2019-713-E AMS - Walker Auto Supplies fleet supplies

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DocuSign Envelope ID:4707631 D-C830-4BA5-B9EB-926C6FB1 F07D A`ORtfl0 CERTIFICATE 4F LIABILITY INSURANCE DA0212012TE 019 G212[]I2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE HOES 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 pollcy(Ees) 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 endorsements). PRODUCER CONTACT Whit Howard BATCHELOR&ASSOCIATES,LLC PHOINE 919-694-1300 AX kQ 1 919-301-8849 1312 ANNAPOLIS DRIVE ADDRESS: WHIT@BATCHELORANDASSOCIATES.COM SUITE 202 INSURERS AFFORDING COVERAGE NAIC0 RALEIGH NC 27608 INSURERA: ERIE INSURANCE EXCHANGE 26271 INSURED INSURER e: FIRST BENEFITS 16233 WAS VENTURES LLC INSURERC: WALKER AUTOMOTIVE SUPPLY INC INSURERD: 705 E SIX FORKS RD INSURERE: RALEIGH NC 27605-7831 1 INSURERF: COVERAGES CERTIFICATE NUMBER: 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 SEEN REDUCED BY PAID CLAIMS. IHSR TYPE OF INSURANCE L S POLICY EFF POLICY EXP LTR POLICY NUMBER fMWDDM2M MMIDD X COMMERCIAL GENERALLtABILITY EACHOCCURRENCE S 2,000.000 ENTER CLAIMS-MADE X OCCUR PREMISES En omerrance S 2,DGD,DGG ME EXP(Any oneperson) S 5,000 A Q97-0882923 01/01/2019 01/01/2020 PERSONAL&ADV INJURY y 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE S 4,OW0O 4 X POLICY PE Q LOC PRODUCTS-CCMPIOP AGG S 4,000,000 OTHER: Blanket Building Cav $ 19.408,900 AUTOtAOBILELtAa[LITY COMacrid BINEO SINGLE LIMIT $ 1,G00,000 Ea en! ANY AUTO 6001LYINJURY(Per person) S A ALL,OWNED SCHEDULED QDi-0141646 G110V2019 01/01/2020 BODILY INJURY(Peracddent) 5 X AUTOHREDSAUTOS X AUTOS Na-OWNED PROPERTY DAMAGE $ 1,000,000 AUTOS Per aaod i 500 COMP,1000 COL $ X UMBRELLALIAS X OCCUR EACH OCCURRENCE S 7,000,GG0 A EXCESS LIA9 CLAIMS-MADE 025-0174889 01101/2019 01/01/2020 AGGREGATE s 7.000.000 ❑ED X I RETENTIONS D 3 WORKERS COM PENSATION X g g7LITE OT1+- AND EMPLOYERS'LIABILnY ER AMfPROPMETORIPARTNEMEJLECUTWE YIN E.L EACH ACCIDENT S �J'DD,OGS B OFFiCEFUMFMBEREXCLUDED7 � NIA 15449 01101/2019 01/01/2020 5G0,00G (Mandatary In HH) E.L.DISEASE-EA EMPLOYE S If yyes,dos&W under DESCRIPTION OF OPERATIONS Wcw E.L.DISEASE-POLICY OMIT S DESCRIPTION OF OPERATIONS?LOCATIONS I VEHICLES (ACORD 101,Add[tic nsl Remarks Schedule,may be adached if more sPece is requt) Orange County,its Officers,Agents and Employees are listed as add ftional insured under general liability per the terms of the written contract. Location:Orange county ISS(NAPA#589)600 Highway 86 N Hillsborough NC 27278 CERTIFICATE HOLDER CANCELLATION 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 A D REPRESENT VE Hillsborough NC 27278 c 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 23