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1 <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MNUDDIYY <br />RDID <br />BORDE -2 <br />05/29/07 <br />PRODUCER <br />Trisure Corporation -HS <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />4325 Lake Boone Trail <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Suite 200 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />leigh NC 27607 <br />INSRC <br />TYPE OF INSURANCE <br />hone: 919-469-2473 Fax:919- 467 -4987 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />INSURER A. Amerisure Mutual Insurance 'Co. <br />INSURER B: Selective Insurance Co. <br />12572 <br />Bordeaux Construction Company, <br />Cindy Laws <br />INSURER C' <br />100 E Britania Ave <br />Durham NC 27705 <br />INSURER D: <br />INSURER E <br />X <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE a OCCUR <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 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 />LTR <br />INSRC <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE MMID <br />DATE MWDD <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />S1000000 <br />.A <br />X <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE a OCCUR <br />CPP2034387010000 <br />12/31/06 <br />12/31/07 <br />PREMISES Eaoccurence) <br />5100000 <br />MED EXP (Arty one Person) <br />S10000 <br />PERSONAL 8 ADV INJURY <br />$1000000 <br />_ <br />GENERAL AGGREGATE <br />s2000000 <br />GEMLAGGREGATE LIMIT APPLIES PEP: <br />PRODUCTS - COMP /OPAGG <br />52000000 <br />POUCY PRO-- LOC <br />A <br />X <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />CA2034386000000 <br />12/31/06 <br />12/31/07 <br />COMBINED SINGLE LIMIT <br />(F� accident) <br />$1000000 <br />X <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident) <br />5 <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />Ah. <br />H <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />ANY AUTO <br />S <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$5000000 <br />A <br />X <br />X OCCUR F—] CLAIMSMADE <br />CU2034388 <br />12/31/06 <br />12/31/07 <br />AGGREGATE <br />$5000000 <br />5 <br />$ <br />n DEDUCTIBLE <br />X RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />N yyes, describe under <br />SPECIAL PROVISIONS below <br />WC2034389 -00 <br />12/31/06 <br />/ /06 <br />12/31/07 <br />1A I <br />X I TORY LIMITS ER <br />E.L EACH ACCIDENT <br />5500000 <br />E.L. DISEASE -EA EMPLOYEE <br />$500000 <br />EL DISEASE - POLICY LIMIT <br />S 500000 <br />OTHER <br />A <br />Leased /Rented Eqpt <br />CPP203438701000b <br />12/31/06 <br />12/31/07 <br />Limit $50,000 <br />B <br />Builders Risk IS16122513 <br />1 <br />05/29/07 <br />05/29/08 <br />Limit $10,076,838 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS <br />Project: Orange County Justic Expansion Public Market House 6 River Park <br />Orange County is also named as additional insured with respects <br />to General Liability. <br />Please see attached special cancellation provisions that apply Auto /Work <br />Comp /General Liability /Umbrella. <br />CERTIFICATE HOLDER CANCELLATION <br />ORA20OX <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />Orange County <br />State of North Carolina <br />200 S Cameron St <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Hillsborough NC 27278 <br />REPRESENTATIVES. <br />ACORD 25 (2001108) `.1 - WACORD CORPORA <br />