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C <br />AOROW CERTIFICATE OF LIABILITY INSURANCE <br />°v yfl o1°eYrr' <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(les) must have ADDITIONAL INSURED provision. or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an mdoneem°nt. A statement on <br />this eertificato does not center righter to the certlUcale holder in lieu of such°ndoisamen[s. <br />PRowICER <br />Dennie Mitchell <br />Mitchell Insurance Services <br />pµEA Dennis Mitchell <br />PHONE 704 596-9991 FAX (704)596-5224 <br />JµL <br />0701-U North Tryon Street <br />a <br />Chaftte NC, 28213 <br />wuR eAFFlxwxa CME xuc <br />MVRW A: HARTFORD UNDERWRITERS INS CO. <br />11-S T <br />901 Tari <br />WOOdMWn SUael <br />wuRue: <br />INNEURIERE: <br />Mumak <br />N]YRaRa: <br />Ka NC 280e3 <br />rleuRme: <br />(7D4) 9 0-5lle, <br />(7D4)938-5440 <br />F. <br />UMBRELLALW <br />QCEE.Lw <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS M TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWRHSTANDING 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 B SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UMRS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />R TYPE OF IN.EFF, P°LICY EN E <br />wCf PaUxervidn <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />N.C. GENE LAII <br />I h O -Pre- CE J OCCUR <br />THE EXPIRATION GATE THEREOF, NOME WILL BE DELIVERED IN <br />PHI BOX <br />ACCORDANCE Wm! THE POLICY PROVISIONS. <br />EACH OCCURRENCE 9 <br />E <br />MEDEXP { <br />AUTH IRDEDREPRE.EMATNE <br />PER..L AAOV NJIMY S <br />Od'L FABREGTEppLIRRMppR AP%IER PFA: <br />PoLIOY�Jepi �WC <br />GENERAL AGGREGATE { <br />PROWCi9EpMFIOPAGO { <br />a <br />MIroM]eauwem <br />.Wv1uTO <br />Q OWNED BCXEOULEO <br />HIREAIITD ONLY NOTOSNbr <br />AUTOS °NLY A. <br />R <br />s <br />BODLYMJURY(ParpoFon) E <br />EOCIV NJVRY(PY YNW) E <br />{ <br />{ <br />L) <br />UMBRELLALW <br />QCEE.Lw <br />a.Lyp <br />CWx9MPOE <br />E/{NODCMRENCE { <br />AOOREOATE S <br />I <br />DEO <br />NETENWNS <br />{ <br />A <br />WORAD.0°1MENNATIOY <br />Axq FEXPoPLreOYeee LwlLm <br />OFFIE EPXAFI.YEDEIAPIPI RJF ecloECums Y© <br />nH�aune.e.r <br />1' SCRIPTIOHOF.1.1IONBn.aw <br />IN <br />US-001KO5213 <br />11/21117 <br />IM1118 <br />EL BACXICCpHIF s $1.ODOA00 <br />Er_Ixews-unn 000000 <br />-a$1 <br />E1.ONu9e-roller LMIT { 1 00000 <br />os.eRNROxoi OPEMrX)NEr weATPx.I veWCLEe'....'e" AMImn.. n.mF,Y. Rn.euN, m.Y n..Nm.a Nmn,. y... I. rpulr.al <br />CERTIFICATE HOLDER CANCELLATION <br />CSDdrN5 County <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />ADn: Accesb Transportation <br />. <br />THE EXPIRATION GATE THEREOF, NOME WILL BE DELIVERED IN <br />PHI BOX <br />ACCORDANCE Wm! THE POLICY PROVISIONS. <br />concoro, rvc 260zs <br />AUTH IRDEDREPRE.EMATNE <br />Fax: 704/933-8071 <br />DI!11 t <br />®1988-2045 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and loco are registered marks of ACORD <br />Attachment number 1111 <br />F-4 Page 232 <br />