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DocuSign Envelope ID:6C3D40F7-lC22-432A-900D-B378518A7469 <br /> AC i CERTIFICATE OF LIABILITY INSURANCE PAT 48/15 bn�YYYY' <br /> 115/2019 <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 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 doss not confer rights to the certificate holder in lieu of such endorsements). <br /> CON7A T Sal Galante <br /> PRODUCER NAME: <br /> PHONE 919-933-4000 we Na, 919 933-5150 <br /> All About Insurance Arc xt <br /> 1289 Fordham Blvd Ste D-1 ADOIIL : galants@nationwide.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> Chapel Hill NC 27514-6110 INSURERA: Allied <br /> INSURED INSURERB: Builders Mutual Insurance Company <br /> Frazee Carpet&Interiors,INC INSURER C: <br /> 3113 Hillsborough Rd INSURER D: <br /> INSURER E: <br /> Durham NC 27705-3002 1NSURERF: <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 ADDLITYPE OF INSURANCE IN.. B POLICYNUMBER MMJDD YY MWMDNYYYI <br /> EXP LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE ® OCCUR PREMISES <br /> REN lOO,000 <br /> PREMISES Ea occurrence $ <br /> MED RXP(Any one person) $ 5,000 <br /> A ACPGL02203887341 115/09/21119 05/09/2020 PERSONAL&ACV INJURY $ 1,010,004 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY rl PRO- LOC PRODUCTS-COMPIOPAGG $ 2,000,000 <br /> JCT <br /> OTHER: <br /> AUTOMOBILELIABILITY Ee eBINEDISIN LE UMIT $ <br /> IdL <br /> ANY AUTO BODILY INJURY(Per person) S <br /> A OWNED SCHEDULED ACPBPRM2203887341 05/09/2019 05f09/2020 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERFYDAMAGE $ <br /> X AUTOS ONLY X AUTOS ONLY Per accident <br /> Hired&Norr Owned $ 2,000,000 <br /> UMBRELLA LIAS X OCCUR EACH OCCURRENCE $ 5,000,000 <br /> A EXCESS LIAB CLAMS-MADE ACPCAF2203887341 05/09/2019 05/09/2020 AGGREGATE $ 5,000,000 <br /> CEO F RETENTION$ $ <br /> WORKERS COMPENSATION STATUTE ERR <br /> AND EMPLOYERS'LIABILITY YIN E.L EACH ACCIDENT $ 1,000,000 <br /> B OF CEORIMEMBERXCLUD�ECU7IVE ❑ N/A WCP003927012 02/16/2014 02/16/2020 1,000,000 <br /> (Mandatory In NH) E.L.DISEASE-F-A EMPLOYEE $ <br /> If yyes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> OESGRIPTION OF OPERATIONS below <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.AddlUonal Remarks Schedule,may be attached if more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 13EFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Sal Galante <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />