2019-440-E AMS - Creative Business Interiors Churton Grove furniture contract extension

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DocuSign Envelope ID:96COOCFO-A422-4AA9-BOC1-EB82D2EBA648 CREAT-5 OP ID7 MAT CERTIFICATE OF LIABILITY INSURANCE DATE 07JI812019`' 0 211 812 01 9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 919 818-94 i 2 C NTACT Highsmith Insurance Highsmith Insurance PHONE 91 g_87g.g412 FAX 919-256-1969 r- a Marsh&McLennan Agency LLC A No.Ext; A C No 3700 Glenwood Ave.,Suite 430 E-1JIAIL .matt@highsmithinsurance.com Raleigh,NC 27612 Matthew Harney INSURERS AFFORDING COVERAGE NAIC# INSURER A:Selective Ins.Co of America 12572 INSURED INSURERS:Hartford Acc&Indemnity Co 22357 Creative Business Interiors In 8720 Fleet Service Drive INSURERC: Raleigh, NC 27617 wsuRFR D: INSURER E INSURER F; COVERAGES CERTIFICATE N U M BFIR P REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OFINSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY ExP LIMITS A x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS-MACE � OCCUR S 2338296 11/27/2018 11/2712019 DAMAGE TO RENTED 500,000 MED EXP(Any one erson 16,000 PERSONAL&ADV INJURY 1,000,000 E L AGGREGATE LIMIT APPLIES PER: GENERAL AGGFIEGATE 3,000,000 x POLICY jPa LOC PRODUCTS-COMPIOP AGG $ 3,000,000 OTHER: S A AUTOMOBILE LIABILITY COMBINER SINGLE LIMIT 1,000,000 X ANY AUTO S 2338296 11/27/2018 11/27/2019 BODILYINJURY Per son _ OWNED SCHEDULED AUTOS ONLY AUUTNOSWNEp BOOMLY INJURY Per accident x AUTOS ONLY L Af77O ONLY PeCaoEcR naAMAGE A x UMBRELLA LIAR x OCCUR EACH OCCURRENCE 3,000,000 EXCESS UAB CLAIMS-MADE S 2338296 11/27/2018 11/2712019 AGGREGATE $ 3,000,000 ❑ED I I RETENTION$ B ANO EMPLQ�YERS'LIA8ILIOTY x PER OTH- ANY PROPRIETORIPARTNERIEXECUIWt: YIN 22WBCEM0470 11/27/2018 11/27/2019 E.L.EACH ACCIDENT S 600,000 OFFICERIMEMBER EXCLUDED? NI NIA [Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 600,000 It yes,describe updef ❑E I TiON F OPERATIONS below E.L.DISE SE-P LI Y 500,t)Ob A Employment Prac S 2338296-01 11112712018 11/27/2019 Empl Prac 100,g00 A Crime S 2338296-01 11/27/2018 11/27/2019 Crime 25,000 DESC Rl PT1 ON❑F OPERATIONS f LOCATIONS 1 VEHICLES (AC ORD 101,Additional Roma rks Schedule,may be attach ad If more space is required) CERTIFICATE HOLDER CANCELLATION ❑RANGEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 8181 Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. Ali rights reserved. The ACORD name and logo are registered marks of ACORD