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~ 05/13/2005 15:34 8284374515 FIRST••BROCKLAND PAGE 01/01 <br />:.~~~DTM CERTIFICATE OIL L,IAEILITY II~iS1JI~ANCE 05/13/2005' <br />~iODUCER (g 28)433-1298 FAX (828)437'-4515 THIS C{_RTIFICATE 13 ISSUED AS A MATTER OF INFdRMATION <br />First Brockl and Insurance Agency Inc ONLY ~,ND CI;)NFERS NO RIGHTS UPON THE CERTIFICATE <br />PO BoX 520 HOLD>rR. THIS CERTIFICATE DOE3 NOT AMENd, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />301 North Sterling St. <br />Morganton, NC 28680-0520 INSURERS AFFORDING COVERAGE NAIC ~ <br />INSURED Stitt es Surveying, PA. INSURER A: StHt~e Auto ___ <br />16 S. Main St. INSURER B• ..~ <br />$ui to 200 INSURER c. __ _ <br />Marion, NC 28752 INsuRERD: ~•~- ~ --- • _~• <br />INSURER E: <br />rr~trco~.r_~m <br />TWE POLICIES OF INSURANCE LISTED BELOW HAVE; 8EEN ISSUED TO THE INSURED NAMED AE30VE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINI <br />ANY REQUIREMENT, TERM OR CONDITION OF /{NY CONTRACT OR OTHER DOCUMENT Wll'H RESPECT TO WHICH THIS CEaRTIFICATE MAY BE ISSUEb OR <br />MAY PERTAIN, THE INSURANCE AFFORDED E3Y THE POLICIES DESCRIBED HEREIN IS SU9JECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DO' TypE OF WSURANCE POL2CY rIUM6ER POLICY EpPECTIVE POI-ICY EiXPIRATION LIMBS <br /> GENERAL LIABILTY EACH OCCURRENCE S ], OOO y OQQ <br /> X COMMERCIAL GENERAL LIABILITY PBP203464Z 04 02,/Ol/2005 0:~~/Ol/2006 DAMAGE To RENTED g 100, 000 <br /> CLAIMS MADE ~ OCCUR MED E:XP (Any one person) $ 5 OQO <br />A PERSONAL 8 ApV INJURY $ ~, , OOO OOO <br /> GENERAL AGGREGATE $ 2 , OOO , OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG S 1 OOO ~ QO <br /> POLICY PRO LOC <br />JECT <br /> AUT OMOBILE LIABILITY COMBINED $INC3LE LIMIT <br />s <br /> X ANY AUTO 8AP2034643 04 OZ/Ol/20Q 5 On"./01/2006 (Eaeiden1~ 1, 000, 000 <br /> ALL OW NED AUTOS BODILY INJURY <br />S <br /> SCHEDULED AUTOS (Per person? <br />A NIREDAUTOS 80DILYINJURY <br />3 <br /> NON-OWNED AUT05 (PereCddanq <br /> _ PROPERTY DAMAGE 3 <br /> (Par ectadenl) <br /> GARAGE LIABILITY AUTO ONLY ~ EA ACCIDENT 5 <br /> pNY AUTO OTHER THAN EA ACC S <br /> AUYO ONLY AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE 3 <br /> OCCUR ~ CLAIMSMADE AGGREGATE S <br /> <br /> DEDUCTIBLE $ <br /> RETENTION S 8 <br /> <br />WORKERS COMPENSATION AND WCSTATU- OTH- <br /> EMPLOYERS' LIABILITY WCP2034644 04 02 f 01/2005 0 /01/2006 E.L. EACH ACCIDENT $ 1 000 OOO <br />X ANY PROPRIETORlPARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED9 <br />E•L. DISEASE - EA EMPLOY <br />S 1, OOO , OOO <br /> I! yea, deacriGe under <br />SPECIAL PROVISIONS below <br />, E.L. DISEASE -POLICY LIMIT $ 1 OOO , OOO <br /> OTHER <br />DESCRIPTIQN OK OPERATIONS (LOCATIONS / YEMICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PRDV1340N3 <br />ertificate Holder listed as Additional Insured <br />C r ...,,.----^.~~. r <br /> SHOULD aNY OP YNE ABOVE DESCRIBED POLICIES BB CANCEI,LEG BEFORE THE <br /> EXPIRATION GATE THe;jtHOF~ TN2 (33UING INSURER WILL ENDEAVOR TO MAIL <br /> 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAM@D TO THE LEFT'. <br />ORANGE COUNTY SOLIb WASTE MANAGEMENT ?e(J5~4-'1SKIt~(~Ci>(~;l~,1tX~6>SD(K~Xti?CXIXfI'6`~KX~il4~l%~X~NiXaXcXA6)ED(J(~(XX <br />PO BOX 17177 Td(tXdW~'J'(dtJfeYI~D.(IDCXX~UX~GYc~'rl()~26XM~(~DEI{ld B~f~WL7~bD~X~(XXXXXXXX <br />CHAPEL HILL, NC 27516-7177 <br />_ AUTHORIZ PRESEN TIVe <br />- ~~~~ <br />AGORD 25 (2041108) FAX: C919)93Z-2900 ~ ~ ®ACORD CORPORATION 7988 <br />