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DocuSign Envelope ID:A8E51 BF8-6EBC-4632-A21 F-FE02EF5B133D E5,/ATE(rl MIDDtY'YYY) <br /> �--- kor- c i irhoA i E ur sLmBILITY INSURANCE 7/2018 <br /> THIS CERTIFICATEIS 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 INSURERIS),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER_ <br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If 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 CONTACT <br /> NAME- <br /> PHONE <br /> NUTMEG INS AGENCY INCf PHS .E-d (NC N.): (888) 443-6112 <br /> 210775 P: F: (888) 443-6112 x ""� : <br /> PO BOX 29611 1NSURER(5)AFFORDING COVERAGE NAICN <br /> CHARLOTTE NC 28229 INSURrRA: Twin City °Tre Co <br /> lM UREU INSURER 9: <br /> INSURER C: <br /> OPEN BROADBAND LLC INSURERD- <br /> PO <br /> �7 v'�i�7 X 723 �j INSURER E: <br /> Y YALIL].riYY NC 28173 INSURER F: <br /> COVERAGES CERTIFICATE.NUMBER: REVISION NUMBER: <br /> THIS IS 7O 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 <br /> TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> LNSR 7yP9tat INSTINANGE ADD4 SVOR <br /> ADLKYNUAIBF.R POLICY EFF PLLl(.'YEXP l.l�sM <br /> (hj'N/J71,Vf' <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s2, 000, 000 <br /> CLAIMS-MADE n IpCCIJR <br /> DAMAGETORENi'-0 �1, 000, 000 <br /> T LLLy��� PREMISES(Ea oecurrence} (� (}/ry <br /> A X General Liab X 76 SBD BB7998 04/17/2018 04/17/2019 MEDEXP("oneperson) .510, 000 <br /> PERSONAL&ADV INJURY s21, 000, 0 0 0 <br /> Gi7N°L AGGREGATE LIMIT APPLIES PER! GENERAL AGGREGATE 54, 000, 0 0 0 <br /> POLICY JPRO-LX LOC PRODUCTS-COMPIOP AGG ,4,0 0 0, 0 0 0 <br /> OTHER; <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT +� <br /> (Ea accident} 2 1 0 0 0, 000 <br /> ANY AUTO BODILY INJURY(Per person) <br /> A AUTOS OWNED ONLY AUTOS SCHEDULED <br /> AUTOS 76 SEO BB7996 04117/2018 04/17/20119 BODILY INJURY(Per aocident) <br /> X HIRED X NON47WNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY (Per accident) 6 <br /> X UMBRELLA Ling x OCCUR EACH OCCURRENCE $1, 000, 000 <br /> A EXCESSLIAI] CLAIMS-MADE 76 SBIJ 13137998 04/17/2016 04/17/2019 AGGREGATE $1, 000, 000 <br /> DE X RETENTION s3 0,0 0 0 $ <br /> w"PUL2S nsrrnsarro.+ aSR [!rk <br /> .a.NAiiAIMPA!'h.&J'LL•1H,Q,t77" STATUTE ER. <br /> ANY PROPRIETORIPARTNER/E9(ECUTIVelM E.E EACH ACCIDENT $ <br /> OFFICEPJMEMBEREXCLUDED? �°� WA <br /> IA4andatory in NH) I I E.L DISEASE-EA EMPLOYE <br /> If yes,describe under L� 5 <br /> E.L DISEASE POLICY LIMIT <br /> UE5C.WP71QN OF OPERATIONS telow� <br /> DESCMP770M OE OPERA770NS f LOCA77ONS 1 VEHiLjlpMRp 1D1,Additional Remarks Schedule,may he attached it mare space is required) <br /> Those usual to the Insured's Operations- Certificate holder is an additional <br /> .insured per the Business (liability Coverage Farr[( SS0008 attached to this <br /> policy- <br /> CERTIFICATE HOLDER CANCELLATION ' <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> NATIONAL MILLS LLC AUTHORIZEDRrEPRESENTARVE <br /> 710 CATAWBA ST STE D <br /> BELMONT, NC 28012 <br /> 01988-2015 ACORD CORPORATION.All rights reserved <br /> ACORD 25(2016103) The ACORD name and logo are registered rrtarks of ACORD <br />