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DocuSign Envelope ID:760FB7E7-4AO9-4A4B-9965-BBC016C69FD1 <br /> AC° O� CERTIFICATE OF LIABILITY INSURANCE DATE 077114/14 �YY,rY, <br /> /2007 <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 13Y THE POLICIES BELOW. THIS <br /> CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR <br /> PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pOIICY(Ies) must have ADDITIONAL INSURED provisions or be endorsed. If <br /> SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTAOT <br /> FEDERATED MUTUAL INSURANCE COMPANY NAh1E: CL15NT C G CENTE <br /> HOME OFFICE:P.O.BOX 328 A CN4Vo Ext:888-333-4949 FAX c No 0 4 <br /> OWATONNA,MN 55060 E•MA1l <br /> AGGRESS_.CLIENTCONTACTCENTERQFEDINS,COM <br /> INSURER(Sl AFFORDING COVERAGE NAIL# <br /> INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 <br /> INSURED 252-856-0 INSURER B: <br /> HARRIS BROTHERS ELECTRIC AND CONTROLS,INC. INSURER C. <br /> 2712 HILLSBOROUGH RD <br /> DURHAM,NC 27705-4044 INSURER D; <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:36 REVISION NUMBER:1 <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE IIFa4 "AMED 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,EXCLUSIONS <br /> AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.. <br /> 114SR TYPE OF INSURANCE OL SUBR POLICY EFF POLICY EXP <br /> LTR INSR 4WD POLICY NUMBER IDDIYYYY) (MMIDWYYYY1 LIMITS <br /> X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE OCCUR DAMAG SES E E TO RENTED $100,000 <br /> Tre <br /> ME EXP(Any one person} EXCLUDED <br /> A N N 6048918 07114/2017 07/1412018 PERSONAL&ADV INJURY <br /> $1,000,000 <br /> GEWLAGGREGATE LIMIT APPLIES PER., GENERAL AGGREGATE $2,000,000 <br /> PRO• <br /> X POLICY JECT LOC PRODUCTS•COMPIOP AGG $2,000,000 <br /> OTHER; <br /> AUTOMOBILE LIABILITY COMe1NE0 SINGLE LIMIT $1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) <br /> A OWNED AUTOS ONLY AUTOSULEG N N 6048918 07/14/2017 07/1412018 BODILY INJURY(Per mctldeni) <br /> HIRED AUTOS ONLY NON-OWNED <br /> AUTOS ONLY - RGPERTY DAMAGE <br /> cddenll <br /> X UMBRELLA LIAR X OCCUR EACH OCCURRENCE _ $5,000,000 <br /> A EXCESSLIAB cLAIMs-MADE N N 6048915 07/1412017 0711412018 AGGREGATE $5,040,000 <br /> DED RETENTION <br /> WORKERS COMPENSATION }[ PEft STATUTE OER <br /> AND EMPLOYERS'LIABILITY YIN <br /> ANY PROPFUETORIPARTNERPEXECUTIVE ACH ACCIDENT $1,000,000 <br /> A OFFICERWEMBER EXCLUDED? ❑ E.L.E.L.NIA N 6048920 07114120117 07/14/2018 <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> It yes.descrlbe under El DISEASE-POLlCYL1MiT <br /> DESCRIPTION OF OPERATIONS below $1,(1007000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 181,Addlllanal Remarks Sctmdulc,may be attached It Mara space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> 252-856-0 361 <br /> ORANGE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> PO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> HILLSBOROUGH,NC 27278-8181 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> 9 1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks Of ACORD <br />