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COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: <br />ACORif CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />11t23t2020 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDE:R, 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: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />lf SUBROGATION lS 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 riqhts to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />MAST & GARRISON, INC. <br />PO BOX 340 <br />BURLINGTON, N.C.27216 <br />g9IIIICT MAST & GARRISON, INC <br />lllg\F^ --.,. 3362264474 lsl "^,. aSOZZO+i;gS <br />E.MAILlnhoEcc. <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />tNsuRER A: ROCKWOOD CASUALTY <br />INSURED <br />BIOCLEAN RESTORATION, INC <br />PO BOX 849 <br />BURLINGTON. N.C,27216 INSIJRER E : <br />INSIIRFR F <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 INSUMNCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THEi TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NSR <br />LTR TYPE OF INSURANCE NSn WN POLICY NUMBER <br />POLICY EFFIMM/nnrywl POLICY EXP <br />IMM/DN/VYYYT LIMITS <br />GOMMERCIAL GENERAL LIABILITY <br />l cLAil\,rs-MADE I l occuR <br />EACH OCCURRENCE $ <br />UAMASE IUKtrNIEU <br />PREMISES {Ea occurrence)$ <br />MED EXP (Any one person)$ <br />PERSONAL & ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER;GENERAL AGGREGATE $ <br />] 0o.,", f] tF"o; fl.o.PRODUCTS - CO[,4PlOP AGG $ <br />$ <br />AU'OMOBILE LIABILITY <br />ANY AUTO <br />OWNED <br />AUTOS ONLY <br />HIRED <br />AUTOS ONLY <br />SCHEDULED <br />AUTOS <br />NON.OWNED <br />AUTOS ONLY <br />COMtsINED SINGLE LIMII <br />fEa accidenl)$ <br />BODILY INJURY (Per person)$ <br />BODILY INJURY (Per accident)$ <br />PRQPIH I Y UAMAGb <br />lPer accidentl $ <br />$ <br />UMBRELLALTAB | | occun <br />ExcEssLlAB I lCrntUS-tUeOt <br />EACH OCCURRENCE $ <br />AGGRFGATE $ <br />DED ] IRETENTION$$ <br />/VORKERS COMPENSATION{NDEMPLOYERS'LtABtLtTY Y/N <br />\NYPROPRIETORiPARTNER/EXECUTIVE Ti;--I)FF|CER/MEMBEREXCLUDED? I Y I <br />Mandatory in NH) <br />f ves. describe underfFqaarprtnN nF 6pFPATtnNq bthw <br />N/A wc694646 10t03t2020 10t03t2021 <br />PER I I OTH.STATIITF I I FR <br />E.L. EACH ACCIDENT s 1000000 <br />E.L. DISEASE - EA EMPLOYET s 1000000 <br />E.L. DISEASE - POLICY LIMIT $ 1000000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) <br />ERTIFICATE HOLDER GANCELLATION <br />ORANGE COUNW ASSET MANAGEMENT COORDINATOR <br />PO BOX 8181 <br />HILLSBOROUGH, N.C. 27278 <br />SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE OELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />A^ <br />eurHohrzf{4pneselrnrtfi r <br />ilhlA- )han^*n <br />o't988-201s ACORD TtoN. Atl reserved. <br />ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD <br />rights <br />DocuSign Envelope ID: BCEDBC03-3697-488E-8276-2F2F2CA43199