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DocuSign Envelope ID: B9188346-CODE-4FEO-8502-F4BE6A7B75A1 <br /> DATE{M M/OD/Y5'S'Y} <br /> A�Q� CERTIFICATE OF LIABILITY INSURANCE <br /> PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br /> Maguire Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 272s11 Puerto Real Ste= HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br /> Mlsslon Viejo,CA92691--7389 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> 877.-03&7459 <br /> INSURERS AFFORDING COVERAGE NAIC p <br /> INSURED INSURER A:Phllade3 hialndernnkylnsuranceCom ahy IBo56 <br /> Barbara tan Lang INSURER B: <br /> 905 Cedar Fork Trail INSURER C: <br /> Chapel Hill,NC 27514- <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIF5 OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHFR DOCUMENT WITH RESPECT TO WHICH THIS CERIFICATiON MAY BE 155UED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBIECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ' <br /> tNSR ADD'L I POLICY EFFECRYF POLICY EXPIRATION <br /> LTR INSRO TYPE OF INSURANCE POLICY NUMBER DATE iM WDDIYYYY} DATE(MWDD/YYYYI LIMITS <br /> A X GENERAL LIABILITY PHPK596174.008 07/E012o18 0111012D19 EACH OCCURENCE $Z,DDO,DOD <br /> X COMMERCIAL GENERAL LABILITY PREMISES Ea occurrence _ $10%000 <br /> CLAIMS MADE Ej OCCUR MED EXP(Anyone person) µ $2,SCU <br /> X PROFFSSIONAL LIABILITY PERSONAL&ADV INIURY $2,ow'Coc <br /> i <br /> GENERAL AGGREGATE $4,DDtl,000 <br /> GFN'L AGGREGATE LIMIT APPLIES PER PRODUCES—COMP/OP AGG $4,OBO,00D <br /> X POLICY PROJECT LOC <br /> AUTOMOBILE"ABILITY COMSINED SINGLE LIMIT <br /> ANY AUTO (EA accident) <br /> ALL OW N E D AUTOS BODILY INJURY <br /> SCHEDULED AUTOS [Per person] <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS [Per accNontJ <br /> PROPERTY DAMAGE <br /> [Per accident] <br /> GARAGE LIABILITY AUTO ONLY—EA ACCIOE N Y <br /> ANYAUTO OTHER THAN F.AACC <br /> AUTO ONLY: AGG <br /> EXCESS/UMBRELLA LIABILI7Y EACH ODCURENCE <br /> OCCUR F-1 CLAIMS MADE AGGREGATE <br /> DEDUCTIBLE <br /> RETENTION [. <br /> EMPLOYERS'IIABIIIT'f YIN .4 ?..ii f TORY LIMITS ER <br /> ANY PROPTETZPARTNER/�XECl1TIVE <br /> OFFICER/MEMBER EXCLUDED? El.EACH ACCIDENT <br /> ;eeandalory In NH} F.L.DISEASE—EA AMPLOYEE <br /> RYyee describe under <br /> SPELL PR W ISIONS below E.L-DISEASE—POLICY LIMIT <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENODHSEMENY 1 SPECIAL PROVISIONS <br /> Il is understood and agreed Ihat the following entity Is added as an additional insured but only M1h respectis}to the opmatlons of the named insured emeo that We bility resulling From Iho addltlonal InSllred'S sole <br /> RPp'lonce. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br /> THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE <br /> CERTIFICATE HMUER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR <br /> LIABILITY Of ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATRJE <br /> ACOR❑25(2009/01) GO 1988-2009 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks ofACORD <br />