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DocuSign Envelope ID: FABAOCC1-105C-4lB8-ADE9-5B5COC12BF45 <br /> /E{ CERTIFICATE OF LIABILITY INSURANCE 31412o1g <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 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 the <br /> certificate holder in Ileu of such endomement(s). <br /> PRODUCER CONTACT <br /> ONE CT Tom MCGarvey <br /> AAI-Mark Vital!Agency A�roc"N Exo. 919-933-4000 No; 919-933-5160 <br /> 1289 N. Fordham Blvd. E-MAIL1 mcgarvt2@nationwide.t:Om <br /> Chapel Hill, INC 27514 INSURER S AFFORDING COVERAGE NAIL <br /> €NSURERA: NATIONWIDE MUTUAL_INSURANCE CO. 23787 <br /> INSURED INSURER B: BUILDERS MUTUAL INS.COMPANY 50019 <br /> FRAZ<EE CARPET&INTERIORS,INC INSURERC: <br /> 3113 FIILLSBOROUGH ROAD INSURER D: <br /> DURHAM, NC 27705-3002 INSURERE: <br /> 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 SUER ! POLICY EFF POLICY EXP LIMITS <br /> LTR TYPE OF INSURANCE POLICY NUMBER I MMIDD MMIDI] <br /> A X COMMERCIAL GENERAL LIABILITY I ACP 2293887341 051091201$ 5/09/2019 EACH OCCURRENCE S 2,000,000 <br /> CLAIM-9-MADE 11 OCCUR aEress s Ea ac r ence $ 300,000 <br /> MED EXP(Any one persan) $ 5,000 <br /> PERSONAL&ADV INJURY g 2,000,000 <br /> GENT AGGRF-BATE L 4iff APPLIES PER: ) GENERAL AGGREGATE 5 4,000,000 <br /> Ea LOG PRODUCTS-GOMPlOPAGG 5 4,00{f,000 <br /> POLICY® <br /> OTHER: <br /> A AUTOMOBILE LIABILITY ACP 2293887341 051091201$ 5/0912019 COMBINEDni SINGLE LIMIT S 2>000>000 <br /> Ea aeclde <br /> ANYAUTO BODILY INJURY(Per person) S <br /> ALL OWNED SCHFQUI-ED BODILY INJURY(Per accident) $ <br /> Ix AUTOS AUTOS <br /> NON-OWNED ` PROPERTY DAMAGE <br /> HIRED AUTOS E <br /> AUTOS I aracddent $ <br /> �11 <br /> 5A X UMBRELLAUAB OCCUR ACC' 229388734/ 05/09/2018 5100120'19 EACH OCCURRENCE s 4,000,000 <br /> EXCESS UAB CLAIMS-MADE AGGREGATE g 4,000,000 <br /> ❑EQ RETENTION$ s <br /> B WORtfERS COMPENSATION I WCP 003927012 02/16/2019 2116/2020 PERSTATUTE i I ER OTH- <br /> AND EMPLOYERS•LIABILITY <br /> YIN <br /> ANY PROPRIETOPJPANERlZXECQnVE RT E.L.EACH ACCIDENT _ $ 1,000,000 <br /> OFFICERIMEMBER EXCLUDED? ❑M I A <br /> fMandstory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 <br /> IF <br /> s,describe under i <br /> D SCRIPT€ON OF OPERATIONS below ! E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> DESCRIPTION OP OPERATIONS!LOCATIONS I VEHICLFS(ACORD tot,Additional Remarks Schedule,may he attached if 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 /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> • AUTHORIZED REPRESENTATIVE <br /> OO 1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD dame and logo are registered marks of ACORD <br />