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DocuSign Envelope ID:5F251CDA-0278-4AA7-B33A-C6AC7745OA79 <br /> FDA (MMfI7DlYYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE I 0 6/2 512 0 1 8AI-J <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 NAME: AROUND THE CORNER INS AGENCY INC <br /> STRICKLAND INSURANCE BROKERS INC PHONE 919 286-9500 FAx 919-286.9501 <br /> E-MAIL <br /> 400 COMMERCE COURT Arc L E me No <br /> GOLDSBORO.NC 27534 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIL* <br /> INSURERA:ATLANTIC CASUALTY INSURANCE COMPANY <br /> INSURED GONZALEZ PAINTERS&CONTRACTORS INC INSURER B: <br /> 4301 BENNETT MEMORIAL ROAD <br /> INSURERC <br /> DURHAM, NC 27705 <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 /> EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> 14TR L. POLICY EFF POLICY EXP LIMITS <br /> TYPE OF INSURANCE POLICY NUMBER MIDOfYYYY MMID <br /> X COMMERCIAL GENERAL LIABILITY 1-001039496-2 03/1712018 03/17/2019 EACH OCCURRENCE $ 1,000,000 <br /> —XI CLAIMS-MADE oecuR PREMISES Ea occurrence $ 100,000 <br /> MEDEXP(Any one person) $5,000 <br /> A PERSONAL&ADV INJURY $ 1.000.000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 <br /> X POLICY L_]PE O F—]LOC PRODUCTS-COMP/OP AGG $ 1,000,000 <br /> M <br /> POTHER _ $ <br /> AUTOMOBILE LIABILITY COMBINED S]NGLE LIMIT - -$ <br /> Ea accider>Z <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per acOderd) $ <br /> .AUTOS AUTOS <br /> NON-O MED PRO ER Y DAMAGE $ <br /> HIRrDAUTOS AUTOS Peracddent <br /> UM/UIM $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ _ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANY PROPRIETORIPARTNERIEXECUTIVE ❑NIA A E..L EACH ACCIDENT $ <br /> OFFICEWMEMBER EXCLUDED? <br /> (Mandatory In NH) E L DISEASE-EA FMPL OYFF $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ <br /> DESCRIP710N OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached d more space is required) <br /> PER POLICY <br /> CERTIFICATE HOLDER CANCELLATION <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 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> I <br /> O 1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(20%01) The ACORD name and logo are registered marks of ACORD <br />