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DocuSign Envelope ID:4720794E-16A1-43A1-88D2-962EDB327635 <br /> ARV CERTIFICATE OF LIABILITY INSURANCE o813012016ATE ' <br /> ?3f30l2016 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORAAATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATWELY AMEND, FXTEN13 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 /> I IL4PORTANT: If the certificate holder Is an ADDITIONAL,INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require art endorsement Astatement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorseme r4s). OONr <br /> PfipdUCER N,,E: T GathFnne Rummel ; <br /> f Catherine Hummel �k1DNE 9192869500 Fnx Ne: 19286 <br /> 50 i...... <br /> Around The Corner Insurance Agency Inc. R-MA14 <br /> 1431 Broad St. 1N! R�SIAFFORDINGCOVERAGE <br /> Durham NC,27705 INSVRERA:Atlantic Casualty <br /> INSURES] INSLIRER e:Travelers <br /> ,Gcnzaiez Painters And Contractors wsuRERc: I I <br /> e3513 Guess Rd INsuRERD: �....... <br /> Durham. NC NC 27705 INSURERE:__ —� <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER- REVISION NUMBER: <br /> ! THIS S TO CERTIFY THAT THE POLICIES OF INSURAi CE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PCLICY PERIOD <br /> II IN C CAT ED. NO`�PJiTHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE .'LAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERNIS. <br /> �^ EXCLUSIONS AND CC%CITIONS OF SUCH POLICIES.Llf;ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> rrIN I,T5R TYPE Of:INSURANCE - POLICYNUMBER MM1OA P0MZ'J E UMITS <br /> I <br /> GENERAL LIAaLUTY [EACH OCCURRENCE s -I Q{]OM(]_. <br /> A 10010394WO 03/17/161 03117/17 rR'r0 <br /> 17,tic' �OrnMERCsaLGEr:i:RALLwBIUTY ; I .7aE>ulsE >�g axo,�e, s 100,G{).0_ <br /> „LnI4A5d=mom oGcce j l !>uEe pcF ran orns I ;5G s....^ yQ <br /> PERSONAL ADV INJURY s 1 ©DO L1�1�I <br /> cENt RALAcsRs Te Is 2 00{7-QQ <br /> GEti L AGGRO-SATE LIMY APPLIES PEP: PRODUCT$-COWJOPAGG <br /> I P POPOLICYR- r j LOC S <br /> AUTOMOBILE LIABILITY I, OMB G. UNIFYS ...... <br /> ANY ALrL'0 ` BODILY INJURY{Per per3on) S <br /> ALL OWED 1 SCHEDu�ED I ...-... <br /> AUTOS I AUTOS 9ODlLY INJURY(Per acckiaally�S ... - <br /> f NON-Ok'N=D PROPERTv DAMAGE - <br /> J-.rRE4AC-TOS ++ rPer sedderro <br /> UMISREU-A LIAR I OCCUR I EACH OCCURRENCE S <br /> EXCESS LiAe <br /> _ cuvnI"nDE I nGCREcATE s <br /> .._DEo RETENTION <br /> L CAXERS COMPENSATION i WC STATU- OTH- <br /> B Anse EMPLOYERSLLABILITY YiN I 6Ji1B9F5S5$1-2-1fi 1 03/18/161 03/18/17 <br /> Pq rR:ET4R!?ARTP, lFXECUTIL'E HlAI E.L EACJ4 ACCIDENT is $1 000 000._. <br /> O EFY LIEI+16ER EXCLt 7ED7 p, <br /> >M.Inda ry In NMI - 1 E.L DISEASE-EA FMPLOYEEZ 5 $1 d0 000._ <br /> i'•y nEscRl�-rlo.I s, I0710e Odds ..... <br /> of GPEF3:.l7ON$aelw.• EL olsEAssE-POLICY UMrr i s $1,000.000 <br /> I <br /> DESCRIPTION OF OPERATIONS I LOCATIONS;VEHICLES(Aadeh ACORD 101,Addifiurwl Remarks ScheduK V more alpaca Is required) <br /> � 4 <br /> - - <br /> CwRTlFICATE HOLDER CANCELLATION <br /> ORANGE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAN CELLEM BEFORE <br /> RO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> HILLSSOROUCH NC 27278 ACCORDANCE WrrH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESEnITATIVE <br /> i <br /> Q 1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(20 01D5) The ACORD name and logo are registered marks of ACORD <br />