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DocuSign Envelope ID:3B61DC16-6D3C-4973-8B32-4700A8C71672 <br /> Created on: Thursday, September 27th, 2018 at 2:59PM <br /> AC"R " CERTIFICATE OF LIABILITY INSURANCE bATE'_1DD'YYYYI <br /> �.� 49127!2018 <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 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 endorsements. <br /> PRODUCER NAME: Mast&Garrison,Inc. <br /> Mast&Garrison, Inc. PHONE — FAX _ <br /> 439 South Spring Street EE[-MAIL <br /> Ew:336-226-4474 I IArC.Nat: 336-225-4535 _. <br /> P.D. Box 340 ADDRESS: <br /> Burlington, NC 27215 INSURERS AFFORDING COVERAGE NAtC# <br /> . 1NSbREiIi,a_Scottsdaie Insurance Comp ny <br /> INSURED INSURER B: <br /> INSURERC; <br /> Hoof Beat Farm LLC INSURERD: <br /> 2401 NC 57 INSURER E: _ <br /> Hillsborough NC 2727$ <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 /> INSR ADDL SUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE POLICY NUMBER MMIDDFfYYY MmmorrYYY - "--- LIMITS <br /> GENERAL LIABILITY CPS3007895 01/06/18 01106199 EACH OCCURRENCE $ <br /> 0 <br /> A DAMAGE—TO ftE_NT E❑ <br /> X coMM RCIAL GENERAL IwslLlTr PREMISES Ea se �e _L1_00,000 . <br /> CLAIMS-MADE ` OCCUR MED EXP(Anyone person) $ <br /> PERSONAL&ADV INJURY _ $1 <br /> GENERA.AGGREGATE s2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 2 <br /> KIPOLICY PRO- LOC S <br /> AUTOMOBILE LIABILITY COBINED SINGLE LIMIT <br /> EaMeccidert-__-_-_" _ <br /> ANY AUTO BODILY INJURY(Per person) S <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) S <br /> AUTOS AUTOS <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE <br /> AUTOS Per accident <br /> S <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE 5 <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE 5 <br /> DED RETENTIONS S <br /> WORKERS COM PEN SATION WCSTATU- OTH- <br /> j <br /> AND EMPLOYERS'LIABILITY YIN TORY.L <br /> ANY PROPRIETORIPARTNERIEXECUTIV> E..L,EACH ACCIDENT $ <br /> orriCERIMEMBER EXCLUDED? ❑ MIA <br /> (Mandatory in NH) -E-L,DISEASE-EA EMPLOYE S <br /> If es.dexrikre under - - <br /> D SCRiPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) <br /> Snow Plowing&Landscaping <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIE=S aE CANCELLED BEFORE <br /> P� BOX 4 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> U ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hillsborough, NC 27278 <br /> AUTHORIZED REPRESENTATIVE 140F .00e <br /> D 1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />