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Frankie Fraley <br />7044631653 p.1 <br />632 <br />OP ID: PS <br />A`ORO CERTIFICATE OF LIABILITY INSURANCE <br />ocro7rwYI <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: N the certificate holder Is an ADDITIONAL INSURED, the policy(im) most be endorsed. If SUBROGATION IS WANED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement On this certificate does not canter rights to the <br />certificate holder In ku of such endorsement e . <br />PRODUCER 336- 249 -4951 <br />Mountcastle Insurance 336- 249 -7759 <br />P.O. Box 1937 <br />307 West Center Street <br />Lexington, NC 27293 -1937 <br />CONTACT <br />PHONE AX <br />c <br />GMAIL <br />PRDIXXSR <br />.HALEA -1 <br />INSURER AFFORDING COVERAGE <br />NACe <br />INSURED Hale Artificler, Inc <br />Jeff Hale <br />545 New Bowers Rd. <br />Lexington, NC 27292 <br />INSURER A:Penn. National Insurance Co. <br />1499D <br />1t uRERe:Travelers Indemnity Ins. Co. <br />25655 <br />INSURER C Alational Fire & Marine <br />INSURER o <br />EACH OCCURRENCE <br />INSOREiI E <br />pREMiSE ER AUUnenee <br />S <br />C <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO 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 CONDIgONS OF SUCH POLICIES. LENTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />Ofyt <br />TYPEOFNGURANCE <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />POLICYAUMBER <br />POLJCYEFF <br />POLJCYEXP <br />DFfrS <br />Sanford, NC 27330 <br />GENERAL LJAs urr <br />EACH OCCURRENCE <br />$ 1,000,00 <br />pREMiSE ER AUUnenee <br />S <br />C <br />X COMMERCNLCENEAALLIARIJT)I <br />7 2LPSOI 244T <br />04128111 <br />DU28H2 <br />CL S MADE XO OCCUR <br />MEO E %P Airy me Parson <br />S 5,O <br />PERSONALS ADV INJURY <br />S 1,000,0 <br />GENERAL AGGREGATE <br />3 2.000,O <br />GERLAGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS- COMPNPAGG <br />S 2,000,00 <br />POLICY <br />PR LOC <br />S <br />A <br />AUTOMOBILE <br />X <br />LIABILTY <br />ANYAuTD <br />AU19D607S11 <br />09123110 <br />09123MI <br />CCNBN£O SINGLE LIMIT <br />(Ea aufderhl <br />S 5,000,0 <br />BGOLLY INJURY (Pa pernm) <br />S <br />PLLOWrED AUTOS <br />BOOZY NJURY (PereWdant) <br />S <br />SCHEDULEOAUTOS <br />HIREDAUTOS <br />PROPERTY DAMAGE <br />(PIT acdeenll <br />S <br />$ <br />NCN -OWNED AUTOS <br />5 <br />EtlJl line <br />OCCUR <br />EACH OCCURRENCE <br />3 <br />AGGREGATE <br />S <br />S LIAR <br />ClMAS -MADE <br />CT <br />r 13LE <br />3 <br />3 <br />nON S <br />B <br />VIORNERSCOMPENSAnON <br />ANDENPLOYER6 <br />ANY PROPiIETOR,PARTNERAEXECUTIVE Y❑ <br />6KUB0544N40 <br />o61to111 <br />0611 D112 <br />X WC STATV- OTH- <br />E.L. EACH ACCIDENT <br />S 1,000. <br />OFFICERIMEMBER EXCLIDECI <br />(MandMory In NMI <br />NIA <br />E.L. DISEASE - EA EMPLOYE <br />3 1,DOD,00 <br />n a, dMVlbeuMer <br />N PERA <br />E.L. DISEASE - POLKY LIMO <br />3 1,000,00 <br />D Da te: J July , M OP' 1 RATON9lLOCATiON4IVEHKIFE IAmp, ACORO 101, AddXbnM Re,vea 9ctleduk,Mmnepee Mn�uee01 <br />Rain Date: July 5, 2011 <br />CERTIFICATE HOLDER CANCELLATION <br />HAMMONI <br />SHOULD ANY OF THE ABOVE DESCRIED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELOVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Joel Ammons <br />4702 Farrell Road <br />AUT1rOR�OREPRESENTATNE <br />Sanford, NC 27330 <br />117 1988.2009 ACORD CORPORATION. AD rights reserved. <br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD <br />