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ACCO CERTIFICATE OF LIABILITY iNSURAN I E DATE (MMID0A YYY) 05!1412018 CABARRUS OOUNTY TRANSPORTATION PO BOX 707 CONCORD, NO 28026 SHOULD ANY OF THE ABOVE DESCRIBED PO CIE$ BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL; ENDEAVOR TO MAIL 10 DAYS WRITTEN I NOTICE TO THE CERTIFICATE HOLDER NAM IMPOSE HO ODLIGATION OR LIABILITY OF A REPRESENTATIVES. I AUTHORIZED REPRESENTATIVE KARA F -5 TO THE LEFT, BUT FAILURE TO 00 SO SHALL I KIND UPON THE INSURER, ITS AGENTS OR AITH DAWSON ©ACORD CORPORATION 1988 Attachment Page 190 THIS CERTIFICATION 19 ISSUED �S A MATTER F 1 FORMATION PROD ROGER SMITH INS AGCY INC ONLY AND CONFERS NO RIGHTS THIS CERTIFICATE D UPON THE CERTIFICATE ES NOT AMEND, EXTEND OR PO BOX 7450 HOLDER, ALTER THE COVERAGE AFFORD D BY THE POLICIES BELOW. GREENSBORO.NC274t7.0450 NAIC # INSURERS AFFORDING COVERAGE INSURED INSURERA NATIONWiDE MUTUAL IN SURANCECO?rIPANY 23767 OAVIO P GRANT INSURER B: INSURER C: DBAGRANPSSERVICECO � 4122 QUARTERSTAFF CT I H 6 U RE R D: HIGH POINT, NO 27 235 -8005 INSURER E. COVERAGES THE POLICIES OF INSURANCE L ED BELOW HAVE BEEN ISSUED TO THE I S ED NAMED ABOVE FOR THE POLICY OTHER DOCUMENT WITH RESPECT TO WHICH PERIOD INDICATED. NOTWITHSTANDING THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN8RA pDItCYNUbIBER pOLICYEFFECTNE POLICYEXPIRATION DD IL DATE MMIDD DATE MWO LIMITS INS TYPE OF INSURANCE ACP GLO 2222966927 01112/2010 0111212011 EACH CCUftftENCE S 500,000 REMI Eaoemence) $ 100000 GENERAL LIABILITY A X COMMERCIALGENERALLIABLITY MED EXP (Any one Parson) $ 5,000 CLAIMS MADE N OCCUR PERS AL A ADV INJURY $ _ 500,000 GENERALAGGREGATE $ 500,000 PROOUCTS•COMPlOP AGG $ 500,000 G£N'LAGGREGATE LIMIT APPLIES PER: COMB ED SINGLE LIMB $ X POLICY PR LOC AUTOMOBILE LIABILITY ( dent) $ ANY AUTO ALLOWNEDAUTOS BODIL(INJURY S (Pare n) SCHEOULEDAUTOS 60DILYINJURY HIREDAUTOS (por acdoa) $ NON -OWNED AUTOS PROP RTY DAMAGE $ (Pat em) AUTO ONLY• EA ACCIDENT $ GARAGE LIABILITY OTHE THAN . EA ACC 6NLY: S ANY AUTO AUTO AGG $ EXCEWUMBRELLA LIABILITY EACH I CCURRENCE S AGGREGATE S OCCUR CLAIMS MADE i $ S DEDUCTIBLE I CSTA - O $ - RETENTION S WORKERS COMPEN RATION AND TORYLtb ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT S ANY PROPRIETOWPARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? E.LDISFAS£•F.AEMPLOYE $ E.L. DISEASE • POLICY LIMIT S II yes, doscdba und¢r L ROVIStONSbe1 OTHER i i DESCRIPTION OF OPERATIONS I LOCATIONS I V EHICLES I EXCLUSIONS APOED BY ENOORSEMENT J SPECIAL PROVISIONS I f 1 CABARRUS OOUNTY TRANSPORTATION PO BOX 707 CONCORD, NO 28026 SHOULD ANY OF THE ABOVE DESCRIBED PO CIE$ BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL; ENDEAVOR TO MAIL 10 DAYS WRITTEN I NOTICE TO THE CERTIFICATE HOLDER NAM IMPOSE HO ODLIGATION OR LIABILITY OF A REPRESENTATIVES. I AUTHORIZED REPRESENTATIVE KARA F -5 TO THE LEFT, BUT FAILURE TO 00 SO SHALL I KIND UPON THE INSURER, ITS AGENTS OR AITH DAWSON ©ACORD CORPORATION 1988 Attachment Page 190