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DocuSign Envelope ID:9E3B3EAD-CF32-439E-80DF-AEAC4FOC85D6 <br /> a►c ►zc� CERTIFICATE OF LIABILITY INSURANCE OA7E(1MV10DNYYY) <br /> �---r` 06/26/2018 <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 BELOW, <br /> THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE <br /> OR PRODUCER,AND THE CERTIFICATE HOLDER, <br /> IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement <br /> on Is certifica a Boas riot confer rights to the c cate hoider in lieu of such n orsement s, <br /> PRODUCER CONTACT <br /> AROM TFIF CORNLR INS NAME:'.. <br /> PHONE FAX <br /> 1431 BROAD ST Ar,No,Ext: AX.He <br /> { Z'MAIL <br /> ADDRESS; <br /> DUR1�iN NC 27705 <br /> 7 67 SE INSURERS AFFORDING COVERAGE NA IC p <br /> IN-SURERA,.TRA.VELERS PROPERTY CASUALTY COMPANY OF AMERICA <br /> INSURED <br /> GONZALEZ PAINTERS AND INSURER R:INSURER C <br /> CONTRACTORS INC <br /> 4301 BENNETT MEMORIAL RD INSURERD: <br /> DURHM NC 27705 INSURER E; <br /> INSURER F. <br /> :J <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBED, <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE <br /> POLICY PERIOD INDICATE O.NOTVVITHSTAN DING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT <br /> WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES <br /> OIESCREBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE <br /> BEEN REDUCED BY PAID CLAIMS. <br /> INb AQDL'SUHR PGLICY EFF POLICY E}tP <br /> L TYPE OF INSURANCE INSr7 WVO POLICY NUMBER MMIDDJYYYY)(MWDD1YYY-YI LIMITS <br /> aal COMMERCIAL GENERAL LIABIITY <br /> 'I EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> CLAJt'#.$-MADE OCCUR PR:WSES Ea occurrence)S <br /> F'," <br /> MED CXP tAny one person) S <br /> PCRSCNAL B ADV INJURY <br /> GEN'L AGGREGATE LIMIT APPOES PER: GENERAL AGGREGATE S <br /> POLICY PROJECT d LOC PRODUCTS-COMPIOPAGO S <br /> S <br /> AUTOMOBILE LIABILITY COMalNEO SINGLE LIMIT <br /> Ea acc,clent} g <br /> ANY AUTO BODILY INJURY Per ersan 5 <br /> O'NN£OAUTO5 AUTOS BODILY INJURY Nractlden! S <br /> ONLY AUTOS <br /> ONLY <br /> HIREDAUTOS NON-OWNED P k:X A AGF. <br /> AUTOS ONLY Per accidontI 5 <br /> I <br /> S <br /> UMBRELLA LIAR OCCUR EACHOCCURRENCE $ <br /> EXCESS UAB CLAIMS-NIADE AGGREGATE $ <br /> IDEDI IRFTENTION $ - <br /> WORKERS COMPENSATION - PER <br /> A AND EMPLOYERS'LIABILITY (6J[JFI-9F55531-2-18} 03-18-18 03-10-19 STATUTE ER <br /> ANY PRO'RIETORIPARTNERfEXECUTIVE <br /> c E-L.EACH ACCIDENT S 1,000,000, <br /> . O'FFlCER1NSEtA8ERE7(CLUOEO7 <br /> (Mandatorybamd Y NIA N <br /> II yes,descrigo tind E.L.OISEASE-CAEAIPLOYEE S 1,000,000 <br /> 1 <br /> er - <br /> • DESCRIPTION OF OPERATIONS balo-,v E.L.DISEASE_POLICY LIN,IT S 1,000,()00 <br /> �{ <br /> {:�'.-.• DESCRIPTION OF OPERA71ONSILOCATIONSNEHICL 3JtACORD idf,Addlllonal Remrks Schedule,may Ise attachod It more space Is requkrerly <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br /> POLICY PROVISIONS. <br /> ORANGE COUNTY <br /> PD BOX else AUTHORILED REPRESENTATIVE <br /> kfILLSB 3St]RDUGA NC 27278 <br /> S <br /> (DISOB-2015 ACORD CORPORATION,All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />