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DocuSign Envelope ID:9E3B3EAD-CF32-439E-80DF-AEAC4FOC85D6 <br /> .............. <br /> CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DD1YYYY) <br /> �"'�� 9SA25I2018 ALJ <br /> THIS CERTIFICATE 16 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 cerilficate holder Is an ADDITIONAL INSURED,Ilse pollsY01's)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and Conditions of the pollcY,certain policies may require an endorsement. A Statement on this cerflileate does not confer rights to the <br /> certificate holder In lieu of such endorsoment(s), <br /> STRICER c AROUNl3 THE C[7RN> R INS AGENCY lNC <br /> S7RICKiA,N[7 INSURANCE BROKERS INC �ArnE <br /> PHONE <br /> 919-286-9500 T..Ax -- -- .— <br /> 490 COMMERCE COURT Ae,N1Exr; Arc Na1�2BS_359# <br /> GOLDSBORO,NC 27534 EMAIL _ --._-.-.- <br /> ADDRESS: <br /> —_- INSUIIER(S}AFFOROINGCI VERAGE NAfC# <br /> INSURER A;ATLANTIC CASUALTY INSURANCE COMPANY <br /> INSURED GOFlZALEZ PAINTERS CQI+JTRACTC)R$ING . . _ -- - . <br /> 4301 BENNETT MEMORIAL ROAM INSURERS: <br /> DURHAM, NC 27705 MUR RC:: _ - <br /> INSURSRD <br /> INSURER E <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 /> CER-rIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. <br /> N"R — -L _.,R. p6LIC EPF Po c exP <br /> I.TR TYPE OF INSURANCE POUrV NuMarn MfrxROp M7Dr7 Y LlMi7s <br /> *K COMMEROALCENERAL LIABILITY L001039496.2 0311712018 03117/2015 EACH OCCUROVACE <br /> � 3 1,000,900 <br /> n - <br /> PREMrgkSjEa acr irr o} 100,000 <br /> A 4ACD ExP€fA P L Cull $5,000 <br /> PERSOr+fraLaAUVLtrJVRY 1 1,000,000 <br /> e NLAGGREGArELL",rITAPPLIESPER <br /> x <br /> POLICY Ir�C t'ENFRALAGGREG ATE '2,O9b,90U <br /> [RODUC.T5-CO4Pi0PAGO 81,000,000 <br /> OTHER <br /> AUTOMOBILE L4A&ILrrY d Iklan hVULE LIMIT <br /> "'Y AD TO 80[SiLY INJURY(Pptpwrrsan} $ <br /> Al L OMFo- 4SCHEOULEO <br /> i'L7T'QS "I BODILY N—VRY1Pornn:HIRrOAUTO,S .N•{r"NED FT�1s UrvllUIM <br /> UMBRELLA LIGCCUr; EACH OCCLIRTZEIQCE <br /> ExCE33 LIAB C:Alfr4 rIA1DE -_ - <br /> � ._-. AGGREGATE $ <br /> LIED p I RFTErrTIGIJ. — — <br /> WORKERS COMPENSATION # <br /> AND EMPLOYERS'LIABILITY OTIi- <br /> AWFROM- IETORIPARTNERrFkECUT1�iF YIN STATUTE ER <br /> OFFIt�RRhEM1IBUc F'4CLU(7t'r)9 NIA EL EAti_}{ACCI{7ENT <br /> (MandatorYirk NH) <br /> UZI,cly ritaurMw EL DISEA;�.E-EAFMPLOYE $ <br /> nES,'RIP7fpF7 OP OrFRATlONS bel4r0 E L,aISEAS- POLICY L1r.11F $ �. <br /> DESCRIPTION OF OPERATIONS f LOCAI(ON3/VEHICLES(ACORD 701,Addklonal Remarks Sshedule,rrray be altethsd lr more spacers required) <br /> PER POLICY <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE COUNTY <br /> PQ BOX 8181 ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 8481 THE EXPIRATION DATE THEREOF, NOTICE WILL aE DELIVEREO IN <br /> HILLSBOROUGH,NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> 41908-2014 ACORD CORPORATION, All rights reserved. <br /> ACORD 26{2014/01} The ACORD name and logo are registered marks of ACORD <br />