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DocuSign Envelope ID:AF325259-CDD5-451 D-9FF8-03E242D66646 <br /> 3 DATE(MwoolY'•:'1^r') <br /> CERTIFICATE OF LIABILITY INSURANCE <br /> 8I3012016 <br /> THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATiVHLY 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 /> WPORTANT: if the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUWMGATION IS WAIVED,subject to <br /> the terms and conditions of the polity,certain policies may require an endorsemein_ A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endos.ement(s). <br /> wITAcT przoauD£a NAME: Catherine Hummel <br /> i:atherine Hummel =Edi, 9192869500 <br /> Around The Corner Insurance Agency Inc. M _ I <br /> -1431 Broad St. INSU s AFFORDPIG COVERAGE NAICC <br /> Durham NC,27705 — _.. <br /> INSllRERA: AUandCCasuaftY <br /> INSURED, INSURER B:Travelers <br /> lGonzalez Painters And Contractors INSURERC: <br /> 113518 Guess Rd INSURER 0: <br /> Durham. NC 27705 <br /> I I INSURER F: I <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> I -HIS'S TO CERTIFY THAT THE PORKIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIoo <br /> I OICATED- NO-,VITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CCRTIFICATE MAY EE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS- <br /> EXC'USIONS,.%D CONCITIONS OF SUCH POLICIES.LRAiTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> PO.' ; POLICY EXP .. - <br /> L 7r1; TYPE CIF JNSURANCE POLICY NUMIDER- I mwm - I MIIS UNITS <br /> GENERAL LIASILITY - ! i EACH OCCURRENCE 3 1 000_.,0E7_0_-- <br /> A 1001039496-0 03f17t18 03117/17 €1UKLNItu <br /> 00NrAER30A-:aE%'ZAALLA$ILITY aREvu Eaoddirm ae s�,00,000-. <br /> —= <br /> s I ns;.SCE I aCCL:R j i a+Ea P(Are one parson) S � N 00U <br /> � _.. ._ ....._.__—. PERsaNA.LSAB571NJISRY s <br /> GENERAL AGGREGATE s 2 000,0-0 <br /> CEV-L AGGREGATE UMIT APPLI ES PEP: I PRODUCTS-COMPJOPAGG S <br /> Poucy Lac <br /> AUTOMOBILE LW8ILIS"Y i ,I COMB t 1F LLF S -_...... <br /> ANY ALITG 'BODILY IN,;u RY Merpersm) �S W <br /> ALL OWICED :SCHEDUL—.0 ... <br /> I i I1017iLY EN.SURYfPar aaudMlf} S <br /> . .AUTOS .NON-OAPN--O PPROPERTY PAMP.GE _._. ....... <br /> k S <br /> H`.IREDAL'TOS AUTOS <br /> .v s _. <br /> ---•.-UMBRELLA UAIE EACH OCCURRENCE 5 <br /> I OCCUR _.. _ ._...-__.._ <br /> EXCESS LIA6 i^ h75_h}ALiE I AGGREGATE 5 <br /> --�---�q I i <br /> DED RETE>dYION$ <br /> WORKERS COWENSATION I I NC STATU- <br /> A.W0 EMPLOYERS llaA;[TY YrH f 6JUI39F50581-2-10 03/18/16i 03/18/17 <br /> PRaFR= OWPA2 YERfEISECUI7hE s E.L.EACHACOD£NT is $1,000,000 <br /> nF -E2V, MAzREXCLU7ED7 HlA <br /> _._ <br /> ] MandmoryinNK) ; E.L DISEASE-EA EMPLOYEE!$ $1000000 <br /> 1 yes,descnae ender i <br /> a-s RIPTIOr or jPc-PATIONSbelw iEL-DLSE0.5E-POLCYLJMT`s s $1,000.000 I <br /> E 1 I <br /> r � j <br /> I <br /> DESC PrPTION of OP ee AnONs f LOCATIONS I VENCLES(Attach ACORD lal,Addition,]Remarks Schedule,1mom space Is required} I <br /> I <br /> i <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> PO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> HiLLS60ROUCH NC 27278 ACCORDANCE WTH THE POLICY PROVISIONS. � <br /> AUTHORIZW REPRESENTATIVE <br /> 7I �1 j <br /> 01988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(20101055) The ACORD name and logo are registered marks of ACORD <br />