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A� CERTIFICATE OF LIABILITY INSURANCE ss)zgt�s <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 policyges) must have ADDITIONAL INSURED provisions or be enaomed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an andonrement. A statement on <br /> this certificate does not confer rights to the certHlcate holder In lieu of such endoreemengs). <br /> PRODUCER ° " ^ T (LIANA RAMIREZ <br /> MME: <br /> All About Insurance PxoxE 919-479-8200 FAX Hn , 919-471-3701 <br /> 2605 GUESS RD E'pAa RAMIRI3 NATIONWIDE.COM <br /> DURHAM,NC 27705 INSURE APPORDINGCOVERAGE "I <br /> INSURERA: ATLANTIX CASUALY <br /> INSURED IHeuaam NATIONAL GENERAL <br /> PUPUSERIA DONA LAURA LLC INSURI <br /> 813 CARTER AVE INSURER D: <br /> DURHAM,NC 27703 INSURER E: <br /> email:joseffnasalazar54 @yahoo.com;p 919-699-7411 INSURERF : <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 /> EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> LTMLR TYPEOFINSURANCE "L " POLICY EFF POLICY EIIP <br /> PDUCYNUMBER MMIDP'YYYY MMmDIYYYY UNITS X COMMERCIALOENERALW&CITY EACH OCCURRENCE $ 12000,000 <br /> A CWMSAAACE OOCCUR L001043708.0 915118 $/site REMISES Ea oaoirercF S 100,000 <br /> MEDEXPIMyare rtml S 5,000 <br /> FERSONALSADVIII IRY S 1,000,000 <br /> GEHL AGGREGATE LIMIT APPLIES PFR GENERALAGGREWE S 2,000,000 <br /> X POLICY <br /> 399 FLOG PRODUCTS-COMP00PAGG $ 1,000,000 <br /> S <br /> AUTOMOBUXUABWTY I��0 MIT P <br /> B ANYNJID 2006451313 51249 W211 9 ECOILYINJuw IF%rPmux9 f 50,000 <br /> OWNEDONLT X nuiEOSD n=n GOoILYMURYIPEaecern S 100,000 <br /> AUTOS HIRED I I NONONHFD PROPE lY aJtlenl E S SO,000 <br /> AUTOS ONLY AUTOS ONLY <br /> S <br /> UMBRELLA WB CDCUR EACHCCCURRENCE $ <br /> EXCE.45 LNB CWMSMADE AGGREGATE $ <br /> DED RETENTIONS $ <br /> VIIXIXFRSCOMFE mim EAR E OTH <br /> ANDEMPLOYERSLIFBmTY YIN ER <br /> ANTPRWRIETOWARTNERRXECUTIVE ELMHACCIDENT a <br /> WFICERAIEMBEREXCWDE% ❑ NIA <br /> IMmMbry In an E.L DISEASE-EA EMPLOYEEI S <br /> Nss.Eeull�tPWOr <br /> DIMRIPTIONCFOPERATIONSbelm EL DISEASE-POLICY IIMIT 1 $ <br /> DESCMPTIONOFOPEMDONSILDCATONSIVEHICUM (ACORD 101,AtlONlonal Ranna,XS schedule,nreY be MI ff mane apn in fpYlRGI <br /> 2003 FRHT CHASSIS M LINE <br /> CERTIFICATE HOLDER CANCELLATION <br /> SKANSKA USA BUILDING INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 4309 EMPREROR BLVD STE 200 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> DURHAM,NC 27703 <br /> AVr�MORIgD RESENTATVE <br /> TROY.CHAMBERLAIN SKANSKA.COM <br /> 49 1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25 (2018/03) The ACORD name and logo are registered marks of ACORD <br />