CERTIFICATE OF LIABILITY INSURANCE
Review draft in certificate field order. The certificate is issued from your AMS after approval.
Date (MM/DD/YYYY)10/30/2026
ProducerTriangle Demo Agency
Durham, NC
(919) 555-0142
Insurers affording coverage
INSURER AErie Insurance
Insured
Carolina Pressure Wash LLC
66 Lakewood Ave
Durham, NC 27707
Certificate numberDRAFT-1027Revision number0
COVERAGES
| INSR LTR | TYPE OF INSURANCE | ADDL INSD | SUBR WVD | POLICY NUMBER | POLICY EFF | POLICY EXP | LIMITS |
|---|---|---|---|---|---|---|---|
| A | GENERAL LIABILITY | N | N | GL-4653275 | 04/06/2026 | 04/06/2027 | Each occurrence$1,000,000 Damage to rented premises$100,000 Med exp (any one person)$5,000 Personal and adv injury$1,000,000 |
Description of operations / locations / vehicles
Evidence of insurance.
Certificate holder
Summit Property Partners
150 Fayetteville St
Raleigh, NC 27601
CancellationShould any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions.Authorized representativeSigned on approval