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DocuSign Envelope ID:269163F8-B12A-4FF0-8F2F-4078CF039BC0 <br /> TOTAL-7 OP ID: LH <br /> CERTIFICATE OF LIABILITY INSURANCE <br /> DATE 05/24120 1 8Y} <br /> 051241201$ <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 net confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Laura AdanaS <br /> Brown&Brown of SC PHON_- - - - l <br /> PO Box 16837 we°,Nn%�_:ey;$�+4-134 88$9 FAX <br /> 64-234-8889 864^527-I I47 <br /> Greenville,SC 29606 E-MAIL <br /> ADDRESS:ladams@bbsotithearolina.com <br /> bbsotithearolina.com <br /> INSURER IS)A FFORDING COVERAGE NAIC# <br /> INSURER.A:Selective Way Ins Co --- <br /> INSURED Total Maintenance Solutions INSURER B:Hartford Fire '19$82 <br /> P.O.Box 68 - - -- <br /> Taylors,SC 29687 INSURER C:Selective Ins of SC 19259 <br /> INSURER D: <br /> INSURER E: <br /> INSURER.r: <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 /> 9NSR TYPE OF INSURANCE $ POLICY NUMBER MMIDD EFF MMLCYEXP <br /> LTR . LIMITS -- - <br /> A x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,04 <br /> CLAIMS-MADE ®OccuR 52233404 47/47/2417 071471241$ PREMISES(E,,I. $ 500,00 <br /> MED EX (Any one person) S 15,00 <br /> PERSONAL&ADV INJURY S 1,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000100 <br /> POLICY a JE ]LOG PRODUCTS-GOMPK3PAGG S 2,000,00 <br /> OTHER: S <br /> AUTOMOBILE LIABILITY OMBIN10lSINGLE LIMIT $ 1,000,00 <br /> A ANY AUTO 52233404 07/01/2017 47101120/8 BODILY INJURY(Per person) S <br /> ALL OWNED SCHEDULED <br /> AU70S AUTOS BODILY INJURY(Per accidenl) <br /> NON{DWNED PROPERTY DAMAGE <br /> HIRED AUTOS AUTOS ..LReLacddent) $ <br /> X UMBRELLA LIAB l x OCCUR _EACH OCCURRENCE -- - S. 3,000,00 <br /> A EXCESS LIAB l CLAIMS-MARE 82233404 07/0112017 07101/2018 AGGREGATE $ 3,000,00 <br /> DEOX I RETENTIONS 0 S -- <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> C ANY PROPRIETORIFARTNERIEAECUTIVE YIN NIA <br /> WC9030221 07/0112017 0714112018 E.L-EACH ACCIDENT S - 500,00 <br /> OFFICERIMEMBER EXCLUDED <br /> (WndatoryinNH) E.L.DISEASE-EA EMPLOYEE S 540,00 <br /> If ea,describe under — <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POUCY LIMIT S 500,00 <br /> A Property Section 52233404 47/0112417 07/4112018 <br /> B Crime 22BDDFX3793 0111512417 41!7812020 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 701,Additional Remarks Schedule,may be attached it mare space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ty ACCORDANCE VWTH THE POLICY PROVISIONS. <br /> P.O.Box 8181 <br /> Hillsborough,NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> a ''''"W—) <br /> fe]1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />