2019-604-E AMS - Trades of the Triangle

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EIG6230 8/11 AGENT’S NO.NAME AND ADDRESS OF AGENCY DATE ISSUED (MM/DD/YY) NAME AND ADDRESS OF NAMED INSURED This is to certify thaThis is to certify thaThis is to certify thaThis is to certify thaThis is to certify that policies,t policies,t policies,t policies,t policies, as indica as indica as indica as indica as indicated bted bted bted bted by the Policy Number belowy the Policy Number belowy the Policy Number belowy the Policy Number belowy the Policy Number below,,,,, are in f are in f are in f are in f are in force force force force force for the Named Insured aor the Named Insured aor the Named Insured aor the Named Insured aor the Named Insured at the time that the time that the time that the time that the time that the Certificat the Certificat the Certificat the Certificat the Certificate is being issued.te is being issued.te is being issued.te is being issued.te is being issued. COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR POLICY PROJECT LOC GENERAL LIABILITY EXCESS LIABILITY OCCURRENCE RETENTION $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Add’lAdd’lAdd’lAdd’lAdd’l Ins’dIns’dIns’dIns’dIns’d POLICY EXPIRAPOLICY EXPIRAPOLICY EXPIRAPOLICY EXPIRAPOLICY EXPIRATIONTIONTIONTIONTIONDADADADADATE TE TE TE TE (((((MM/DD/YYMM/DD/YYMM/DD/YYMM/DD/YYMM/DD/YY)))))POLICY EFFECTIVEPOLICY EFFECTIVEPOLICY EFFECTIVEPOLICY EFFECTIVEPOLICY EFFECTIVEDADADADADATE TE TE TE TE (((((MM/DD/YYMM/DD/YYMM/DD/YYMM/DD/YYMM/DD/YY)))))POLICY NUMBERPOLICY NUMBERPOLICY NUMBERPOLICY NUMBERPOLICY NUMBERTYPE OF INSURANCETYPE OF INSURANCETYPE OF INSURANCETYPE OF INSURANCETYPE OF INSURANCE WORKERS COMPENSATION & EMPLOYERS LIABILITY AUTHORIZED REPRESENTATIVE CERTIFICATE OF INSURANCE — THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY — EACH OCCURRENCE LIMITSLIMITSLIMITSLIMITSLIMITS AGGREGATE __________________________ __________________________ GEN’L AGGREGATE LIMIT APPLIES PER: $ $ $ $ AUTOMOBILE LIABILITY BODILY INJURY AND PROPERTY DAMAGE COMBINED PROPERTY DAMAGE $ $ $BODILY INJURY (EACH ACCIDENT) BODILY INJURY (EACH PERSON) $ (OWNED, HIRED, NON-OWNED) STATUTORY BODILY INJURY BY ACCIDENT EACH ACCIDENT DISEASE POLICY LIMIT DISEASE EACH EMPLOYEE $ $ $ FLAGSHIP CITY INSURANCE COMPFLAGSHIP CITY INSURANCE COMPFLAGSHIP CITY INSURANCE COMPFLAGSHIP CITY INSURANCE COMPFLAGSHIP CITY INSURANCE COMPANYANYANYANYANYCo.: GCo.: GCo.: GCo.: GCo.: G Co.: DCo.: DCo.: DCo.: DCo.: D ERIE INSURANCE COMPERIE INSURANCE COMPERIE INSURANCE COMPERIE INSURANCE COMPERIE INSURANCE COMPANYANYANYANYANYCo.: CCo.: CCo.: CCo.: CCo.: C Co.: ECo.: ECo.: ECo.: ECo.: E OWNED HIRED NON-OWNED GARAGE “ANY AUTO” ERIE INSURANCE PROPERERIE INSURANCE PROPERERIE INSURANCE PROPERERIE INSURANCE PROPERERIE INSURANCE PROPERTY & CASUALTY & CASUALTY & CASUALTY & CASUALTY & CASUALTY COMPTY COMPTY COMPTY COMPTY COMPANYANYANYANYANY ERIE INSURANCE COMPERIE INSURANCE COMPERIE INSURANCE COMPERIE INSURANCE COMPERIE INSURANCE COMPANY OF NEW ANY OF NEW ANY OF NEW ANY OF NEW ANY OF NEW YORKYORKYORKYORKYORKCo.: FCo.: FCo.: FCo.: FCo.: F $EACH OCCURRENCE $FIRE DAMAGE (Any One Fire) $MED EXP (Any One Person) PERSONAL & ADV. INJURY GENERAL AGGREGATE PRODUCTS-COMP/OP AGG $ $ $ NAME AND ADDRESS OF CERTIFICATE HOLDER COCOCOCOCO LLLLLTRTRTRTRTR This certificate is issued for information purposes only and confers no rights on the certificate holder. It does not affirmatively or negatively amend, extend, or otherwise alter the terms, exclusions and conditions of insurance coverage contained in the policy(ies) indicated below. The terms and conditions of the policy(ies) govern the insurance coverage as applied to any given situation. Limits shown may have been reduced by claims paid. This certificate of insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer and the certificate holder. CANCELLATION:SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIV- ERED IN ACCORDANCE WITH THE POLICY PROVISIONS. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 endorsement(s). ERIE INSURANCE EXCHANGEERIE INSURANCE EXCHANGEERIE INSURANCE EXCHANGEERIE INSURANCE EXCHANGEERIE INSURANCE EXCHANGE Erie Indemnity Co.,Erie Indemnity Co.,Erie Indemnity Co.,Erie Indemnity Co.,Erie Indemnity Co., AttorneAttorneAttorneAttorneAttorney-in-Facty-in-Facty-in-Facty-in-Facty-in-Fact COMPCOMPCOMPCOMPCOMPANYANYANYANYANY(((((IESIESIESIESIES))))) AFFORDING COVERAGEAFFORDING COVERAGEAFFORDING COVERAGEAFFORDING COVERAGEAFFORDING COVERAGE ( )Not Not Not Not Not ApplicaApplicaApplicaApplicaApplicablebleblebleble in NYin NYin NYin NYin NY D REPRRRRRRRRESENTAAAATIVE ALEKSANDRS BUTORINS D/B/A 622 LATIMER ST HILLSBOROUGH, NC 27278-2355 X X X Q34 0920823 10/9/18 10/9/19 1,000,000 1,000,000 5,000 1,000,000 2,000,000 2,000,000 100,000 300,000 50,000 10/16/1910/16/18Q10 1630596 X 100,000 500,000 100,000 8/12/19Q92 1200536 8/12/18 8/2/19 JJ1481 CHAN WRIGHT INSURANCE AGY INC TRADES OF THE TRIANGLE Orange County PO Box 8181 Hillsborough, NC 27278 150 PROVIDENCE RD STE 100-A CHAPEL HILL, NC 27514-2208 Page 1 of 1 E E E (919)341-1606 DocuSign Envelope ID: 3BE6B883-B8C3-41EC-91BF-FB29A23E2350