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DocuSign Envelope ID: F90C187C-FA90-4F9D-8F69-89C8CB5166DB DATE(MMIDDmrcY) <br /> ACCORD CERTIFICATE OF LIABILITY INSURANCE <br /> 021C 512019 <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 certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsements . <br /> PRODUCER CONTACT NA ME: Don McClintock <br /> McClintock and Associates PHONE (919)484-4822 me No), 919)B06-8706 <br /> 5850 Fayetteville Road ADDRESS' don@mcdintockinsuranceagency.com <br /> Suite 203 INSURERS AFFORDING COVERAGE NAIC# <br /> Durham NC 27713 INSURER A: Hartford Casualty insurance Company <br /> INSURED INSURER B: <br /> Herndon Brothers Refrigeration INSURER C: <br /> Phoenix Food Equipment Parts, Inc. INSURERD: <br /> 4312 Roxboro Rd, INSURER In <br /> Durham NC 27704 INSURER F <br /> COVERAGES 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 NOTWITHSTANDING ANY REQUIREMENT, 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 TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> v <br /> TR TYPE OF INSURANCE POLICY NUMBER MMIODNYYY MMMDNYYY <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE � OCCUR DAMAGE <br /> EaE�rrence $ 1,000,000 <br /> MED EXP(Any one person) $ 10,000 <br /> A N N 22SBAVG7989 6/112018 6/1/2019 PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN`L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 <br /> POLICY PRO ❑ LOC PRODUCTS <br /> E:IJECT -COMPIOP AGG $ 2,000,000 <br /> OTHER: COMBINED <br /> AUTOMOBILE LIABILITY Ee accident)SINGLE LIMIT $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Pei accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident) <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 <br /> A EXCESS LIAB CLAIMS-MADE N N 22SBAVG7989 6/1/2018 6/1/2019 AGGREGATE $ 1,000,000 <br /> DIED X I RETENTION$ $ <br /> WORKERS COMPENSATION STATUTE X ERH <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETORMARTNERIEXECUTIVE ANY E.L.EACH ACCIDENT $ 1,000,000 <br /> A OFFICERIMEMBER EXCLUDED? Y I N IA N 22WBCIV2112 1/1/2019 1/1/2020 E.L.DISEASE-EA EMPLOYE $ 1,000,000 <br /> (Mandatory in NH) <br /> H es,Rdesc <br /> IPTribeION under OF OPERATIONS below <br /> DESC E.L.DISEASE-POLICY LIMIT $ 1,000 000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange County Solid Waste Management ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1207 Eubanks Rd. <br /> AUTHORIZED REPRESENTATIVE <br /> Chapel Hill NC 27516 <br /> Fax: Email: ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />