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DocuSign Envelope ID:7DD65668-C818-4l E5-B88B-6036AFB1B155 <br /> DocuSign Envelope ID:9E3B3EAD-CF32-439E-80DF-AEAC4FOC85D6 <br /> c" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/UDiYYYY) <br /> 0812502018 ALJ <br /> THIS CERTIFICATE 18 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 AFFbRDED 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 cerilllcale holdar Is an ADDITIONAL INSURED,the p011oy(les)must he endorsed, It SUBROGATION IS WAIVED,SubJatt I. <br /> the terms and conditions of the policy,certain polio lea may requlro an onclarsemotit, A statement on this certlRcate does not Confor rights to the <br /> cartlRcats holder in 110u of such sildorsotnertf(s), <br /> PRODUCER k-A-A01I ROUND 7HE CCIRNER fNSAGENCY ING <br /> STRICKLAND INSURANCE BROKERS INC �{B�: _ <br /> 4GD COMMERCE COURT AC,I{Jo ep1, 919 2t18.95t70 _ A c,Nol: 910 286-9501 <br /> GOLDSBORO,NO 27534 8$;— <br /> INSURER(S)At'FOi OINO3 COVERAGE NAIC# <br /> Ir1suREO G INSURPRA ATLANTIC CASUALTY INSURANCE COMPANY <br /> i3Pl2ALEZ PAINTEF�S&C ONTRACTORS INC : <br /> 4301 BENNETT MEMORIAL ROAD Rauncan: <br /> DURHAM, NO 27106 INSURERS <br /> NSURERD; -- <br /> INSURER E' <br /> INSURERF <br /> COVERAOLS 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. NO-PMHSTANDINC3 ANY REQUtREMENT,TERM OR CON131TION OF ANY CONTRACTOR OTHER DOCUMENT WITH R€SPECT TO WHICH THIS <br /> OERT(FICATE 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 /> !T 7YPeOFINSURAIICE POLICY NUMBER 67fAOp idtOO E Y LIMITS <br /> }( COMMERCIAL GENERAL CIA6ILITY L001039496.2 03/17/2018 03/17/2019 EAf;if OcC+JRRCNc:E t 1,000,000 <br /> cLAlrne•s,iAb� occ+r� PRE+r.IL•ES ee owirtwe*1 S 100,001} <br /> A - MED rXP(Any one p y onl $5,000 <br /> PERSONAL aADVWxRY ;1,400,000 <br /> .0ENL A00REGATE LVIT 10PLIES PER. GEFIEr?A!,A66RE�3A7C i 2,0(ID,OQfl <br /> }C POLICY C�j� �L9C PROCi1CT5-C(+MP1OPMs0 $1,000,OD0 <br /> UYHER. -- - <br /> AUTOM(SBlLELli{SILnY <br /> PINY AAJTO LI00[L`r a<'IJURY{Perpars�} I <br /> ps,*tEo fiCHEOVLEO <br /> AUT F,OTOS BODILY iRURY(Pot so:ddapl) :1 <br /> HIkL•aRUT4S AUCOSYtiJIED <br /> - PAPr9Sardi�r,l <br /> UM/UIM $ <br /> UMBRELLALIAe GCCUR EACHO=RRENCE <br /> EXCE95 LIAR 4 <br /> ClhrF,ICTnAUE AGGREOATE ; <br /> a p BETE rKm <br /> WORRERa COMPcn0ATloH - pp <br /> ANDEMPLOYFRS"L(ABILITY YIN F 3�ATUTE ERH I <br /> ,AJe!{FftOFRItTCRIPARiHt.Pra.,GU VE C L.EACH ACC4i}kNT <br /> gqFFKA RUEMDER PACLUQbW NIA 4 <br /> lMsn4ttory In NHI <br /> II s liwdboundet EL.DISEASE-iEAFIAPLow` <br /> !)ESGRR'no"oP VAERATR)N:i hplo+'r —F-11,DISEASE-POLICY LIMIT <br /> OFkCR IPTIDNOF'OPFRATJONSILOCATIOI3/VEHICLES(ACORD101,AddlllanalRemark.schodule,maybeattached)fmur#apat4lerequlretll <br /> PER POLICY <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE COUNTY <br /> SHOULD ANY OF THE ABOVE OEOaCRIBEO POLICIES BE CANCELLED BEFORE <br /> PO BOX 81ST THE EXPJRATIOII DATE THEREOF. NOTICE WILL BE DELIVERED IN <br /> HILLSBOROUGH,NO 27778 ACCORDA14CE WITH THE POLICY PROW WOWS. <br /> AUTHORIZED REPRESGNTATIVE <br /> 1968-2014 ACORD CORPORATION, All rfghte ressrved, <br /> ACOR1)28(2014101) The ACORD flarn0 apd 10 90 are rag(stared In arks of ACORf) <br />