2018-487-E Coop Ext - Left Bank Butchery LocalFest vendor

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DocuSign Envelope ID: 3E6D1B98- E705- 42EB- A969- F1056F19EE21 ACC >RL? CERTIFICATE OF LIABILITY INSURANCE DAr>$`r�or ©�$ Y' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kenny l' olling5' arth Brock & Associates 801 South Grove Street PHO_N xt 828 692 5728 FAX c No (828)692-3495 JA"C E -MAIL ADDREss ken n hollin swarth _Wbrockinsurance.net INSIJRER(S ) AFFORDING COVERAGE NAIC 05/12/2019 INSURERA Don egal Insurance Grou p 22586 Hendersonville NC 28792 INSURED INSURER B INSURER C $ 5000 Heritage Craft Llc INSURER 0: PERSONAL & ADV INJURY TIA Left Bank Butchery INSURER E GENERAL AGGREGATE 105 Zapata Ln INSURER F $ 2000000 Chapel Hill NC 27517 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY RAID CLAIMS. INSR TR TYPEOF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM: Y POLICY EXP 7 .+ ;YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FK OCCUR Y N BOS8931818 05/1212018 05/12/2019 EACH OCCURRENCE $ 1000000 DAMAGE TO RENTF`IT_ PREMISES aoccurrenue $ 54000 MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 1000000 �GEEN'L AGGREGATE LIMIT APPLIES PER, /4 POLICY JECT F—] LOC OTHER GENERAL AGGREGATE $ 2000000 PRODUCTS - GOMF +OP AGG $ 2000000 $ '` AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON- OWNED AUTOS ONLY AUTOS ONLY Y N CA8931 i31 451121201$ 05112C201 COM MINED SING LE LIMIT Ea accidenll $ 1000000 X BODILY INJURY (Per person) $ BODILY INJURY (Pe raccxlgnl) $ PROPERTYDAMAGE Perac.A.rit $ UMBRELLA LIAR EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ RED RETENTION Is A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY b ICCEERVENIBER EXCLUDER�EGU7IVE Y (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS. below NIA N WCA8931818 05112/2018 0511212019 PER \7 H STATUTE !! ER $ 500000 $ 500000 $ 500000 E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS + LOCATIONS; VEHICLES (ACORD 101, Additional Remarks Scnedule, may beatrached if more space Is required) CERTIFICATE HOLDER CANCELLATION Orange County Managers Office Po box 8181 Fax- ACORD 25 (2416103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE fa3[ �T3�rI��TiTi7e7�TiT ,•7:ISalr7iFsllfi ►l .. - -. The ACORD name and logo are registered marks of ACORD