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DocuSq,Envelope ID:550FD84A-02004346-8659-17EOCD9D691A <br /> M DATE(MMIDDfYYYYI <br /> ACORD CERTIFICATE OF LIABILITY INSURANCE 02/19/19 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER 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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br /> terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACTAshley Cobb <br /> NAME: y _ <br /> PHONE 336 229-6103 FAx <br /> Tapco Colony (AIC,Na,Ext),_ _ (A1C,No): <br /> 3060 South Church St. E-MAIL <br /> ADDRESS: _ <br /> Burlington,NC27215 PRODUCER <br /> CUSTOMER IO <br /> INSURERS)AFFORDING COVERAGE NAIC N <br /> INSURED INSURERA: TapcoColony <br /> Southern Events Unlimited INSURERS: Allstate Insurance <br /> 1470 Boone Road INSURERC-. <br /> Burlington,NC 27217 INSURER D: _ <br /> INSURER E: - <br /> 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. NOTWITHSTANDING 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 TYPE OF INSURANCE IAODL SUER i POLICY EFF POLICY EXP LIMITS <br /> LTR POLICY NUMBER MMIDDIYYYY MM0DIWYY <br /> GENERAL UABII-TTY EACH OCCURRENCE 5 1-WQgU- <br /> MXPCU-N 02/19/19 02/19/20DAMAGE TO RENTED <br /> _X COMMERCIAL GENERAL LIABILITY PREMESES(Ea occurrence S _J 010000 <br /> X CLAIMS-MADE C OCCUR f MED EXP(Any one person) $ 5000 <br /> PERSONAL&ADV INJURY S 1000000 <br /> GENERAL AGGREGATE 5 2000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER; PRODUCTS-COMPIOP AGG S loonnnn <br /> POLICY JE 7 LOC 5 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Q02-193792 02/19/19 02/19/20 (Eaaccident) 5 10000000 <br /> ANY AUTO BODILY INJURY(Per person) 5 <br /> ALL OWNED AUTOS BODILY INJURY(Per accldenl) S <br /> X SCHEDULED AUTOS PROPERTY DAMAGE S <br /> HIRED AUTOS (Per accident)` <br /> NON-OWNED AUTOS <br /> I 5 <br /> UMBRELLA LIAR �OCCUR EACH OCCURRENCE 5 <br /> EXCESS LIAS CLAIMS-MADE r F_ AGGREGATE 5 <br /> DEDUCTIBLE 1 S <br /> ! RETENTION $ S <br /> WORKERS COMPENSATION WC SLIM OTH- <br /> AND EMPLOYERS'LIABILITY YIN RY LIM R <br /> ANY PROPRIETOWPARTNERfEXE-11—❑ ("� E.L.EACH ACCkDENT S <br /> OFFICERIMEMBER EXCLUDED? NIA'I — <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE. $ <br /> if yes.de%fte under <br /> r E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (Attach ACORD 1D1,Additional Remarks Schedule,kf more space Is required) <br /> TNT Fireworks as additonal insured <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> Orange County EXPIRATION DATE THE90F, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br /> 131 W Margaret Ln POLICY PROVISIONS. k + <br /> Hillsborough NC 27275 Le s•�1'{'�L <br /> AUTHORIZED REPRESENTATIVE <br />