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DocuSign Envelope ID: E34D59A8-5DED-42AB-B007-C9Fl7F80DB8C <br /> r 4& DATE(MMJDDM Y'ri <br /> CERTIFICATE OF LIABILITY INSURANCE <br /> � 613012016 <br /> THIS CERTIFICATE IS 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 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 c ttflcate 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 an endorsement_ A statement on this certificate does not confer rights to zhe <br /> certificate holder in lieu of such andorsement(s). <br /> cONTPRODUCER wu1e: T Catherine Hummel <br /> j Cathedne Hummel PNOHE 9192869500 F'x Nfl; 1 ._869501 _. <br /> Around The Corner insurance Agency Inc. E-MAIL <br /> 1431 Broad St. INS AFFORDING COVERAGE <br /> Durham NC,27705 <br /> INsuRERA:Atlantic Casualty <br /> INSURED INSURERS:Travelers <br /> ,Gonzalez Painters And Contractors INSURER C: ... <br /> 3513 Guess Rd INSURER o <br /> k <br /> [Durham.NC 27705 wSURERe <br /> INSURER F: _ <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBF-k <br /> I THIS IS TO CERTIFY THAT THE POLICIES OF INSURAIJCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> I IN.GCATED. NO VLITHSTANDING ANY REOUIR.EWENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM$. II <br /> {— EXCLUSION'S AND CONDITIONS OF SUCH POLICIES.LITArfS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> em r 1LICY <br /> LTR TYPE OF INSURANCEADDL Sil t POUC.Y NUMBER 1 mn2p MWD POLICY�� LIMITS p <br /> 7R. <br /> GE'JERAL LIABILITY I EACi40CCURRENCE a. 1 fl00 O Q-- <br /> A j 11001039496-0 03117116 03117/17 <br /> +e/l C0hrr1LEnRICL1IAyj-F:3:4ECN•EE R?ALLMI41TY .C..... <br /> MED XP("oft va3onlaeru <br /> 500 <br /> -7 I PERSONAL a ADV INJURY S 3 .fJ...l IMP <br /> I GENERALAGGREGATE s _- 2.000,000 <br /> iZK-L AGGREGATE L11,17APPUFSPEP; PRODUCTS-CONIFJOPAGG s 1.fl00.040.- <br /> POLICY PRO- I�LU S <br /> AUTOMOBILE LLABIUTY � C COMBINED S, <br /> LIMITS <br /> ANY AUTO BODILY INJURY Per person} is .-.. <br /> kJL OWNED 1 AUTOS SCHEDULED BODILY INJURY rw.-accKtent) S <br /> AL!TOV - - - ---- <br /> 1l NON-OWNED PROPERLY o E S <br /> HiRE0ALITO& AUTOS 1 Per e..__. <br /> _ UMBRELLA UAB _ OLGi�R � 1 EACH OCCURRENCE 5 ! <br /> EXCESS LIAS i. 1 CL ml&9 MADE! !AGGREGATE <br /> QED ReTftNTION S I 3 <br /> WORKERS COMPENSATIONOTYI- <br /> 3 AND EMPLOYERS L IABrUTY Y 7 N !6JU B9F56581-2-16 03118/16 03/18/17 <br /> . li PRORRIET6RIP.ARTNEERxECECUTNE NIA E.L EACH ACOIDENT` IS $1 000,000'_ <br /> C •G1cRA1c-M8ER EXCLUDED? -._..... <br /> Ylandatory In NH] CL OW-ASE-EA EMPLOYEES $1 000 000 - <br /> .... <br /> Sys RI a ER:nONSbebw I I F.L.DISEASE-POLICYUMrr is 1 fl001JOG <br /> I , <br /> ii <br /> 1 <br /> DCSCRIP7I0N OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 1101,Aillmonal Asmarias Schedule,if mom apace Is requimd) { <br /> CSIR TFICATE HOLDER CANCELLATION <br /> ORANGE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE � <br /> PC)BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN i <br /> NILI SBCRC3UGH IuC27278 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> 1 <br /> C 1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />