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DocuSign Envelope ID: AA1647C8 -6778- 4021- 9E83- EDC4C913A37C <br />AFFIL IV -011 <br />CREESE <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYY) <br />08/0112018 <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(les) 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 to the certificate holder In lieu of such endorsement(s). <br />_rights <br />PRODUCER <br />Alliance Insurance Group <br />941 Oak St. <br />Eugene, OR 97401 <br />CONTACT Rene Zeller <br />NAME' ___ <br />ONE TFA-X <br />A /C, No, Ft); 1048 1 INC. No :(545 ) 404 -2539 <br />rena.zoller @allianceinsgrp.com <br />INSURE S AFFORDING COVERAGE <br />N IC # <br />INSURER A:Berkshire Hathaway Insurance Group <br />MED EXP Ana rson <br />INSURED <br />INSURER 5: <br />INSURER C: <br />NOB I LLC <br />Affinity Living Group LLC <br />PO Box 2568 <br />INSURER D; <br />_ <br />PRODUCTS - COMPIOP 62G <br />Hickory, NC 28643 <br />INSURER £: <br />INSURER F; <br />rcorrerrArc REVISION NUMRFR: <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- CLAIMS. <br />IN SR ADDL Su8Rr POLICY EFF POLICY EXP <br />LTR TYPE OF INSURANCE ❑ POLICY NUMBER D. LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE E:] OCCUR <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br />MED EXP Ana rson <br />PERSONAL & ADV I JURY <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY—] Ta El LOC <br />OTHER: <br />GENERAL AGGREGATE <br />PRODUCTS - COMPIOP 62G <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />y�+ p <br />HJff S ONLY AUTOS ONLY <br />COMBINE[- SINGLE LIMIT <br />dF <br />BODILY INJURY Per Person <br />BODILY INJURY Per accident) <br />$ <br />Ige4a dent AMAGE <br />UMBRELLA LIAR <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />AGGREGATE <br />OEO RETENTION S <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />YIN <br />ANY PROP RIETORIPARTNE RIEXECUTIVE <br />gFFfCEWMEMFR EXCLUDED? <br />(Mandatory in NH] <br />If yes, describe under <br />DES CRIPTION'OF OPERATIONS below <br />NIA <br />OWC910252 <br />08101/2018 <br />0810112019 <br />X PER OTII <br />E.L. EACH ACCIDENT <br />1,000,000 <br />E.L. DISEASE -EA EMPLOYE <br />1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />1,000,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />The Stratford LLC 405 Smith Level Rd Chapel Hill NC 27516 <br />Orange County Local Government <br />PO Box 8181 <br />Hillsborough, NC 27278 <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 />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016148) (0 9988 -2015 AUUKU c:UKPUKA I IUN. All rignis reservea. <br />The ACORD name and Toga are registered marks of ACORD <br />