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DocuSign Envelope ID:469DFC33-1208-4903-A6DF-BA9EDA48F76B <br /> AACCOR& CERTIFICATE OF LIABILITY INSURANCE DATE(H Al INT" <br /> L� 02t20MI9 <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 poticy(ies)must be endorsed. N SUBROGATION IS WAIVED,suboct to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate Noes not confer rights to the <br /> certificate holder in lieu of such endossement[s. <br /> PRODUCER <br /> RAW---_ <br /> PHONE FAX <br /> ACC N <br /> Andy Janes Agency AOVAIL <br /> DRRESS. <br /> 729 W Hwy 54 <br /> _--- _--uisurpxe[s1 A�oRo�a ogvEw►cE. _ . -__ NASC/ <br /> Durham NC 27713 INSURER A'. Scottsdale Insurance Company - G 001 <br /> wSt"wo ---- INSURER B- 1 <br /> Bronwen Nishlkawa INSURERD. <br /> 106 Stone Creek Cl INSURER E: <br /> Chapel Hill NC 27514 E RE F: <br /> COVERAGES CERTIFICATE NUMBER. REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN WUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERtOD <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 /> POLw EFF POLICY F.xP <br /> ILTR TYPE OF INSURANCE R POLICY HILI BER �f UNM <br /> X COIN"ERCEAL GENERAL uAawy <br /> EAC ZaIRAENCE = 1,000,000 <br /> CLAIMS AAAUE E X!OCCUR b7iStPd fif iMNrER - - <br /> dJSE$�Ea.aceurercel_ 8 100.000 <br /> __.� -- -------- _ r�EQ�[►wr_or�P�r>au+> 5 5.00_0 ~_ <br /> A `T PJOIUD 0211 912 0 1 9 O2l19I2020 PERSONAL3AvvnwRY S 1,000,000 <br /> GENL AGGREGATE UNrr APPLIES PEFt GENERAL AGGREGATE s 2,OD4.000�- <br /> X POLICY{�JKUT ❑LOC PRODUCTS-COMPK]PAQQ s i,000,000 -- <br /> OTHER: is <br /> AUTl71r1[1aILELIAOU-TY ; scalded Lndrr I S <br /> ANY AUTO ! ! BODILY INJURY tPL-r l 3 <br /> l ALL OWNED SLILEG <br /> AUTOS AUTOS ! SOOELY INJURY(Per amiderrd)•E <br /> NON-OWNED PROPERTY DAMAGEV.. <br /> HIRED AUTOS AUTOS P%accident)= <br /> U vAA OCCUR 1 EACH OCCURRMCE S <br /> EXCESS LU uAB <br /> Us_ _ CLRkMS L1A4E ` <br /> QEU RETENnON S I -- -- i-- -- - - <br /> WORKERSCOWENSATWH <br /> ANO"KOYEFG4'ILM13M M Y 1 N -S7AT3FrE_�I O3__ —_----..- <br /> ANYPROPRtETORCPARTNEPJDECUTtVE E.t EACH ACCIDENT S <br /> OFFICERIMEMBER EXCLUDED?hwy In NH) ❑NIA — - <br /> VI lyea,adesWW Mover f E.L.QISEASE-FJl E MPL ---- <br /> DESCRIPTION OF OPERATIONS helu i� GYIT i 3 <br /> .E.L DISEASE-POLICY LIR�trr I S <br /> OESCRIP ION OF OPERATIONS C LOCATIONS 1 VEHECLES(ACORD 1e1.Addkbml Remarks Schedule,maybe attached 0 more apace Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISiOI"S. <br /> Bronwen Nlshikawe <br /> AUTHDRITErIIREPRESFKTATME <br /> 10&Stone Creek Ct Mane burgess <br /> Chapel I•Ilii NC 27514 <br /> @ 1988-2014ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and Ingo are registered maAm of ACORD <br />