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W7 A A�n® [/ CERTIFICATE OF LIABILITY INSURANCE DATE AWIDD/YYYY) F2/15/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: It the certificate holder is an ADDITIONAL INSURED, the policy(iss) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Mountcastle Insurance 307 W. Center Street CONTACTNAME: Phj►11i8 Sink PHO NIX(336) 249-4951 (AIDC. No): ADDRIEss;psink@mountcastleinsurance.com DAMAGE TO RE O INStIRERjS1 AFFORDING COVERAGE -- --- NAIC t Lexington NC -27292 - -_ INSURER A Penn. - National Mutual Casualty �14990 INSURED APP - Continental Indemnity Cc _INSURERS INSURER Hale Arti£icier, Inc INSURER D: 545 New Sowers Rd. INSURER E: 1 INSURER F: - - -- --- Lexie on NC 27292 COVERAGES CERTIFICATE NUMBER:CL1621500999 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Hal! Artificier, Inc. R TYPE OF INSURANCE D L SUBWVDH POLICY NUMBER POLICY EFF POLICY EXP -- LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _. — DAMAGE TO RE O AUTHORIZED REPRESENTATIVE CLAIMS -MADE OCCUR PREMISES.LEaooau�-._ S- ------ -- MED EXP (A�pe�) S PERSONAL 6 ADV INJURY `GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- _ POLICY — JECCT _ LOC PRODUCTS • COMP/OP AGG --- $ _ R $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5,000,000 ANY AUTO BODILY INJURY (Per person) S A - - — --- ALL OWNEDSCHEDULED AD90607811 X ' 9/23/2015 9/23/2016 BODILY INJURY (Per aoddeM). S — AUTO$ AUTOS NON -OWNED X X PROPERTY DAMAGE----_-_-� $ HIRED AUTOS AUTOS _(Per accident) -- Uninsured mooaist BI S6k rerlit S 30,000 UMBRELLAL1AS _ OCCUR — EACH OCCURRENCE $ EXCESS UAB CLAIMS -MADE AGGREGATE _-. -- -- $ DED RETENTION S WORKERS COMPENSATION STATUTE ER __-__ AND EMPLOYERS' LIABILITY Y N PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 :ANY S 'EEM EXCLUDED? (vAnd.—N/A 468792450103 12/1/2015 12/1/2016 E-LDISEASE. EAEMPLOYEE $ 1,000,000 It Yes,descrilmI DESCRIPTION OPERATIONS under E E -L DISEASE - POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, AddiBonal Remarks Shcadule, may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) pyronoid!@lexcominc.net SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Hal! Artificier, Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Jeff Hale ACCORDANCE WITH THE POLICY PROVISIONS. 545 New Bowers Road AUTHORIZED REPRESENTATIVE Lexington, NC 27292 ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)