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DocuSign Envelope ID:5B46C8FA-F9AB-4AOA-9FO8-7135E13A4E52 <br /> .d►cv�er� <br /> CERTIFICATE OF LIABILITY INSURANCE DATE <br /> YI <br /> THIS CERTIFICATE IS ISSUED AS A(NATTER 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(les)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 an this certificate does not confer rights to the <br /> certificate holder In lieu of such endorsement(s), <br /> PRODUCER IIINTAIT CAf�LA.WALKER <br /> CARLA.WALKER INSURANCE AGENCY INC PHONE 919-563-0054 919-563-0053 <br /> AIG No Ext: LAIC No <br /> PO BOX 553 ADDRESS; CARL @CARLWALKERINSURANCE.COM <br /> INSURER(S)AFFORDiNG COVERAGE NAIC N <br /> MEBANE NC 27302 INSURERA: ERIE INSURANCE EXCHANGE 26271 <br /> INSURED INSURER 8: WESTCHESTER FIRE INSURANCE COMPANY 10030 <br /> R S,CONES&ASSOCIATES INC INSURER C, <br /> 201 W CLAY ST INSURER D; <br /> MEBANE,NC 27302 INSURER E: <br /> INS U RER F <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUM13ER: <br /> THIS IS TO CERTIFYTHAT 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 CONIDIT1CN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE 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 TYPE OF INSURANCE INSR yWyD POLICY NUMBER 9MIDD1YYYY MMIDD4YYYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 <br /> COMMERCIAI_GENERAL LIABILITY PREMIISES Ea oaunence s 2,000,000 <br /> CLAIMS-MADE N OCCUR MED EXP(Any one person) S 5,000 <br /> A Q421690212 06/1612018 06116/2019 PERSONAL aADV INJURY S 2,000,000 <br /> GENERALAGGREGATE $ 4,000,000 <br /> GEN'L AGGREGATE LIMITAPPLIESPER PRODUCTS-COMPIOPAGG $ 4,000,000 <br /> CK <br /> POLICY PRO- <br /> JECT LOC $ <br /> AUTOMOBILE LIABILITY CUMBINIEU SINULE LIMI I $ 1,000,000 <br /> Ea accident] <br /> ANYAUTO BODILY INJURY(Per parson) 5 <br /> A ALL OWNED SCHEDULED 0.061630431 06(1612018 06/1612019 BODILY INJURY(Par accident S <br /> AUTOS AUTOS ) <br /> NON AWNED Per accitlenl S <br /> HIREDRUTOS AUTOS, <br /> UMRRELLALIAB OCCUR EACH OCCURRENCE $ 3,000,000 <br /> A EXCESS LUIS CLAIMS-MADE 0301670212 0611842018 061161201$ <br /> AGGREGATE $ 3,000,000 <br /> DIED RETENTIONS g <br /> WORKERS COMPENSATION WG STATU- OTH- <br /> ANO EMPLOYERS'LIABILITY Y rN TORY LYMI ER <br /> ANY PROP RIETORIPARTNERIEXECUTiVE E.L EACH AC C IDENT 4 500,000 <br /> A OFFICERIMIEMBEREXCWDED? O NIA 0902100491 08!2112018 061211201$ <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 500,000 <br /> ll as,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 <br /> B PROFESSIONAL LIABILITY 627934092 002 12116!2017 121154201$ Limit,321000T000 aggregate <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Altach ACORD 101,Additional Remarks Schedule,If rhdre space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> Orange County DIAPR ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Pd Box$1$1 AUTHORIZED REPRESENTATIVE <br /> Hillsborough,NC 27278 __ <br /> y <br /> ACORD 25(2010105) ©1988-201 D ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />