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DocuSign Envelope ID:7321 DF2F-3ACF-4079-A23F-44E621 1A6C5E <br /> DATE(MM/DDIYYYY) <br /> A�" CERTIFICATE OF LIABILITY INSURANCE <br /> 704/07/2021 <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 policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Leslie McCo <br /> NAME: y <br /> Lawson Insurance Group,Inc. AI/CNN Ext: 919-846-2090 ext 202 A/� No): 919-846-2438 <br /> 6512 5x Forks Fit#101 ADDRESS: Ieslie.mccoy®awsonins.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> RBIeigh NC 27615-6561 INSURERA: Nationwide Mutual Insurance Company 23787 <br /> INSURED INSURER B: NorGUARD Insurance Company 25844 <br /> ProNet*stems,Inc. INSURER C: AIG9aecialty Insurance Company <br /> 3200 den Fbyal Fb INSURER D: <br /> INSURER E: <br /> Fbleigh NC 27617-7419 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE � OCCUR PREMISES <br /> (a o DAMAGE TO Ncur RENTED <br /> ) $ 100,000 <br /> X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 <br /> A X CONTRACTORS ENHANCEMENT Y ACPC-LO2232994383 02/22/2021 02/22/2022 PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY� PE� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> X OTHER:(C)CORECYBE21000 Master Contract IR5 $ 1,000,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> L $ <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 <br /> A X EXCESS LIAB CLAIMS-MADE ACPCAF2232994383 02/22/2021 02/22/2022 AGGREGATE $ 4,000,000 <br /> DED X RETENTION$ NONE $ <br /> WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> B ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? Y N/A PRWC102589 04/28/2020 04/28/2021 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> Inland Marine(COMM) INSTALLATION FLOATS $75,000 <br /> A ACP CIM 2222994383 02/22/2021 02/22/2022 CONTRACTORS EQUIP $22,250 <br /> $500/$1000 Ded Fbsp <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Orange County is included as additional insured(CG 20 33)and Waiver of Subrogation applies per Blanket Contractors Enhancement Endorsement CG 72 88 under the <br /> general liability policy(please refer to attachments). The Umbrella/Excess Liability policy is"follow form". Blanket Waiver of Subrogation also appliesto the workers <br /> compensation policy(please refer to attachments). <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> P.O.BOX 8181 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hillsborough NC 27278 AUTHORIZED REPRESENTATIVE <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />