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DocuSign Envelope ID:981D7912-374C-46D1-ABOD-38453305CE3C <br /> BIRSI-2 OP ID: LE <br /> ,4rea�eo CERTIFICATE OF LIABILITY INSURANCE HATE{MMIOQIyYYYI <br /> 04125/2017 <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 INSURERS), 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(sf. <br /> PRODUCER CONTACT Lynne A Meyer,CIC,CPIW.AIMS <br /> NAME: <br /> Senn E5 N.EIm�S 50 Aic°Nf o F No:336-346-1397 <br /> 33646-1302 <br /> Greensboro,NC 27456 � :lmeyer@marshmma.com <br /> David R.Clem <br /> INSURER(S) AFFORDING COVERAGE NAIC# <br /> INSURER A:National Fire Ins Co of Htfd <br /> INSURED BI RS,Inc. INSURER B:Continental Casualty Company 20443 _ <br /> Mr. Raven Broeker INSURER C:Transportation Insurance Co. 20494 <br /> PO Box 36197 <br /> Greensboro, NC 27416-6197 INSURER D:Builders Premier Insurance Co. 13036 <br /> INSURER E:Columbia Casualty Company 31127 <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 ---�-- :RODE U PDLN:Y EFF POLICY E7CP _ <br /> LTR TYPE OF INSURANCE POLICY NUMBER MMIDO M LfMiTS <br /> A x cOMMERCf L GENERAL LIABILITY EACH OCCURRENCE $ 1100010 <br /> CLAIMS-MADE I X1 OCCUR C1071978219 05/01/2017 05/0112018 PREMISES(Ea occurrence $ 100,0 <br /> MED EXP(Any one person) $ 5,00 <br /> IX PERSONAL&ADV INJURY $ 1,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 <br /> l POLICY 1 JET a LOC <br /> PRODUCTS-COMPIOP AGG $ 2,000,610 <br /> OTHER: $ <br /> AUTOMOEILE LIABIIJTY COMBINED SINGLE LIMIT <br /> (Ea_aeci nt .................... ....- <br /> . $ '1,000'00 <br /> C x ANY AUTO 01071978222 0510112017 05/0112018 BODILY INJURY(Per parson) $ <br /> FALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> X NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS Per accident <br /> Comp/Coll Del $ 1,00011,00 <br /> X UTABRELLA LUIB x OCCUR EACH OCCURRENCE $ 55,000,00 <br /> B EXCESS LIAR CLAIMS-MADE C1071978253 0610112017 05101/2018 AGGREGATE $ 5,000,00 <br /> - - <br /> DED I x RETENTION$ 0 $ <br /> WORKERS COMPENSATION x PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> D ANY PROPRIETORIPARTNERIEXECUTIVE Y® NIA <br /> PWC10002907 0510112017 06101/2018 E.L.EACH ACCIDENT $ 600'00 <br /> OFFICERIMEMBER EXCLUDED? "' --- <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 600,0{1 <br /> If yyes,cescribe under " -- <br /> DESGRIPTiON OF OPERATIONS below E.L DISEASE-POLICY LIMIT 1$ 600,00 <br /> B Rental Equipment C1071978219 05/01/2017 05101/2018 Limit 160,00 <br /> E E 6 01Pollution CE05091855996 05101/2017 05/0112018 Limit 1,000,00 <br /> DESCRIPTION OF OPERATIONS I(LOCATIONS I VEHICLES(ACORD 141,Additional Remarks Schedule,may be attached if more space is required[ <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANINS <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE <br /> Q 1988.2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />