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DocuSign Envelope ID:5F251CDA-0278-4AA7-B33A-C6AC7745OA79 <br /> r <br /> „[ DATE(MMIDDAYYYY) <br /> �'► CERTIFICATE OF' LIABILITY INSURANCE <br /> Os/26/zala <br /> 4 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 BELOW. <br /> THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREII AUTHORIZED REPRESENTATIVE <br /> 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 <br /> on this certificate does not confer rights to the certificate holder in lieu of such endorsements. <br /> PRODUCER CONTACT <br /> NAME <br /> AROUND THE CORNER INS PHONE FAX <br /> N 1431 BROAD ST E-MA Lo,Ext: A/C,No <br /> + ADDRESS: <br /> DURHAM NC 27705 <br /> INSURER(S)AFFORDING COVERAGE _ NAIC if <br /> 767HE INSURER A TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA <br /> INSURED INSURER B <br /> w. GONZALEZ PAINTERS AND INSURER <br /> CONTRACTORS INC <br /> 4301 BENNETT MEMORIAL RD INSURER D' <br /> DURHAM NC 2'7705 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 <br /> POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT <br /> WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES <br /> DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE <br /> BEEN REDUCED BY PAID CLAIMS, <br /> M ADDL SUER POLICY EFF POLICY EXP <br /> LtR TYPE OF INSURANCE INSD WVD POLICY NUMBER MWDDr"YY MMIOD1Yl'"YY LIMITS <br /> t COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S <br /> lii 1 DAMAGE TOR ENTED <br /> CLAIMS-MADE El OCCUR PREMISES Ea occurrence 5 <br /> MED EXP(Any one person)5 <br /> PERSONAL$ADV INJURY S <br /> GENT AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S <br /> POLICY 7 PROJECT D LOC PRODUCTS-COMPIOP AGG S <br /> S <br /> A COMBINED SINGLE LIMIT <br /> AUTOMOBILE LIABILITY <br /> {Ea accident 5 <br /> BODILY INJURY Per erson S <br /> ANY AUTO <br /> OWNED AUTOS SCHEDULED BODILY'TYURY Peraceidenl 5 <br /> PROPERTY pAMAGE <br /> ONLY AUTOS <br /> HIREDAUTOS NON-OWNED Per accident)S <br /> ONLY AUTOS ONLY <br /> 5 <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE S <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> kFnll IRETENTION S 5 <br /> 1171- <br /> WORKERS COMPENSATION <br /> A <br />�! ANp EMPLOYERS'LIABILITY (6LTUR-9F56581-2-18) 03-18-18 03-18-19 x STATUTE Eft <br /> ANY PROPRIETOR IPARTNERfEXECIITIVE E.L.EACH ACCIDENT S 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? Y!N <br /> L (Mandatary In NH] Y NIA Tr E.L.DISEASE-EA EMPLOYEE 5 1,000,0©D <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below <br /> E.C.DISEASE-POLICY LIMIT S 1,000,0 0 fl <br /> I 7 <br /> ! T <br /> D.•' CRIPTION OF OPERATIONSILOCATIONSNEHICLES IACORD 101,Additional Remarks Schedule,may be attached if more space Is required[ <br /> WIF-1, <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br /> POLICY PROVISIONS. <br />.,h ORANGE COUNTY AUTHORIZED REPRESENTATIVE ~ <br /> P.;. BOX 8181 <br /> HI <br /> HILLSBOROUGH NC 27278 <br /> 91988.2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD <br />