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DocuSign Envelope ID:55A0125F-341C-4CB9-A3C5-51209E575AD2 <br /> CERTIFICATE OF LIABILITY INSURANCE �n�`' <br /> 711I5 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONIFERS NO RIGHTS UPON THE CERTIFICATE HOLDER Tw <br /> CERTIFICATE DOES NOT AFFIRMAT4VELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTrrUTE A CONTRACT BETWEEN THE 155UING INSURERS), AUTHORIZED <br /> RE PRESENTATIVE OR PRO13UCER,A14D THE CERTIFICATE HOLDER. <br /> MPORTANT. If the certificate holder is an ADM71ONAL INSURED, the policyRies)matt have ADDIT4011EAL INSURED provisions or be enduried. <br /> If SURROGATION !S WAWED, sub)ect to the terms and coridltlonS of the pgllcy, cor'tain pWi may require an ondurserneryL A statement on <br /> this cerfificale does not confer rI hts to the certificate holder in lieu of such andr rsemont a. <br /> ONTACT PRODUCM ..NOME: 11 <br /> LUZ MITLEY• <br /> Sbt'PFxM 149GOTA SMITH JR:INS AGCY,INC- FRow 338-274-191$3 �FAX Na 336-274-8219 ir <br /> UM Plip.EM diiii� <br /> 22807-B RANDLEMAN RO €.tamp <br /> ±!SUREF49I.A fljq 01143 C I A46 KAIC s <br /> GREENS13ORO NC 274M IUSIIIM R: Stdo Farm Fire and Casualty CorWany 25143 <br /> rNSUI r INS121M 11: <br /> - <br /> BIG B0YZ CATERING,LLC wsuRERc: <br /> 704 CHESTNUT ST <br /> GREENSBORO NC 27405 IHSLIp�F: <br /> COVERAGES CER1113FTOATE NUMBER: REVISION NUMBER. <br /> THIS 15 TO CERTIFY THAT TKE POLICPES OF INSIJRAN(I E LISTEV BELOW HAVE BEEN ISSUEO To THE INSURM NAt41ED ASOVE FOR THE POLICY PF-RIOD <br /> INDICATED. NOTWITHSTANDING ANY REOUIREMENIT, TERM Ott CONDI1-10N OF ANY CONTRACT OR OTM5-R DOCUMENT WITH RIvSPECT TO hM-IU;H THIS <br /> CERTIFICATE MAY BE ISSUES] Oft MAY PERTAIN, THE INSURANCE AFFORt]EO BY THE POLICIES DESCRIBEII HEREIN IS SIIS.IECT TO ALL THE TERMS, <br /> EXCL,IJ$IQN$AND CQNDITIQN$OF SUCH POLICIES-LIMITS SKOWN MAY HAVE BEEN REDUCED BY PAIp I; MS- <br /> SR TYPr OF INSURANCE A PCLICY MIMIBER 1*9LICYE V, i MA4xw rrr LUMM - <br /> I C:QraMEAt9AL"NrF ALLiAAIL9TY EP1Gi'C} URREI+AM 8 1• • <br /> CLwlh°B-tAAdC ® OCCUR PREMISES <br /> I <br /> 1AEd pCP I,Mp ms _ <br /> A _ Y 93-EC-VV340-7 PERSONAL&AiXr OMRr 3 <br /> GEX1Lni5 F;GATE tlrrlr J.PUPS F€FR rjEWFtALAj5GRDaA.W 3 2,000,000 <br /> PoLluf LCC ^P DUCTS-COMPKJPAGG S <br /> OTHER: <br /> AUTQUO0BLH L%J1L Y !CM F k..IMrF <br /> IANY ALFrO 309ILY IMURY'rF w pwsar+ S <br /> CSNNED SEHFMLE11 BODILY MAJRY;Per ecraderay 5 <br /> AiTs'3S011 AJUTOS <br /> KREC9 NONCMNESr P C DAMAGE <br /> AUTOS,rDNi.Y AUTOS ONLY ---- <br /> MMIRRELLA I" HOCCUR EACH OCCORRENC€ S <br /> E RETEr411041 I 5 <br /> AMDEMPLOYE.RS'LPABRJT4' (fly A ER <br /> ANY'CrRM IMBER F.XCUJDED? 1YE ❑ H J A EJ 1=,4l�ki A l[7EN-7 +# <br /> �CSFFICER1kIEM9Flt FYI`.ura€4? - <br /> rIsi YLn") E:LWEASE-EA EMPLOYEE <br /> � <br /> I:==.sGHIPTION O9 OPERAIIONS N47W EL[ASEASE-POLICY LIMIT <br /> UESCRI PTMOF OPERATIONS JLOCATION5IVUHICLESIA C:CIM11I1J,AddkkmARe FksSchrdukr, xbailhidwdN*we spew isfgW*ds <br /> CERTIFICATE 1-101I.-DER CANCELLATION <br /> SHOULD A YY OF THE ABOVE DESCIRMEb POLICES BE CANCELLED BEFORE <br /> THE EXPIRATION DATIE THEREOF, NOTICE WILL BE DELI RED IN <br /> ORANGE COUNTY MANAGERS OFFICE ACCOR13ANCE vaTH THE POLICY PRCtVI&IONS, <br /> PO BOX 8181 <br /> AUTV0f4M0 J ENTA-rIVE <br /> HILLSWFtOWH NC 27275 <br /> Q 21315 ACORD CORPORATION. All rights reserved. <br /> A0ORD 25[2015!03] The ACORD na". and lag*are registemd ma of ACORD <br /> 10014M 132949.+:2 03-16.2191-3 <br />