|
DocuSign Envelope ID:8BB677D7-EBF8-4E13-A6A8-6E6526C1AFD8
<br /> r-��xlu�u F7 i3/;E,yd CF71 d 1L:�'a
<br /> 24-Rug-2817 10:24 NetCarrier Telecom Sganl15' Fax Ident p,3
<br /> A�E) CERTIFICATE OF LIA131LITY INSURANCE OATEtMMjDDIYYYYI
<br /> 0812422417 TLM
<br /> THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFFRS 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 INSURPRIS),AUT44ORI7-ED
<br /> RFPl2ESCNTATIVF OR PROnfIC:FFt Amn TNF orRTICfr'ATF Nf1I hFk
<br /> IMPORTANT; If the eertifitate holder le sn ADDITIONAL INSURED,the policypune moat be endorsed. If SUBROCATION IS W IVEO,nebjack to
<br /> the terms and conditions ot'the poticy,certain policies may require an endorsement. A statement an this certiricatc does not confer rights to the
<br /> certi{cate holder In Ilea of such endorsemenl(s),
<br /> TRIO Lx L'VnfM T ARLIUNIJ I HE(iURNimH INS AUar1LY tNU
<br /> STRIGICLANO INSURANCE BRCIKER5INC nanit!
<br /> 400 COMMEFICI=COURT PHONE 919-2$6-9500 II
<br /> rare,Nom,�I. I aA c.H„1: 91�?86.9SOt
<br /> GOLDSBORO,NC 27534 )=�Ak"
<br /> amoN�es-
<br /> INSURImCs}AFlFnRr11NC CQVkFrAOf Nwax
<br /> INSURED INSIJMtKA;ATLAN710 CASUALTY INSURANCE COMPANY
<br /> 'lNSH'r:H t�
<br /> 00,1411LEZ nA1NTCi;E:CONTRACT w I,.c ti
<br /> 4301 13ENNETTMEMORIAL RD msuxutO:
<br /> CHAPrl HII I NC;77514 INSUHLR13:
<br /> INSUkmx1,•
<br /> Iwsuxert r;
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> TH18 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED Sr-LOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWTTH9TANDINO ANY REPUIREMENT,TERM OR CONOrnON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> C.L1tUM AIL MAY UL k4SULO Ok MAY PLF;IAIN, IIIL 1149UNANCL Al-F-WDLU BY I11'1-POLICIES ULSf:krULU IILkLIN IS SUUJLt`,I Ifl ALL WL. ILKIM9,
<br /> H LXCLU81O+IS AND WWI I IONS Ol-WC1I POLICIES`.LIMI18 SI1C3V'!N MAY I IAVL K.I-N RLDUCLU BY YAIU CLAIMS.
<br /> l 9NR IYYr;Or lgytiwW,`C avp uUN PtYuOy Fff POL yyEIW
<br /> PULCy NUMWEll M,�o n1YYYY urru l3
<br /> COMMERCIAL 9EMRAL LIABBSTY L001039496-1 03A7C2017 43/17/2018 rnrlanrctlls�Nrr 51AOt1,0U0
<br /> a AIly4.3l,yAtir X Or,[,11R LAMAAf L l u NEHIEU s 100 OQ4
<br /> A Mw tam+ o e oeraan 5 5,400
<br /> PrRSnNAI kAM, IRRIRY 51,00©,000
<br /> rTm jwRrc,-�?&r I wr AF FFf it,PTR: C+r�IfRN Ar�C.f-CyA,Tr 5 2,044,(f6o
<br /> } 1'UI-fL"Y JtCI ❑LC74: !!kS27US&:fS-4UdN•!t%1'A[;[; Sf,Ofi6,000
<br /> ul c
<br /> 3
<br /> AUTO51.6agE LIABILITY CfJ 1Hn�! {511.1,1 13sf1T �
<br /> Raw
<br /> ANYAU10 00DILY INJURY;;'smarm)
<br /> N 1 Owsrn 1rA RT:tR.rn
<br /> AUTOR 'arT�' rOUILY WUKY 9,er eccvom) $
<br /> II1RIDAUTDS THINDLif#r1T AUIUS PROP1"RTYnAMAnr
<br /> I $
<br /> UMIUIM 6
<br /> UTAUHLLLA WAD OfIrAIR
<br /> rA.C:tI LAf:t:LtFaS#VC.'k S
<br /> EXCESS UAB C.!AIM;wor AC+C,RrCATC
<br /> nrn I RrTrmTON 5
<br /> WORKER9 CoMPEN3ATH7N $
<br /> AND EMPLOYERS'UAaILRrY YIN
<br /> ANY a,1ni CLuuw't N/A r.I.rA0IA0rInM 5
<br /> tMaRalsaryin NH)
<br /> kL Vl��s_�A I_MlILv s
<br /> i wy;fiRlEr;r�Ir rr c I nnTUrals r, n ELL UNLA.SN-I'LxIGY u1A11 1 s
<br /> pa
<br /> DEscR IPVON or OPW'riQNs;LOCATIONS 1 VESIlct.a WORD lei,A,;tjU.nel Rc,Radcn Schnluie,, Ay he XCG,ebed itnwra epxce is na+r+,oJ1
<br /> PER POLICY
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> ORANGE COUNTY
<br /> PO BOX 8181 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCFLLEO BEFORE
<br /> THE E}CI'IkATION DATE THEREOF, NOTICP WILL BE DEUVEM IN
<br /> H1LL8DOR00'H NC 27278 ACCORDANCE WITH THE POLM PROVISIONS.
<br /> AUT114RIIED RWROKNTATIVE
<br /> 0 1988.2014 A COR4 CORPORATION, All rights reserved.
<br /> ACORD 28(20141011 ThN ACOR❑nama and Iogo ara registered marks of ACORD
<br />
|