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DATE tMWD01YwYY) <br />At CERTIFICATE OF LIABILITY INSURANCE 3/25/2014 <br />(111_ <br />IO <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATN 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 />RFLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />RF- 13RERFNTiATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROIiAwluv la vvlilvCu, surlG r ru <br />the terms and conditions of the pohcy, certain policies may require an endorsement. A statement on this certificate does nol. con rights to the I <br />certificate holder in lieu of such endorsement(s). ONTR <br />PRODUCER NAME. - <br />Michael R. Bare & Associates PHONE 704- 248 8000 wc,Ne 24 8-8001 1 1 <br />rruc No Exll - - -'--- <br />2500 Crawnpoint Executive Drive ADDRESS: <br />------ T <br />p _ i <br />Charlotte NC 28227 INSURE AF FORDIN G COVERAG <br />INSURED GM Automotive & Xcessories Inc <br />dba GMax <br />6300 Highway 49 North <br />Mt. Pleasant , NC 28124 <br />NSURERA:Nati Insurance Comp <br />INSURER B _Accident Fund _ -- <br />IN SURER C <br />INSURER D: - <br />INSURER E <br />NAIck <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS - LO 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 O SUC POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INsR AoGL s SR 7'JCTD' CY EXP <br />LTR TYPE OF INSURANCE INSR wvo _ POLICY NDIYYYY GENERAL LIABILITY <br />X COMMERCIAL G ENERAL LIABILITY -. I CLAIMS -MADE L". `OCCUR A X ACP 22531 - <br />GEN'L AGC?RLUAl t r 11 xrr �ie3 rrn. <br />PRO- LOC <br />POLICY JECT <br />AUTOMOBILE LIABILITY <br />_ ANYAJTO ACP 2253100862 05 -14 =13 05 -14 -1Z SCHEDULED <br />A — AU4D5 NED X I NON- OVVNED <br />HIRED AUTOS <br />EXCESS <br />UMBREL <br />LIAB - -� CLAIMS- MADE <br />AND EMPLOYERS' LIABILITY YrN 1C 6045736 06 -05 - 13 06 - <br />ANY PROPRIETOMPARTNERIEXECUTIVE C NIA <br />B 01'PICERWILMHER EXCLUDE©? <br />IMand=fy ,n Nnl <br />It yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />A' <br />Garagekeepers ACP 2253100862 a5 - 1305 - 14 - <br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (Attach A.CORD 1D1, Additional Remarks Schedule, d Inure space �s required) <br />I Certifi.cate Holder is listed as Additional Insured with regard to Liability <br />CERTIFICATE H OLDER <br />Caharrus County <br />ATTN: Risk Management <br />PO Box 707 <br />Concord, NC 26026 <br />LIMITS <br />1 <br />EACH OCCURRENCE $ <br />1� 1 <br />DAMAGE TCFRENT <br />PREMISES Ea occurrence $ <br />300, <br />D I <br />MED EXP (Any one person) $ <br />_I , 0 0 <br />PERSONAL & ADV INJURY_ $ <br />1,000,000 <br />GENERAL AGGREGATE $ <br />2 ,000 1 000 <br />PRODUCTS - COMPlOP AGG s <br />2, , 000 r D D D -. <br />$ <br />COMBINED SINGLE LIMIT <br />1 , 0 00, 0 00 <br />Ea accident $ <br />BODILY INJURY {Per persons $ <br />BODILY INJURY {Per scradenl) $ <br />PROPERTY DAMAGE $ <br />$ <br />EACH OCCURRENC $ <br />AGGREGATE $ <br />WC ST'ATU- OTH- <br />TORY LIMITS ER <br />_ <br />l E.L. E ACH AC $ <br />10 0 , 0 0 D <br />E.L. DISEAS - EA EMPLOYE $ <br />1, 00 , 0 0 0 <br />EL DISEASE - POLICY LIMIT $ <br />500,000 <br />4 $12D,000— Direct <br />N <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTFIORIZED REPRESENTATIVE <br />Q 1088 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD25(2010105) The ACORD name and logo are regisleled marks of ACORD <br />Attachment number 1 <br />F -5 Page 176 <br />