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DocuSign Envelope ID:269CF7BA-FEC5-460E-9801-97A7901B55AD <br /> DATE(MMIDO/YYYY) <br /> ACORO® CERTIFICATE OF LIABILITY INSURANCE <br /> 01/05/2022 <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 <br /> NME; Carla Moore <br /> A <br /> Colonial Insurance Agency Hillsborough Ho cNrio Ext: 919)732 2191 FAX No): (919)732 2192 <br /> 103 Millstone Dr. Suite ADDRESS: carla@acolonial-agency.com <br /> Po Box 490 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Hillsborough NC 27278 INSURERA: Auto Owners Ins Cc 18988 <br /> INSURED INSURERS: <br /> ALLIANCE FOR HISTORIC HILLSBOROUGH INSURER C: <br /> 150 E King St INSURER D: <br /> INSURER E: <br /> Hillsborough NO 27278 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 /> ILT R TYPE OF INSURANCE ADDL SUER POLICY NUMBER MPOLICY <br /> DDIYYYY POLICY <br /> LIMITS <br /> LTR <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br /> RETED CLAIMS-MADE �OCCUR PREM SES(Ea occurrence) $ 50000 <br /> MED EXP(Any one person) $ 5000 <br /> A Y N 35097265 11/03/2021 11/03/2022 PERSONAL&ADV INJURY $ 1000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 <br /> X POLICY PRO ❑ <br /> JECT LOC PRODUCTS-COMP/OPAGG $ 2000000 <br /> OTHER: $ <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 PROPERTYDAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Peraccidenl <br /> H 1 $ <br /> UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION $ <br /> PER <br /> WORKERS COMPENSATION X STATUTE I I EERH <br /> AND EMPLOYERS'LIABILITY — — <br /> Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100000 <br /> A OFFICEWMEMBEREXCLUDED7 N/A N 35097281 11/03/2021 11/03/2022 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 100000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) <br /> Orange County is listed as additional insured With reference to General Liability. <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 /> Orange County DEAPR ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Risk Manager <br /> PO Box 8181 AUTHORIZED�REPRESENTATIVE <br /> mil,/,�Y7� <br /> Hillsborough NO 27278 <br /> Fax: Email: O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />