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DocuSign Envelope ID:417BEE71-C3A9-42B4-8DCC-B1EEA91D59FD <br /> —_ '1 OP ID: CI( <br /> ,4c°R° CERTIFICATE OF LIABILITY INSURANCE <br /> =0'91-1 8 <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 CONTACT <br /> Lee-Moore Insurance Agency Inc PHONE CheSley Kalnen — FAX <br /> P.O.Box 667 919-932-9990 <br /> {Arc,No,Ezty IA+c.NoJ:919-933-0155 <br /> West End,NC 27376 E-MAIL <br /> Alex Maiolo ADDRESS.Chesley.lmi @gmail.com <br /> PRODUCER <br /> CUSTOMER AR.I.I -1 <br /> IDID M• <br /> INSURERS)AFFORDING COVERAGE NA1C S <br /> INSURED Art In A Pickle LLC INSURERA:HaftfOrd Insurance 14397 <br /> DBA Neal's Deli - <br /> 109 Shelton St. INSURER e s - - <br /> Carrboro, NC 27510 _INSURER C: <br /> INSURER D: <br /> INSURER E <br /> INSURER F <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 /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL NUBR POLICY NUMBER MMIDD7YEYYY) (MMODNYYYI LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 <br /> A x COMMERCIAL GENERAL LIABILITY X 22SBAIF2900 1210112017 1210112018 DAMMGETO RE <br /> _o <br /> cwrringaJ_ S _300,00 <br /> CLAIMS-MADE OCCUR ME EXP(Wry one person) a __ 10,00 <br /> PERSONAL BADVINJURY 5 1,000,00 <br /> GENERAL AGGREGATE S 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG S 2,000,000 <br /> POLICY PRO• LOC S <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S <br /> I Ea ac*danll <br /> ANY AUTO 'BODILY INJURY(Per person) S <br /> ALL OWNED AUTOS <br /> BODILY INJURY(Per amkWt) S <br /> SCHEDULED AUTOS --- <br /> PROPERTY DAMAGE S <br /> HIRED AUTOS IPER ACCIDENT, <br /> NON-OWNED AUTOS 5 <br /> UMBRELLA.LIAB _ _ OCCUR EOCCURRENCE S <br /> EXCESS LIAD - CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE S <br /> RETENTION S _ S <br /> WORKERS COMPENSATION X WC STATU- OTH- <br /> AND MAPLOYERS'LIABILITY YIN TORY LIMITS _ _ER _ <br /> A ANY PROPRIETORfPARTNEWEXECUTIVE n 22WBCIS4744 0.$10112018 05101/2019 E L EACH ACCIDENT S 100,000 <br /> OFFICERIMEMBER EXCLUDED? l� N i A — - - <br /> (Mandatory In NH) L L DISEASE-EA EMPLOYEE S 100,000 <br /> If yes,desznbe under - <br /> DESCRIPTION OF OPERATIONS.below L 4. DISEASE-POLICY LIMIT S 500,00 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES iAnach ACORD 101.Additional Remarks Schedule,0 more spar_n is requirodl <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange County Government THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br /> Or <br /> Or Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hillsborough, NC 27278 <br /> AUTHORIZED REPRESENYATIVE <br /> X71988-2 g ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD <br />