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DocuSign Envelope ID: B45C8196-4DA8-42AE-9309-8DBF33AFC945 <br /> NORTH CAROLINA FARM BUREAU MUTUAL INSURANCE COMPANY, INC. <br /> CERTIFICATE F LIABILITY INSURANCE <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 <br /> to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to <br /> the certificate holder in lieu of such endorsement(s). <br /> INSURED Mebane Air, Inc. CERTIFICATE Orange County <br /> NAME AND CIO David Harris HOLDER PO Box 8181 <br /> ADDRESS 801 E. Oakwood Street Ext Hillsborough, NC 27278 <br /> Mebane, NC 27302-7288 <br /> COVERAGES <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 /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> X TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICYEFF POUCYEXP LIMITS <br /> ® COMMERCIAL GENERAL LIABILITY GL 0451188 12/4/2016 12/4/2017 GENERAL AGGREGATE $2 000,000 <br /> -OCCURRENCE PRODUCTS-COMPIOPS <br /> AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE APPLIES PER POLICY PERSONAL&ADV INJURY $1,000,000 <br /> EACH OCCURRENCE $1,000,000 <br /> DAMAGE TO RENTED $100 OOO <br /> PREMISES Ea ce , _ <br /> MED EXP(Any one person) $5,000 <br /> EACH <br /> CH OCCURRENCE $ <br /> AGGREGATE $ <br /> UTOMOBILE LIABILITY 9 (Eacha COMBINED SINGLEELIMR $500,000 <br /> 5/30/2017 11/30/2017 (Eec}�accdanl) <br /> ® SCHEDULED AUTOS 13A1a 21®071 1 BODILY INJURY(Per person) $ <br /> ❑ HIRED AUTOS BODILY INJURY(Per acadent) $ <br /> ❑ NON-OWNED AUTOS PPRoaa DAMAGE <br /> GARAGE LIABILITY <br /> (Other) <br /> I� EXCESS LIABILITY— EACH OCCURRENCE $ <br /> OCCURRENCE AGGREGATE $ <br /> WC STATUTORY LIMITS <br /> ® WORKERS COMPENSATION NIA <br /> AND EMPLOYERS'LIABILITY WC 0223473 8/4/2017 8/4/2018 E.L.EACH ACCIDENT $100,000 <br /> POLICY APPLIES TO THE WORKERS E.L.DISEASE-EA EMPLOYEE $100,000 <br /> COMPENSATION LAW IN THE STATE OF NC E.L.DISEASE-POLICY LIMIT $500,000 Y <br /> OTHER: <br /> 171 <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES: <br /> CANCELLATION - <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED AUTHORIZED REPRESENTATIV ( � n _ <br /> BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DATE 10/25/2017 <br /> col 0910 <br />