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DocuSign Envelope ID: B45C8196-4DA8-42AE-9309-8DBF33AFC945 <br /> �lc <br /> Erie CERTIFICATE OF INSURANCE DATE ISSUED(MM/DDNY) <br /> Insurance® —THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY— <br /> 12/6/17 <br /> Home Office • 100 Erie insurance Place • Erie,Pennsylvania 16530 • 814.870.2000 <br /> Toll free 1,800.458,0811 • Fax 814,870.3126 - www,erieinaurance.com <br /> NAME AND ADDRESS OF AGENCY CARL A WALKER INS AGENCY INC AGENT'S NO, <br /> 210 W CLAY 5T JJ11I7 -C-0 C__ -- PA . .-- ____-- <br /> Cv D EME.-INSURANCE PRQpERT�'$;CAS�AIJ_Y�CMPA_NY <br /> MEBANE,NC 27302-2439 Co.:E ERIE INSURANCE EXCHANGE Not ApplicaTe <br /> Ene Indemnity CD ,Attorney-in-Fact 1 in NY <br /> _Co.: F ERIE INSMANCE CMPANY�f E.NEw Y4RK__ <br /> (914)563-0051 This certificate is issued for information purposes only and confers <br /> NAME AND ADDRESS OF NAMED INSURED no rights on the certificate holder. It does not affirmatively or <br /> negatively amend,extend,or otherwise alter the terms,exclusions <br /> Mebane Air Inc and conditions of insurance coverage contained in the policy(ies) <br /> PO Box 1116 indicated below,The terms and conditions of the policy(ies)govern <br /> the insurance coverage as applied to any given situation.Limits <br /> Mebane,NC 27302 shown may have been reduced by claims paid.This certificate of <br /> insurance does not constitute a contract between the issuing <br /> insurer(s), authorized representative or producer and the <br /> certificate holder, <br /> This is to certify that pDlicies,_as indicated tits Policy Number below,are in force for the Named Insured at the time that the Certificate is beinn issued. <br /> cfl Add'i - F I Y -� - - ---- <br /> TR TYPE OF INSURANCE POLICY N1fMBER LIMITS <br /> E;❑GENERAL LIABILITY EACH OCCURRENCE 1,000,000 <br /> ❑X COMMERCIAL GENERAL LIABILITY Q48 0450746 12/4/17 12/4/18 <br /> CLAIMS MADE OCCUR FIRE DAMAGE An One Fire 1,000,000 <br /> ❑ I MED EXP(Any One Person 5,000 <br /> PERSONAL&ADV INJURY 1,000,000 <br /> ❑ GENERAL AGGREGATE 2,000,000 <br /> GEN'L AGGREGATE LIMITAPPLIESPER: PRQDUCTS-COMP/OPAGG t 2.000,000 <br /> ®POLICY ❑PROJECT ❑LOG <br /> E ❑ AUTOMOBILE LIABILITY BODILY INJURY <br /> ED "ANYAUTO"(OWNED <br /> NO QV�HIRED QI1 3040066 11/30/17 11/30/18 (EACH PERSON) $ <br /> ❑X OWNED BODILY <br /> INJURY <br /> $ <br /> ® HIRED <br /> PROPERTY DAMAGE $ <br /> ❑ NON-OWNED BODILY INJURY AND <br /> ❑ GARAGE PROPERTY IDA AGE $ 500,000 <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> ❑ OCCURRENCE <br /> AGGREGATE <br /> ❑ RETENTION $ $ <br /> WORKERS COMPENSATION& <br /> EMPLOYERS LIABILITY TORY <br /> BODILY ACCIDENT $ EACH ACCIDENT <br /> INJURY DISEASE $ POLICY LIMIT <br /> OTHER. BY DISEASE $ EACH EMPLOYEE <br /> DESCRIPTION OF UPERATIONS&OCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIV- <br /> ERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the <br /> terms and conditions of the policy, certain policies may require an endorsement.A statement an this certificate does not confer <br /> rights to the certificate holder in lieu of such endorsement(s). <br /> NAME AND ADDRESS OF CERTIFICATE HOLDER <br /> Orange County <br /> PO BOX 8181 AUTHORIZED REPRESENTATIVE <br /> Hillsborough,NC 27278 <br /> EIGF230 8/11 <br />