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DocuSign Envelope ID:AA090EE8-66C2-4C49-8A7F-E6578EE85BD7 —1 MAST002 OP ID: KK CERTIFICATE OF LIABILITY INSURANCE OS/3 /201 YY, _ 06l3012016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certlflcate holder In Ileu of such endorsoment(s). PRODUCER CONTACT NC Assoc. of Ins.Agents, Inc. PHONE FAX P. O. Box 1165 a No E AIC,No): Cary, NC 27512 ADDRESS: Karen A. Kerr,AAI,CISR,CPIW INSURER(S)AFFORDING COVERAGE NAIC f INSURER A:Travelers Propeq&Casualty INSURED State of North Carolina INSURERS: Attn: Margie Boyd INSURERC: 1202 Mail Service Center Raleigh, NC 27699-1202 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSIR TYPE OF INSURANCE PO FF POLICY Ex LTR POLICYNUMBER MMR?D M1DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES v R occurrence) $ CLAIMS-MADE F-1 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ POLICY PR4 E LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ A ANY AUTO TRJCAP104T6800TIL-16 07/01/2016 07/01f2017 BODILY INJURY(Per person) $ 1,000,00 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accidant) $ NON-OWNED PROPERTY DAMAGE $ INCL ABOVE HIRED AUTOS AUTOS PER ACCIDENT BI(PD PER ACC $ 10,000,00 UMBRELLA LIAS OCCUR EACH OCCURRENCE $ EXCESS LIAB El CLAIMS-MADE AGGREGATE $ OED RETENTION $ WORKERS COMPENSATION TWO STATU OTI+ AND EMPLOYERS'LIABILITY YIN TORY LIMITSI ER ANY PRO.PRIETOPJPARTNERIEXECUTIVE OFFICERr?vIEMBER EXCLUDED? N!A E L EACH ACCIDENT $ (Mandatory in Hy EL DISEASE-EA EMPLOYEE $ 1A, I es,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ A Hired Physical TRJCAP44SJ9525TIL-16 07/01/2016 07/01/2017 Damage DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Hired Physical Damage Limits:ACV, cost of repair or $40,000 ($60,000 if GVW exceeds 10,000 lbs.) , whichever is less. Comp and Collsiion coverage only apply for 30 days from the date the rental contract becomes valid. If the slue of the vehicle is higher than the Hired Physical Damage Limits and/or days of rental > 30 days then the vehicle must be scheduled in the Auto Web. CERTIFICATE HOLDER CANCELLATION NCDEPTO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NC Dept. of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE NTH THE POLICY PROVISIONS. Attn: Margie Boyd 1202 Mail Service Center AUTHORIZED REPRESENTATIVE Raleigh, NC 27699-1202 ®1998-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD