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DocuSign Envelope ID:899D217B-40AE-4E9D-9F28-73B23967930C <br /> DocuSign Envelope ID:6CE24FAF-8D90-4258-8563-D222ECDCB125 <br /> —�+4� LAWWE-1 OP ID:MG <br /> /14��� DATE(MMIDDIYYYY) <br /> CERTIFICATE OF. LIABILITY INSURANCE 08/1512018 <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 /> IBELOW� 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 to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> Thompson-Allen,Inc. NAIME: Phillip Allen FAX <br /> P.O.Box 100 aJ o� :33&•599-2175 IA,XC No):336-599-6932 <br /> Roxboro,NC 27573 E-MAIL - - - <br /> Morels D.Green <br /> ADDRESS: <br /> INSURERS AFFORDING COa y <br /> INSURER A:Cincinnati Insurance Co _INSURED Tommy Lawrence Electrical INSURER a:Cincinnati Casualty Com+Contractor"s Ina.P.O.13ox 641 INSURER CRoxboro,NC 27573 INSURERD:INSURER R: <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 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 /> LTR TYPEOO=INSUIUINCE IN POLICY NUM BIER IMMIDDNYrF MMlM YXY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ 1,000,406 <br /> CLAIMS-MAOE ®OCCUR EPP 0096783 08116/2018 08/16/2019 PE cu Waal s 100,00fF <br /> .._.....----- - MED ESOP(AnY ono person s 5,000 <br /> —_ PERSONAL&ADV INJURY $ 640,000 <br /> GEN°L AGGREGATE LIMI7APPLIES PER: GENERAL AGGREGATE S 2,000,088 <br /> PO- <br /> POLICY JE <br /> L-_J T FI LOO PRODUCTS-COMPIOPAGG s 1,000,000 <br /> OTHER: 3 <br /> AUTOMOBILE LIABILITY COM6INED SINGLE LIMIT <br /> Ea accident S 1,000,04 <br /> A X ANY AUTO EBA 0096783 0811612098 0811612019 BODILY INJURY(Per parson) t <br /> ALL OWNED SCI-1EOULFO I BODILY INJURY(Per acaMenl) $ - <br /> AIJTOS _ AUTOS <br /> X HIRED AUTOS X NON�SSWNED PROPERTY OAfAAGE .. <br /> AUTOS Per ecclde t $ <br /> S <br /> �}( <br /> UMBRELLA LIAR [>� OCCUR EACH OCCURRENCE 3 5,000,00 <br /> A EXCESS LIAR CLAIMS-MADE EPP 8096783 48116/2018 88/16/2019 AGGREGATE <br /> $ 6,480,80 <br /> mIONS <br /> RETENT 3 WORKERS COMPENSATION X STATUTE FORTH _ <br /> AND EMPLOYERS'LIA9ILITY <br /> 13 ANYPROau IFTORVARTNERIE ECUTIVE Y� NIA EWC 0368238-02 0110112018 0110112019 E.L.EACH ACCIDENT s 100,040 <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 100,00 <br /> II yeg, lowIla under _. <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 604,04 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 1011,Additional Rem2rky Sohadu]%may be RttRChad If more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANCAM <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> Hillsborough,NC 27278 AUTHORrZFD REPRESENTATIVE <br /> fa c ia D.Green <br /> Q 1988-2614 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />