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<br />Louisiana certificate form: <br />LDI COI 280990 01 12 <br /> No. 246 <br /> CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) <br />6/27/2022 <br />PRODUCER <br />Pathway Insurance Group, LLC <br />753 Nichols Avenue <br />Fairhope, AL 36532 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />COMPANY <br /> A THE GRAY INSURANCE COMPANY <br /> A.M. Best Rating A- VIII, NAIC#: 36307 <br />INSURED <br />CrowderGulf, LLC <br />5629 Commerce Blvd. E <br />Mobile, AL 36619 <br />COMPANY <br /> B <br />COMPANY <br /> C <br />COMPANY <br /> D <br />COVERAGES <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 />CO <br />LTR <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MM/DD/YY) <br />POLICY EXPIRATION <br />DATE (MM/DD/YY) <br /> <br /> LIMITS <br /> <br />A <br />GENERAL LIABILITY <br />XSGL-100090 7/1/2022 7/1/2025 <br />GENERAL AGGREGATE $3,000,000.00 <br />X COMMERCIAL GENERAL <br />LIABILITY <br />PRODUCTS – COMP/OP AGG $3,000,000.00 <br /> PERSONAL & ADV INJURY $1,000,000.00 <br /> OWNER’S & CONTRACTOR’S PROT EACH OCCURRENCE $1,000,000.00 <br /> FIRE DAMAGE (Any one fire) $100,000.00 <br /> MED EXP (Any one person) $5,000.00 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000.00 <br /> X ANY AUTO BODILY INJURY <br /> X ALL OWNED AUTOS (Per person) <br /> SCHEDULED AUTOS BODILY INJURY <br />A X HIRED AUTOS XSAL-100100 7/1/2022 7/1/2025 (Per accident) <br /> X NON-OWNED AUTOS PROPERTY DAMAGE <br /> <br /> <br /> <br /> <br /> <br /> <br /> GARAGE LIABILITY <br /> <br />AUTO ONLY – EA ACCIDENT <br /> ANY AUTO OTHER THAN AUTO ONLY <br /> <br /> <br /> <br /> EACH ACCIDENT <br /> AGGREGATE <br />A <br />EXCESS LIABILITY <br />GXS-100169 7/1/2022 7/1/2023 <br />EACH OCCURRENCE $4,000,000.00 <br /> UMBRELLA FORM AGGREGATE $4,000,000.00 <br />X OTHER THAN UMBRELLA <br />FORM <br /> <br />A <br />WORKER’S COMPENSATION AND <br />GWC-100174 7/1/2022 7/1/2025 <br />X WC STATU- <br />TORY LIMITS <br /> OTH <br />ER <br />EMPLOYERS’ LIABILITY EL EACH ACCIDENT $1,000,000.00 <br />THE PROPRIETOR/ EL DISEASE – POLICY LIMIT $1,000,000.00 <br />PARTNERS/EXECUTIVE X INCL EL DISEASE – EA EMPLOYEE $1,000,000.00 <br />OFFICERS ARE: EXCL <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br />The certificate holder is an additional insured on all policies except Workers’ Compensation and is provided a Waiver of Subrogation, all if required by written contract. The above insurance policies shall be <br />primary and noncontributory to any other insurance policies maintained by the certificate holder, if required by written contract. <br />Disaster Debris Clearance and Removal <br />CERTIFICATE HOLDER CANCELLATION <br />2523#246 <br /> <br />Orange County <br />200 S Cameron Street <br />P O Box 8181 <br />Hillsborough, NC 27278 <br />In the event of cancellation by The Gray Insurance Company and if required by written <br />contract, 30 days written notice will be given to the Certificate Holder. <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br /> <br /> <br /> <br /> <br />GCF 00 50 01 01 12 THE GRAY INSURANCE COMPANY <br />DocuSign Envelope ID: E66BEF63-568B-4F97-8211-2EDDC90D1A2C