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DocuSign Envelope ID: F202BA43-FFBB-479D-A3DC-3F53200045DB <br /> 1 0 DATE(MMIODIYYYY) <br /> ACC]R" CERTIFICATE OF LIABILITY INSURANCE <br /> ��- 08/22/2019 BMR <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CER FIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFOI DIED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IN URER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATIC N IS WAIVED,subject to <br /> the terns and conditions of the policy,certain policies may require an endorsement. A statement on this certificate doe not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT AROUND THE CORNER INS AGENCY INC <br /> STRICKLAND INSURANCE BROKERS INC NAME: <br /> 400 COMMERCE COURT uC No Ext: 919 286-9500 IC Ne; 919 286 9501 <br /> Jz EMAIL <br /> GOLDSBORO,NC 27534 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC A <br /> INSURER A:ATLANTIC CASUALTY INSURANCE OMPANY <br /> INSURED GONZALEZ PAINTERS 8 CONTRACTORS INC INSURER B <br /> 4301 BENNETT MEMORIAL ROAD W <br /> INSURER C <br /> DURHAM, NC 27705 <br /> INSURER D: <br /> INSURER E <br /> INSU RER 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 REQUIRLMLNT,TERM OR CONDRION 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 ADOL UBR POLICY EFF POLICY EXP LIMITS <br /> LTR POLICY NUMBER h1 M1DD1YYYY MMlDD1YYYY <br /> X COMMERCIAL GENERALLIASILITY L001039496-3 03/17/2019 3/17/2020 EACHOCCURRENc $1,000,000 <br /> CLAIMS-MAOF OCCUR PREMISES Eaoem ence $100,000 <br /> MED EXP(Any one rson) $5,000 <br /> A PERSONAL&ADV 11 JURY $1,000.000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREG TE $2,000.000 <br /> X POLICY❑ JPERT LOC PRODUCTS-COM OPAGG $1,000,000 <br /> OTHER $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE IMIT S <br /> Ea accident <br /> ANY AUTO BOOILYINJURY(Pe person) § <br /> ALL OWNED SCHEDULED BODILY INJURY Pe accident § <br /> AUTOS AUTOS ( ) <br /> HIRED AUTOS NON-OWNED PROPER OAMAG $ <br /> AUTOS Peraccident <br /> UM/UIM $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENC E $ <br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $ <br /> DEB RETENTION $ <br /> WORKERS COMPENSATION PER .OTH- <br /> ANDEMPLOYERS'LIABILITY YINI STATUTE JER <br /> ANY PROPRIETORIPARTNERIEXECU nVE ❑ E.L.EACH ACCIDE $ <br /> OFFICEWIVE IBER EXCLUDED? NIA <br /> (Mandatary in NH) E.L-DISEASE-EA PLOYS $ <br /> I€yyes,desalbe under <br /> OESCRIPTION OF OPERATIONS below E.L.DISEASE-POL LIMIT § <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) <br /> PER POLICY <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POILIC ES BE CANCELLED BEFORE <br /> PO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> HILLSBOROUGH,NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> c0 1988.2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />