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DocuSign Envelope ID: BDD8D10C-A07A-4420-810E-AE25FD2F1425 <br /> AC"R" CERTIFICATE OF LIABILITY INSURANCE 021211202q"r`"' <br /> Ikk� <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 BELOW. <br /> THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE <br /> 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. If <br /> SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate <br /> does not confer rights to the certificate holder in lieu of such endarsement(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> SNOTHERLY INSURANCE AGCY PHONE FAX <br /> 230$WAKE FOREST RD AIC,No,FxtJ;(919)832.5832 (A1C,No):(919)934Q418 <br /> E-MAIL <br /> RALEIGH,NC 27608ADDRESS: <br /> 1 NSURE R(S}AF FO ROI NG COVERAGE NAIC 0 <br /> INSURER A:TRAVELERS CASUALTY INSURANCE COMPANY OF <br /> MERICA <br /> INSURED INSURER B:FARMING TON CA SUALTY CO MPANY <br /> LEGACY RESEARCH ASSOCIATES INSURER C <br /> 125 WEST WOODRIDGE DRIVE <br /> DURHAM,NC 27707 INSURER D: <br /> INSURERE. <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 INDICATED. <br /> NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br /> ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 16 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF <br /> SUCH POLICIES.LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. <br /> INSTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR 1NSO WVD (MMIDDIYYYY) (MMIDDIYYYY) <br /> x COMMERCIAL GENERAL LIABILITY 680-3N507875-19-42 03/16/2019 03/16/2020 EACH OCCURRENCE $1,000,ODO <br /> DAMAGE TO RENTED $300,000 <br /> CLAIMS-MADE 0 OCCUR PREMISES Ea axurmnca <br /> x HIRED AUTO MED EXP{Any one person) $5.000 <br /> A x I NON OWNED AUTO PERSONAL&ADVINJURY $1,00o,OeU <br /> LIPAITAPP fE PER: GENERAL AGGREGATE $2,000,000 <br /> �{ POLICY ❑JECT PRO ❑LOC PRODUCTS-COMPIOPA $2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBIN ❑SINGLE LIMIT <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Perpersan) <br /> OWNED SCHEDULED <br /> BODILY INJURY(Par accident) <br /> AUTOS ONLY AUTOS PROPERTY DAMAGE <br /> HIRED NON-OWNED (Peraccldent) <br /> AUTOS ONLY AUTOS ONLY <br /> $ <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE <br /> EXCESS LIAR CLAIMS-MADE <br /> DEO D RETE S AGGREGATE <br /> WORKERS COMPENSATION NIA US-3N508097-20-42 03/14/2020 03114/2021 X STATUTE ERN <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRiETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $100,000 <br /> FICERIMEMBER EXCLUDED? ❑ <br /> B Mandatary In NH) <br /> If yes,describe under E.L DISEASE-EA EMPLOYEE $1 DO,DOO <br /> DESCRIPTION OF OPERATIONS bafow <br /> E.L.DISEASE-POUCY LIMIT $500,000 <br /> DESCRIPTION OF OPERATIONS I LOCATION SI VEHICLES(ACORD 101,Add ItfonaI Remarks Schedule,may be attached if more space Is required) <br /> CERTIFICATE HOLDEN CANCELLATION <br /> LEGACY RESEARCH ASSOCIATES SHOULD ANY Of THE ABOVE DESCR}BED POLICIES BE CANCELLED <br /> 125 WEST WOODRIDGE DRIVE BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> DURHAM,NO 27707 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(201SM3) The ACORD name and logo are registered marks of ACORD <br />