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DocuSign Envelope ID: EE4B6BD7-E6DA-459B-9D78-B8F9FC7E0445 <br /> YELLDOG-01 DMASON <br /> '4�aRo CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) <br /> 12/6/2019 <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 <br /> NAME: <br /> Summers Thompson Lowry, Inc. PHONE FAX <br /> 2113 Cameron Street (A/C,No,Et):(919)968-4472 (A/C,No):(919)942-4221 <br /> Suite 219 E-MAIL info@STLinsure.com <br /> Raleigh,NC 27605-1370 <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Massachusetts Bay Insurance 22306 <br /> INSURED INSURER B:USLI 25895 <br /> Yellow Dog Creative LLC <br /> INSURERC: <br /> Julie Schmidt <br /> 19 W Hargett St.,Ste 900 INSURER D: <br /> Raleigh,NC 27601 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 $ 2,000,000 <br /> CLAIMS-MADE OCCUR OD6D523948 4/6/2019 4/6/2020 DAMAGE TO RENTED 300,000 <br /> PREMISES Ea occurrence $ <br /> MED EXP(Any oneperson) $ 5,000 <br /> PERSONAL&ADV INJURY $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 <br /> POLICY F7 JECOT- LOC PRODUCTS-COMP/OP AGG $ 4,000,000 <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED INGLE LIMIT <br /> Ea accidents $ <br /> ANY AUTO BODILY INJURY Per arson $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> HIRED NON-OWNED PerOaccitlenDAMAGE $ <br /> AUTOS ONLY AUTOS ONLY <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> OFFICERO/MEMBER EXCLUDED?ECUTIVE ❑ N/A E.L.EACH ACCIDENT $ <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT <br /> B Professional Liab V12847160501 4/23/2019 4/23/2020 Occ/Agg 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 g Y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 501 W.Franklin Street <br /> 27516 <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016/03) t ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />