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Client#• 126284 <br />RESOBUI <br />ACORD <br />CERTIFICATE OF LIABILITY INSURANCE ~ <br />~' <br />TM ioniz0o <br />s <br />PRgDUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Wachovia Insurance Serv-RA, NC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />PCJ Box 97787 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Ral~iigh, NC 27624-7787 <br />8 22-4154 INSURERS AFFORDING COVERAGE NAIC e <br />INSURED INSURER A: Westfield National Insurance Company 24120 <br />Resolute Building Company INSURER B: Westfield Insurance Company 24112 <br />PO Box 3656 <br /> INSURER C: <br />Chapel Hiil, NC 27515 <br /> INSURER D: <br /> INSURER E: <br />covERaf;Es <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE iNSUREO NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I <br />R <br />TYPE OF INSURANCE <br />pOLK.W NUMBER POLICYM FFECTNE POLICY EXPIRATION LIMITS <br />A GENERAL UABILm TRA4527240 10/01/08 1 O/01109 EACH OCCURRENCE Si OOO OOO <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br />ISES ~.a a~~~~~~ <br />s3oo 000 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) S1 O OOO <br /> PERSONAL & ADV INJURY S1 (}OO OOO <br /> GENERAL AGGREGATE S2 OOO OOO <br /> X GEN'L AGGREGATE UM17 APPLIES PER: PRODUCTS - COMP/OP AGG S2 OOO OOO <br /> POLICY X PRO- LOC <br />A wuTOMOBILE Lu+.eltrrr <br />X ANY AUTO TRA4527240 10/01/08 10/01109 COMBINED SINGLE LIMIT <br />(Ea aeddenq :1,000,000 <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) S <br /> X HIREO AUTOS <br />BODI <br />Y INJU <br />Y <br /> <br />X <br />NON-0WNEDAUTOS L <br />R <br />{Peraeddenq S <br /> X 5250 Comp Ded <br /> X X500 Cotl Ded (Per ~eMOAMAGE i <br /> GARAGE LUU3NJTY AU70 ONLY • EA ACCIDENT S <br /> ANY AUTO FA ACC <br />OTHER THAN = <br /> AUTO ONLY: AGG S <br />A EXCESSIUMBRELLA LIABILITY TRA4527240 10/01/08 10!01109 EACH OCCURRENCE s10 000 000 <br /> X OCCUR ~ CLAIMS MADE AGGREGATE S1 O OOO OOO <br /> a <br /> DEDUCTIBLE <br />i <br /> X RETENTION S O s <br />B WORKERS COMPENSATION AND WCP4527399 10/01/08 10/01/09 X WC sTATU- oTH- <br /> EMPLOYERS LIABiL[IY <br />ANY PROPRIETOR/PARTNERIEXECUTNE <br />E.L. EACH ACCIDENT <br />S1 OO,000 <br />N OFFICER/MEMBER EXCLUDED? <br />E.L. DISEASE - EA EMPLOYEE <br />S7 OO OOO <br /> hyes descr~e user <br />SPECUtL PROVISIONS bebw E.L. DISEASE -POLICY LIMff SSOO OOO <br /> OTHER <br />DESCRIPTION OF OPERATIONS! LOCATIONS 1 VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Re: Orange County Office Building 131 Margaret Lana Hillsborough, NG <br />27278 <br />Telesis Constructiong Management, LLC, Brockwell and Associates, EDi, Inc. <br />Gardner 8 McDaniel, PA, Summit Consulting and Orange County are named as <br />(See Attached Descriptions} <br />Telesis Construction Management, <br />LLC <br />1000 Corporate Drive, Suite 109 <br />Hillsborough, NC 27278 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />GATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _~_ OAYS WRITTEN <br />NOTICE TO THE CERTIFK:ATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF AMY KIND UPON THE INSURER, R3 AGENTS OR <br />AUTHORIZED REPRESENTA~TIVyE <br />~ ~ ~/ i <br />~aa.vrcu <~ (~uu-I1uts) ~ of 3 iF51409388/M1405195 LHA02 O ACORD CORPORATION 1988 <br />