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DocuSign Envelope ID: C3C9FO4F- 5F60- 45DB- 9D9D- ABDCD1AD4F94 <br />OP ID: KR <br />CERTIFICATE OF LIABILITY INSURANCE <br />1 D 0 1MWDO�) <br />21o61za1a <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CITIZENS INSURANCE AGENCY <br />P O BOX 109 <br />HENDERSON, INC 27536 <br />House Account/Joel T. Cheatham <br />NAME Kimberly Rhodes <br />1 PHONE, , 252 92 -4461 (AIC No : 252 -492 -6256 <br />E-MAIL kim nca ent.com <br />PRODU ER <br />c ELFUT-1 <br />INSURERS AFFORDING COVERAGE <br />NAIC N <br />EACH OCCURRENCE <br />INSURED El Futuro, Inc. <br />INSURER A: Scottsdale Insurance Company <br />S 300,000 <br />136 E Chapel Hill Street <br />Durham, NC 27701 <br />INSURERS: <br />PERSONAL d ADV INJURY <br />INSURER C : <br />GENERAL AGGREGATE <br />INSURER D: <br />PRODUCTS - COMPIOP AGG <br />S 3,000,000 <br />INSURER E : <br />$ <br />A <br />A <br />INSURER F <br />UA131UTY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <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 REOUIREMENT, 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 />ILTR <br />TYPE OF INSURANCE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn: Finance Dept <br />POLICY NUMBER <br />I MWDDIYYYY I I <br />I A ONCO YYYY 1 <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE r X OCCUR <br />_ <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />X POLICY PRO LOC <br />Y <br />OPSO068844 <br />10105/2017 <br />10/0512018 <br />EACH OCCURRENCE <br />$ 11000,000 <br />PREMISES Me occurrenoul <br />S 300,000 <br />MED EXP (Any one person) <br />S 5,000 <br />PERSONAL d ADV INJURY <br />S 11000,000 <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />PRODUCTS - COMPIOP AGG <br />S 3,000,000 <br />$ <br />A <br />A <br />AUTOMOBILE <br />UA131UTY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PS0068844 <br />OPS0068844 <br />10105/2017 <br />10105/2017 <br />1010512018 <br />10105/2018 <br />CO BINEDiSINGLE LIMIT <br />S 11000100 <br />BODILY INJURY (Per person) <br />S <br />BODILY INJURY (Par accidenl) <br />$ <br />PROPERTY DAMAGE <br />(PER ACCIDENT) <br />S <br />X <br />X <br />$ <br />ri <br />S <br />UMBRELLA LIAO <br />EXCESS LIAO <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />S <br />DEDUCTIBLE <br />RETENTION S <br />S <br />S <br />WORKERS COMPENSATION <br />AND EMPLOYERS' WIBILITY YIN <br />ANY PROPRIETORIPARTNERIERECUTNE <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatary in NH) <br />If 11roros, describe under <br />OESCRiPTION OF OPERATIONS below <br />NIA <br />WC STATU- OTH- <br />E.L. EACH ACCIDENT <br />$ <br />E L DISEASE - EA EMPLOYEE <br />S <br />E L. DISEASE - POLICY LIMIT <br />3 <br />A <br />Professional Liab. <br />Claims Made <br />PETRO PS0068844 <br />10105105 <br />10/0512017 <br />10105/2018 <br />Ea Claim 11000,000 <br />Aggregate 3,000,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101. Additional Remarks Schedule, If more space Is required) <br />Certificate holder is additional insured under the Gen ral Liability, but <br />4n y wth respects t Operate 1cor ns of the Name Sexual Misconduct �Su limit 1,000,000 Each claim 1$ 2,000,000 Aggregate <br />Please see attached binder Data Breach Liability <br />CERTIFICATE HOLDER CANCELLATION <br />` ®1988.2009 ACCMQ CORPORATION. All rights reserved. <br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Orange County <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn: Finance Dept <br />200 S Cameron Street <br />PO Box 8181 <br />RUTH E RESENTATNE <br />Ho se A ountl oel T. Cheatham <br />Hillsboro, NC 27278 <br />` ®1988.2009 ACCMQ CORPORATION. All rights reserved. <br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD <br />