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Docusign Envelope ID: ECE5053D-1868-4178-9780-B7C49360D54B <br /> AFRO® CERTIFICATE OF LIABILITY INSURANCE <br /> DATE(MM/DD/YYYY) <br /> Fcertificate <br /> RTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER?THIS <br /> CATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> . THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> ENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> ANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br /> GATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> ificate does not confer ri hts to the certificate holder in lieu of such endorsements. <br /> NAMECDon Schaeffergency,InC. PHONE <br /> 5317 Twin Meadows Lane -MAIL 919 554 4620 ac No 919 702-7935 <br /> ED RE : don schaeffera enc nc.com <br /> Wake Forest INSURERS AFFORDING COVERAGE NAIC# <br /> _INSURED NC 27587 INSURER A: Erie Insurance 26263 <br /> —Corner Solutions NC Inc — <br /> INSURER B: Erie Insurance 31003 <br /> INSURER C: <br /> 413 S Harrison Ave <br /> INSURER D <br /> Ca INSURER E: <br /> NC 27511-3217 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMIEED AON BOVE 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 TE <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. RMS, <br /> INSR ADDL SUBR TYPE OF INSURANCE POLICY EFF POLICY EXP <br /> X POLICY NUMBER M / D YY LIMITS <br /> COMMERCIAL GENERAL LIABILITY <br /> EACH OCCURRENCE $ 2000000 <br /> CLAIMS-MADE X OCCUR DAMAGE TO RENTED <br /> PREMISES Ea occurrence $ 2000000 <br /> A MED EXP(Any one person) $ 10000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: Y Y Q61-0153075 01/01/2025 01/01/2026 PERSONAL&ADV INJURY $ 2000000 <br /> X POLICY❑PRO- LOC GENERAL AGGREGATE $ 4000000 <br /> OTHER: <br /> PRODUCTS-COMP/OPAGG $ 4000000 <br /> AUTOMOBILE LIABILITY $ <br /> COMBINED SINGLE LIMIT <br /> X ANY AUTO Ea accident $ 1000000 <br /> A OWNED SCHEDULED BODILY INJURY(Per person) $ <br /> AUTOS ONLY NON-OWNED <br /> Y Q01-0135067 01/01/2025 01/01/2026 BODILY INJURY(Per accident) $ <br /> HIRED <br /> AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE <br /> Per accident $ <br /> X UMBRELLA LIAR X OCCUR $ <br /> A X EXCESS LIAB CLAIMS-MADE Y Q25-0178148 EACH OCCURRENCE $ 5000000 <br /> 01/01/2025 01/01/2026 DED AGGREGATE $ 5000000 <br /> RETENTION$ <br /> WORKERS COMPENSATION $ <br /> AND EMPLOYERS'LIABILITY X PER OTH- <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N STATUTE ER <br /> B OFFICER/MEMBER EXCLUDED? ❑N N/A Y Q85-5106552 E.L.EACH ACCIDENT $ 1000000 <br /> (Mandatory in NH) Ol/Ol/2025 Ol/Ol/2026 <br /> If yes,describe under E.L.DISEASE-EA EMPLOYE $ 1000000 <br /> DESCRIPTION OF OPERATIONS below <br /> E.L.DISEASE-POLICY LIMIT $ 1000000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Orange County, its officers, agents and employees are listed as Additional Insured <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION THEEOF, <br /> EHillsborough <br /> range County ACCORDANCE WITH DATE THEPOLICY PROVISIONS.NOTICE WILL BE DELIVERED IN <br /> 00 West Tryon Street <br /> O Box 8181 <br /> AUTHORIZED REPRESENTATIVE <br /> NC 27278 <br /> Fax. Email: ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />