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~COR~ CERTIFICATE OF LIABILITY INSURANCE OPIDCAO <br />~ DATE(MWDD/YYYY) <br />MCQIIE-1 12/22/09 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Senn Dunn -Raleigh HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />4505 Palls of Neuae Rd, St 650 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Raleigh NC 27609-2521 <br />Phone: 919-719-9570 Fax: 919-719-9571 INSURERS AFFORDING COVERAGE NAIC # <br />WsuRED <br />INSURERA aelaeGiw x s Co of 9 solioa <br />19259 <br /> <br />McQ <br />e <br />C <br />t <br />i INSURERS: Stonewood Insurance Co. 11828 <br />u <br />en <br />ons <br />ruct <br />on Inc, Co. <br />Harvey McQueen <br />INSURER C: <br />619 Patrick Road <br />Bahama NC 27503 INSURER D: <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED SELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REONREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMEIfT W RH RESPECT TO W HIGH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, IXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CIAIMS. <br />INSR D'L <br /> <br />LTR <br />NSRD <br />TYPE OFINSURANCE <br />POLCY NUMBER POLICY EFFECTIVE <br /> <br />DATE (MMIDDIYYYY) POLICY EXPNiATION <br /> <br />DATE (MMIOD/YYYY) <br /> <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE E 1, 000, 000 <br /> <br />A <br />X <br />X <br />COMMERCIAL GENERALLIF8ILJTY <br />$1785111 <br />01/24/09 <br />01/24/10 DAMAGE TO RENTED <br /> PREMISES (Eaoccurence) $ 100, 000 <br /> CLAIMS MADE ~ OCCUR MEO IXP (Any one perwn) E 1 O , O O O <br /> PERSONALAADV INJURY E 1 <br />000 <br />OOO <br /> X Per Prj /LOC agg GENERAL AGGREGATE , <br />, <br />E 3 <br />000 <br />000 <br /> , <br />, <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 3, 000, 000 <br /> PR0. <br />POLICY JECT LOC <br /> AUTO MOBILE LIABILITY <br /> COMBINED SINGLE LIMIT E 1, 000 <br />000 <br />A X ANVAUTO 31785111 01/24/09 01/24/10 (~acatlen1) , <br /> ALL OW NED AUTOS <br /> BODILY INJURY E <br /> SCHEDULED AUTOS (Per Person) <br />A X HIRED AUTOS 31785111 01/24/09 01/24/10 <br /> BODILY INJURY <br />$ <br />A X NON-OWNED AUTOS 51785111 01/24/09 0],/24/10 lrararodanp <br />A X $250DED COMP 31785111 01/24/09 01/24/10 <br /> PROPERTY DAMAGE E <br />A X $SOODED LOLL 51785111 01/24/09 01/24/10 (Per ecaaem) <br /> GARAGE LVIBILIIY AUTO ONLY-EA ACCIDENT E <br /> ANY AUTO <br />OTHER THAN EA ACC <br />E <br /> AUTOONLY: AGG $ <br /> EXCESSIUMBRELIA LIABILITY EACH OCCURRENCE $ S, 000, 000 <br />A OCCUR ^ CLAIMS MADE 51785111 01/24/09 01/24/10 AGGREGATE $ 5,000,000 <br /> S <br /> DEDUCTIBLE <br />E <br /> X RETENTION $ 10000 $ <br /> WORKERS COMPENSATION <br />O <br /> AND EIiPLOYai3'LIABILITY Y X TORY LIM TS <br />ER <br />$ IN <br />ANY PROPRIETORIPARTNER/E%ECUTNE a <br />OFFICERrMEMBER IXGLUDED? WC10000053732009A 01/24/09 01/24/10 E.L. EACHACaDENr $ 1,000,000 <br /> 1MarldatorY In ~) <br />I/ <br />d <br />ib <br />d E.L. DISEASE-EA EMROYEE $ 1,000,000 <br /> yes, <br />eao <br />e ra <br />ar <br />SPECIAL PROVISIONS below <br />E.L. DISEASE-POLICY LIMIT <br />$ 1, 000, 000 <br /> OTHER <br />A InlandMarine-Equip 31785111 01/24/09 01/24/10 Per Item $75,000 <br />A Builder's Risk 339)3100 LxRxr, saoa.ooo 09/01/09 09/01/10 Ded $500 <br />DESCRIPTION OF OPERATIONS I LOCATION81 VEHICLES I IXCLU&ONS ADDED BY ENDORSEMENT I SPECIAL PROVLSIONS <br />Project: Twin Creeks District Park-Greenway <br />Orange County is listed as additional insured with respect to liability for <br />the above referenced project ae required by contract. <br />CERTIFICATE HOLDER CANCELLATION <br />I SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPWATION <br />GRAB 1 B 1 DATE THEREOF, THE ISSUW G INSURER WILL ENDEAVOR TO MAIL 3 O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED 10 THE LEFT, BUT FAILURE TO DO SO SHALL <br />Orange County <br />Environment & Resource <br />Conservation Dept <br />PO Box 8181 <br />IHillaborough NC 27278 <br />ACORD 25 (2009/01) <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR <br />REPRESENTATNES. <br />I <br />The ACORD name and logo are reg <br />