFICATION 15 ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERIFICATION MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN:SR <br />LTR <br />AD&I. <br />INSRD <br />I TYPE OF INSURANCE <br />POLICY NUM8ER <br />POLICY EFFECTIVE <br />DATE (M WDD/YYYY) <br />POLICY EXPIRATION <br />DATE(MWDD/YYYYj <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABIUIY <br />CLAIMS MADE F­X OCCUR <br />% PROFESSIONAL LIABILITY <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />% POLICY PROJECT LOC <br />PIJPK596174 -008 <br />07/10/2015 <br />- <br />07/10/2019 <br />EACH OCCURENCE <br />$2,000,000 <br />PREMISES Ea —u r rent. <br />$100,000 <br />MED EXP (Anyone person) <br />_ <br />m $2,300 <br />PERSONAL & ADV INJURY <br />$2,OD0,000 <br />GE NERAL AGGREGATE <br />$4,000,000 <br />PRODUCTS – COMP /OP AGG <br />$4,900,060 <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OW N E D AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />COMBINED SINGLE LIMIT <br />( €A accldent) <br />BODILY INJURY <br />(Per person) <br />BODILY INJURY <br />(Per accident) <br />PROPERTY DAMAGE <br />(Per accident) <br />GARAGE LIABILITY <br />ANYAUTO <br />AUTO ONLY– EA ACCIDE NT <br />-- <br />OTHERTHAN E.AACC <br />AUTO ONLY; AGG <br />- -• -- <br />EXCESS / UMBRELLA LIABILITY <br />OCCUR El CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION <br />¢, <br />EACH OCCURENCE <br />AGGREGATE <br />EMPLOYEJW LIABILITY II YIN <br />ANY CERIMEMBERREXCLIUDED7E IVE <br />(Myaendalory In NIT) <br />er <br />SPECIAL RrbNISIONS bdwd <br />- <br />i TORY LIMITS III <br />E.L. EACH ACCIDENT <br />E.L. DISFASE – EA AMPLOYEE <br />£.L. DIS €ASE – POLICY LIMIT <br />OTHER <br />DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />II is understood and agreed shat the following entity Is added as an additional Insured but only wrTh respectls) to the operations of the narned Insured except Ihat Ila bility —Uhing (mm Iha addlUmlal WSUred'S SOIO <br />negligence. <br />CERTIFICATE HOLDER CANCELLATION <br />ACOR❑ 25 (2009/01) cp 1988 -2009 ACORD CORPORATION. All rights resealed. <br />The ACORD name and logo are registered marks Of AC6RD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br />THEREOF, THE ISSUING INSURER. WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE <br />CERTIFICATE HOIDER NAMED TO THE LEFT, BUT FAILURE TO Do So SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY 0 ANY RIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />ACOR❑ 25 (2009/01) cp 1988 -2009 ACORD CORPORATION. All rights resealed. <br />The ACORD name and logo are registered marks Of AC6RD <br />