DocuSign Envelope ID:3AC50ODB-E636-4E52-82CE-BOE691498C3A
<br /> PROFPRI-01 LROBERTS
<br /> '4�aRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> 11/19/2019
<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 does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT Laura Roberts
<br /> NAME:
<br /> Southeastern Insurance Consultants,LLC PHONE
<br /> FAX, -2923
<br /> PO Box 1396 N ,Ext:(803 404-5967 (A/C No):(803)781
<br /> Irmo,SC 29063 E-MAIL LRoberts@siconsultants.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:Travelers Property Casualty Insurance Company of America 25674
<br /> INSURED INSURER B:Travelers Casualty Insurance Company of Americ 19046
<br /> Triad Enterprises,Inc.DBA Professional Printers;KCM,LLC INSURER C:The Travelers Indemnity Company 25658
<br /> PO Box 5287 INSURER D:Standard Fire Insurance Company 19070
<br /> West Columbia,SC 29171
<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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR IN SD WVD MM DD MM DD
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE OCCUR 680-5K17438A-19-42 1/15/2019 1/15/2020 DAMAGE TO RENTED 300,000
<br /> PREMISES Ea occurrence $
<br /> MED EXP(Any oneperson) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY F7 JECOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER:
<br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> Ea accident $
<br /> X ANY AUTO BA-21-765076-19-42-13 1/15/2019 1/15/2019 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> X HIRED X NON-OWNED Per n $
<br /> PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY
<br /> X Comp$1,000 X Coll$1,000 Underinsured 11000,000
<br /> C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000
<br /> EXCESS LIAB CLAIMS-MADE CUP-51<18959A-19-42 1/15/2019 1/15/2020 AGGREGATE $ 3,000,000
<br /> DED X RETENTION$ 5,000
<br /> D WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> YIN UB-5K186992-19-42-G 1/15/2019 1/15I2020 500,000
<br /> ANY PROPRIETOR P /EXECUTIVE NIA E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDEXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000
<br /> If yes,describe under 500,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT
<br /> A Printers E&O 680-51<17438A-19-42 1/15/2019 1/15/2020 Limit 1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Chapel Hill/Oran a Count Visitors Bureau THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> p 9 Y ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 501 W.Franklin Street
<br /> Chapel Hill,NC 27516
<br /> AUTHORIZED REPRESENTATIVE
<br /> L�," e° 3
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
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