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DocuSign Envelope ID:7DD65668-C818-41 E5-B88B-6036AFB1 B155 <br /> i <br /> DOCUSign Envelope ID:9E3B3EAD-CF32-439E-SODF-AEAC4FOC85D6 <br /> 4.'xvr: i <br /> Glf- <br /> , iC"rr"a CERTIFICATE OF LIABILITY INSURANCE °I`TE3""AU0"""' <br /> T�IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CE=RTIFICATE HOLDER, THIS <br /> 1'.. CE=RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDE=D BY THE POLICIES BELOW, <br /> THIS CHRTIFICATE OF INSURANCE GOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED RUPRESENTATIVE <br /> OR PRODUCER,AND THE GER7IFICATE HOLDER, <br /> IMPORTANT:If the,certificate holder Is an ADDITIONAL INSURED,the pollcy(les)mast have ADDITIONAL INSURED Provislons or he endorsed. <br /> If SUBROGATION is WAIVED,subject to the terms and conditions of the Dopey, cartel, policies may rognire an endorsement. A Statement <br /> on t Is certifica o dines not confor tic hts o t a c C oil ler In Ileu of Such an o se e t s, <br /> PRODUCER CONTACT <br /> AkOUND THE CORNY R INS AM <br /> 1 PHONE FAX <br /> 1431 13ROAD ST A7G NO Ell); AIC,No I <br /> E <br /> DURHAN NC 27745 <br /> ADDRESS: <br /> Y1 767HB INSURER.S.APFOROING COWRAeE HAIC A <br /> INSURERA:TRAVELERS PROPERTY CASUALTY C%IVANY OF AMERICA <br /> _ IFi9URED• - <br /> INSURER a: <br /> GONZ1iLEL PAINTERS AND f: CONTRACTORS INC INSURER C' <br /> ` 9 301 BENNETT MEMORIAL, RD INSURER D. <br /> a. <br /> DURRAM NC 27745 INSURER E: <br /> ' INSURER r: <br /> 4 , <br /> 1 COVHRAGE� CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE <br /> . POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR ZITHER DOCUMENT <br /> WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES <br /> DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLIC3ES. LIMITS SHOWN MAY HAVE <br /> -� .' C BEIEN REDUCER BY PAIb CLAIMS, <br /> a1N POLICY EFF POLICY EXP <br /> L TYPE OF INSORAHeC ANSO 1VVo POLTOY NUMBER MNUD Yy" MNVAnrYYYY LIMITS <br /> +} COPdMCRCIAL GENERAL LIABILITY EACH OCCURRENCE S <br /> DAMAGE TO RENTED <br /> 'y>>. CLA11f,$•NtgOE OCCUR PREMISES Ea otnrrtnnce S <br /> PERSONAL ❑ ! U <br /> I GENY AGGRELTH75 LINUT APPLIES PER: GENCRALAGGREGATE S <br /> POLCY❑PROJECT M LOG PRODUCTS-COMPIOPAW 5 <br /> AUTOMOBILE LIABILITY <br /> a ocddCnl COEbBINED SINGIE LIMIT <br /> i{ <br /> • E 'S <br /> ANYAUEO BODILY INJURY(Per persom S <br /> EDAUTOS SCHEDULED n®OILYINJURY Parecti3en! S <br /> HIqEDAUTOS NON OyYNED W"'AIIS <br /> ONLY AUTOSONLY UMORELLAVAtt OCCUR $EXCESS UAB CIARRS•MADS OED RETENTYOII $ $WORKERS COMPENSATION -AND EMPLOYERS`LIABILITY (6,'JUF3�9F56581-2-18} 03-18-18 03-18-19 <br /> £{ - ANY PROPRIETORIPARTNERdFXECUTIWE <br /> OFFiCERrI,tENIBER EXCLUDED? E.L CACHACCIDENT S 1,000,000 <br /> ! 3.; IMandasoryMNHE NIA P1 1,000,000 <br /> T?�s kk Y VA-01SEASE-EA EMPLOYEE S <br /> "I F DESCRIPTION OP OPERATI 5 6o:ew <br /> E,L.DtlSf:A5E-POLIGY:JPAIi 1,000,000 <br /> -i-i <br /> Ili.v. <br /> nA. t11PTIGNQFDY€1tATlONSJLDCATIGHSfVEHfCLEl3(ACORO101,AddlllcnalROnkarksSchodule,mpybmaRacho[ilt=is spacehmquliedl <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE THE <br /> EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE W17H THE <br /> POLICY PROVISION$. <br /> ORANGE COUNTY AU7HOR12EDREPRE$ENTATIVE � <br /> n .. PO BOX 8181 <br /> 1dTLI'SBORO'[7GEf NC 27278 �.. <br /> 81988.2018 ACORD CORPORATION.All rights roaarvad. <br /> ACORD 26(201GI03) The ACORO name and logo are registered marks of ACORD <br /> i9• <br />