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DocuSign Envelope ID:6F1378EE-84DB-45BO-90DE-C39BA2077B34 <br /> ACORiY DaT£(MMIDDmnY) <br /> `� CERTIFICATE OF LIABILITY INSURANCE 3/18/2020 <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 pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain pollcles may require an endorsement A statement on <br /> this certificate does not confer rig hts to the certificate holder In Ileu of such endorsements). <br /> PRODUCER NAME; Alexandra Lysik <br /> PHONE J'AX <br /> Cavik 1nsuranee LLC OJC,No. <br /> o Eft): 9103981044 ,Na: <br /> PO Box 465 ADDREss: alexandra@caVikinsurance.cam <br /> INSURER(8)AFFORDING COVERAGE NAIL <br /> Kure Beach INC 28449 INSURER A; StarSlone Speciality Insurance <br /> INSURED INSURER a: Progressive Inswance <br /> 4C CenU31 Cleaning Company Inc DBA Final Passage Transport INSURER C: Builders Mutual ins Co <br /> 3434 Edward Mills Rd INSURER D: <br /> INSURER E <br /> Raleigh NC 27612 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 /> LTR TYPE OF INSURANCE INSO YrVD POLICY NUMBER (MMlDD (MMIDDIYYYY) Lima$ <br /> COMMERCFAL GENERAL UAMPLITY EACH OCCURRENCE f ],000.000 x <br /> lWrECr- <br /> CLAIMS-MADE 511 OCCUR PREMISES(Ea occurcenae S %000 <br /> MED E]LP(Any one person) f 5.00 <br /> A D70876190AEM 01/10/2420 01/10/2021 PERSONAL dADV INJURY $ 1.000.0D0 <br /> GWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE f 2000.000 <br /> POLICY JECDT- LOC PRODUCTS-COMPIOPAGG i 2.D00,000 <br /> OTHER: Pollution LiabilityfMold S ]mill ort:l2mill Ogg <br /> ALIYDMDeRE LlA8n7rY ;Ea accident) ; 300.000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> B OWNED y SCHEDULED <br /> AUTOS ONLY06349300-0 l 1/28/2019 1112S12Q20 BODILY INJURY(Per accident) I <br /> A AUTOSAUTOS <br /> HIRED NDN•OWNED = <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> S <br /> UMBRELLA LLAB OCCUR EACH OCCURRENCE <br /> EXCESS LIAe HCLAIMS4AADE AGGREGATE f <br /> DED I RETENTION: s <br /> IRS COMPENSAT** 9 FIER <br /> STATUTE ER <br /> 0 ENWLOYEAS'LIABILITY Y 1 N <br /> PROPRIETORIPARTNEMEXECUTWE 4y787891 0112012Q2Q 0112D12021 E.L.EACH ACCIDENT = 1.00,Q60 <br /> C f10ER(MEMSER EXCLUDED? ❑Y N 1 A <br /> Mandatory In 11H) E.L.DISEASE-EA EMPLOYEE 11 1,D00,004 <br /> yyer.describe under <br /> ESCRIPTiOH OF OPERATIONS beiow E,L.DISEASE-POLICY LIMIT = 1.000,000 <br /> DESC RIPTIGN OF OPERATIONS!LOCATIONS I VEH}CLES (ACORD 101,AddNlenat Remarks 5chaduls,may be allkched N man eWs Is required) <br /> Plcacc nac Ohm the f0ilum j are alyv U14a p cadifipie balder, <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 PROVISIONS. <br /> AVTHORZEo REPRESENTATIVE <br /> Ale4taadrp,I.yyk <br /> C 1988.2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />