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DocuSign Envelope ID:64612EAC-FCD2-45CD-8496-F5FEFOC1 E7FE <br /> CHAPHIL-W MWITH1� w <br /> W . <br /> GERTIFI DATE OF LIABILITY iIN URAN 4 <br /> E ;TE 19„ <br /> tHl6 CAWMICATI IS MWED AS A t1ATNR OF INFORMATION ONLY AND CONFERS NO RP3+",LWON THE CURTE ATE.WX.PEA.THIS <br /> CEPITIFICATE DOTS NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXnNI} DR ALTER THE 0Wr;Fjj%0E Area kY THE PpLirffs <br /> BELO+11t. TW9 CEIITIF1CATE OF INSURANCE DOES NOT CONSTITUTE A 0011THACT OETWIMN THE 1:01"INQ IRSUREFHS),AUl HURIakP <br /> REPREMNTATIVE OR PRODUCER,AND THE CERTIFICATE!1010ER, <br /> IMPORTANT: II the cwUfl"Ie holder Is en ONAL Ir451JRE4.Uw pdWV Ij s must here ADI MCNAL INSUAI D peovlrvnn or be andorswIL <br /> 1T suwoOAT" 19 41r8i4M Wblrel 10 Lht wms and omdLllansel IheMiky,tMAIrl pallolan may rWulrestl enAorosmenk A C%WlRrs<rl Dri <br /> Wit Csl Hyitt dam not cuMm Willa fi4I"Sw*me borer Im 31cu ad such rndoriammtfmk <br /> PRODUO l <br /> iwraip VW-WWI&A S M k4_ P .raJ:��yQ� <br /> �'1�4e,N �bsOJ ,IIkiVr rr100 1�in cam — - <br /> N9lrPEFry9I AFP0A[N 4".0VEFW*k "Mir <br /> jpaNj tI,A.T#arrsGuard Insurance Comprlgg Of AmW1slnt <br /> IPWIMo Iha~d:81idg4{Oki CAskWty Insurance 1�9JS_ <br /> CI-11APEL IiLL WVING COM mdLWg0 <br /> 74G7 REX AD STE 10a 1pc&J"u <br /> CHAPEL FILL,NC 2PS19 IIcPA:.Rs: <br /> r1f3LG R F: <br /> QWRAW2 _ COMPICATE HLpIANP. RfY19ION NUE16MFi1 <br /> THIS 15 TD QEWnFY TFKT THg PQLKA, OF INSURANCE U6T333 BELOR HAVE k1riM MLIE11 TO THE iNSLOW KWED ABOVE FOR THE POL PCY PERIOD <br /> NOKI -MD. MOTvaTt GTMOWrG AM A=di GMr=NT. TEMA OR CONWION OF AM CONTRACT OR OTHER DOClHIAEFF IMTH RE:313QC7 TQ wHir,"THIS <br /> C$fTIF1CATE Wy W MUEQ CR MAY PE TAIN THE lr*lIJR+ Q:R AFFOROED BY T14E pC4Jk'IE CESCIRWED hER€W4SSMECT143 ALLMETEM5 <br /> QC "Xb NO AND-cDFQ111bh15OW MJCH Xxidt&UMMS&iOM M-%Y MVE INEE14 FEMXED IrY PAID CLAIMS. <br /> r rFe pr 1�3w�Nrtt --- - - - - H5LJG4'�131115l1M 4 sIY F�[Y IJI�Ir6 <br /> A, X -CO 1UMCAL tiENU Y1I LM = Fd OOOLPREWE I I -- <br /> ws.rwaE 1C RJR TICIPM3T�-M At1A7d1$ 4nam PREWIS rcperrrEa <br /> 1I y <br /> �wsea;E.�,•e•Qru j 1 <br /> _Y E U E,P I.,% <br /> PE FasOr�S rUy'Ih.Ul95'_ ,8 1,OOd.If04 <br /> IQAkn,f"p�.TeIWTAIP_W: aPVP GENERA-,AC-GR63ATE - .E <br /> i . <br /> Xi + _"�` i Pf4NYJ'.T9•{t7wPR}',4M S ' <br /> A <br /> IEs mr ds4wLE uwf, <br /> .IWAdTO 7176� 9 74' X24 gPpL-er%,Upv ftmmJ .I <br /> {y1 LY LED 5-MLY f,_LR''LPN'aa_A&r4..i <br /> rTS7pp� <br /> �JrtM on, � JP+ '+Jawr�CE <br /> .4 <br /> 1I1109ELLi LWI _EAQ4 CKXXMENCE f <br /> WSW IL" GLA145-44PE. f4O€3t3Er3a4 F <br /> AD R E-EN-104$ <br /> .Ax �ar Yew i �1112d19114JG80 X. <br /> SOD D00 <br /> t�rFr+�LrnC�FI�P!1{1a ER�s -weMrt;=�c 4?— S <br /> FEA.-UJ7E7" w ,4 j1 E L :.v`� 5K <br /> j E LSEa5E E�•FW?:Cr,FC, 1 <br /> DGD <br /> EnS defvfia u Spp pqD <br /> 01 ail F - .qn R:}.IW.- S <br /> A Car" TCP6X13?6t0i 01.W19 1V1tX20 pa'TKKk lMD170 <br /> hattmftgnw cn crzi-LLTLcmp;euxoL nwr yo W..L" IMo =id7,A.rdbkmmL na+„a Lm$ztt.AAay ma*ba. had II mor0W •r—qbdr.41 <br /> CERTIFICATE HOLDER CANCELL AT10N <br /> SmWL,bA19Y OF THF.ABOYP OESCRIHED PUI-IiCESBE aM4"LXg0EKFcRE <br /> Oran a Cyan[ THE EXPIRATRAI DATE THEREhK, 46710E WILL W EMUV RID IN <br /> Y ACCORUANCE WTH THE PDLICY PROV®ACHE. <br /> PO Sax 11191 <br /> Fldl;bxcrugh,WC 72279 - - <br /> &a maauro raenss3mNroar" <br /> ACOM 250011&103} 0 t%W2d15 ACOF11113 CURPGRATION. All rights rimarued. <br /> Thu ACOF40 my nw amd lu ap m* cg1d61bred 14wR2 of A-DDIRU <br />