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DocuSign Envelope ID:831A769C-BEF2-4D66-9D44-A61CDOFCB039 <br /> �0 CERTIFICATE OF LIABILITY INSURANCE DAT£tMMroDrrrr>7 <br /> 0 6/1 312 0 1 9 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHT'S 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 T14E ISSUING INSURER($),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDEN <br /> IMPORTANT If tha certificate holder is an ADDITIONAL INSURED,the pollcy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,SUb]ectto the torms and conditions of the pollcy,certain policies may require an endorsement A statement on <br /> this certificate does not confer rlghts to the certificate holder in lieu of such endorsement($). <br /> PRODUCER CONTACTLynne Sewell <br /> NAME: y <br /> Chastain&Associates Ins PHONE (706)543-2575 FAX (705)543-4647 <br /> RrC No. <br /> a Ext: fAX,No <br /> P.O.Box 190B E--AAJL Lynne@chastain-assoc.com <br /> ADDRESS: <br /> INSURER AFFORDING COVERAGE NAIL* <br /> Athens GA 30603 INSURER A r AutoOwneFs 18988 <br /> INSURED INSURERS: Lloyds <br /> FergusonTransit Solutions,LLC INSURARC: <br /> 676 Crowe Road 114SURJ R D: <br /> INSURER E <br /> Statham GA 30666 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CL195132B163 REVISION NUMBER: <br /> THIS IS TO CER71 FY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. N OTWIT HSTAN D I NO 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 INSURANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSI 0 NS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> ILTSRR TYPE OF INSURANCE POLICY EPF POLICY F]tP <br /> C POLlCYNUMe£R MOUC YEFF iP LIC YYYY LMITS <br /> X COMMERCIAL GENERALLIAH[LITY EAC H OCCU R R ENCE $ 1,00010(lo <br /> CLAIMS-MADE OCCUR PREMISES Eaoxurrence) S 300,000 <br /> MED ECP(Any one❑arson) s 10,00o <br /> A 80360595 06/11/2019 061111202E PERSONAL&AOV INJURY g EXCLUDED <br /> GFNILAGGREGATE LAM ITAPPUESPER: GENERALAGGREGATE t: 2,000,000 <br /> X POLICY EljEC7 LOG P{iODUCTS-COMPIOPAGG g 2,000,000 <br /> OTHER: 3 <br /> AUTOMOBILE LIABILITY COMBINED S NGLE UMIT 6 <br /> Ea acd don <br /> ANYAUrO BODILY INJURY(Per person) S <br /> OWNED SCHEDULED BODILYINJURY(Per acdden0 $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DM AAGE S <br /> AUTOS ONLY AUTOS ONLY Per acadenl <br /> S <br /> UMBRELLA UAB OCCUR EACH OCCURRENCE $ <br /> ExCM LAB HCLAIMS-MADE AGGREGATE S <br /> DED I I RETENTION S S <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILJTY YIN STATUTE ER <br /> ANY PROPRIETORIPARTNERIEXECUT1VE ❑ NIA EL.EACH ACCIDENT S <br /> OFFICERIMEMBER E[CLUDED7 <br /> (Mandatory In NH) EL,OTSE•ASE-£A EMPLOYEE $ <br /> if yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LJMIT S <br /> Professional Liability <br /> B MPL418193419 06/11/2019 0611112020 $1,00a,aaa <br /> DESCRIPTION OF OPERATIONS I LOCATION 9 f VEKICLES(ACORD 10%Additl onal Remarks Schedule,may be attached it more space Is requlmd) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> Orange County PubllcTransportatlon ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 600 Hwy 85 N <br /> AUTHOR QED REPRESENTATIVE <br /> P.O.Box 8181 <br /> HIIIsbDrcugh NC 27278 4A- 1r <br /> 9)1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORO name and logo are registered marks of ACORD <br />