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DocuSign Envelope ID: E3F79OE6-E41D-4A21-9ACC-8F14487804C1 DATE(MMMDIYYYY) <br /> ddlti �'R" CERTIFICATE OF LIABILITY INSURANCE <br /> 1 alasr2al9 <br /> THIS CERTIFICATE 15 ISSUED AS A (NATTER 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(les)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, Certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder In lieu of such endorsements. <br /> PRODUCER CONTACT Don McClintock <br /> McClintock and Associates PHONE 919 84-4822 919 806-67Q6 <br /> 5850 Fayetteville Road EMAIL • don@mcclintockinsurenoeagency.com <br /> Suite 203 INSURER(S)AFFORDING COVERAGE NAIC N <br /> Durham NC 27713 INsuRERA: Hartford Casualty Insurance Company <br /> INSURED INSURER B <br /> Herndon Brothers Refrigeration INSURER C: <br /> Phoenix Food Equipment Parts, Inc. INSURER D: <br /> 4312 Roxboro Rd. INSURERE: <br /> Durham NC 27704 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. NOTWTHSTANDING 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 I LTR TYPE OF INSURANCE ADDL SUBR Policy NUMBER POLICY EFF POLICY EXP LIMITS <br /> X COMMERCIAL GENERAL LWBIUTY EACH OCCURRENCE S 1.000,000 <br /> CLAIMS-MADE �OCCUR RE I E TO RENTED $ 1,000,000 <br /> MED EXP one $ 10.000 <br /> A N N 22SBAVG7989 611=19 611/2020 PERSONAL s ADV INJURY S 1.000,000 <br /> GEN'L AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 <br /> PRO- LOC PRODUCTS-COMPIOP AGG s 2,000,000 <br /> POLICY❑ <br /> OTHER: 5 <br /> AUTOMOBILE LIABILITY COMe1NED SINGLE OMIT 5 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEOULED BODILY INJURY(Per accident) S <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE S <br /> AUTOS ONLY AUTOS ONLY Per accidanl <br /> S <br /> X UMBRELLA LIAS X OCCUR EACH OCCURRENCE 5 1.000,000 <br /> A EXCESS LIAR ci-Aims-LADE N N 22SBAVG7989 6/1/2019 6/1/2020 AGGREGATE $ 1.000.000 <br /> DED XIRETENTION$ 10,000 S <br /> WORKERS COMPENSATION ISTATUTEPER X OTH- <br /> AND EMPLOYERS'LIANUTY <br /> ANY PROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT S 1.000.000 <br /> A OFFICEWMEMBER EXCLUDED? MIA N 22WBCIV2112 1/1/2019 1/1/2020 <br /> (Umdawy In NH) E.L DISEASE-EA EMPLOYEE 5 1,000.000 <br /> H yes aeacr be under <br /> DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S 11.000T000 <br /> DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES(ACORD 10i,Addhlonal Remarks Schedule,may be attached it more space Is requlred) <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 /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 <br /> Fax; Email: 91988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD <br />