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,�++��--�'1 • JFIIVILA 012,113:CC <br /> DATE(MMtDDNYYY) <br /> CERTIFIC TE QF LIABILITY INSURANCE a$, 11 <br /> THIS CERTIFICATE IS ISSIiEi� Pis d MakTtEit INF(]RINATWiI .OIVLY ANA C(I!fFERS NO R1iGiliT9 UPf3Ft THE GEIiTIFiCATE HOLDER. THIS <br /> CERTIFICATE DOES NOT 14FFIRMATNELI(. QR )11T11/ L"Y AMEN[7„EXTEND OR ALTER TIKE E`rOVERAGE AFFORpED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF;iNSlJi 1VG)` .06Egs>IlOT 6'OH8'iI7LtTE J1 GONTRJ�C. 13. TYIIEEBI fl E 158UING INSURER($), AUTHORIZED <br /> REPRESENTATIVE OR PRODIUCER,.AN6 eti�f�RTl�I�>�t> :Mgl:/TETt, <br /> IMPORTANT: B''ttle eertific e' holder Is atvAD ITIONAL IN RED; the pollay.0") must be endorsed. If SU13ROGATION IS WAIVED, subject to <br /> the terms and conditions of the.polldy; CertelIl policies MAY xequire ari endorsemeht� A statemetit'oh`this.certMcdW does not confer rights to the <br /> certitica e'holder In:lieu oUsuch.andorsemen s- <br /> PRODUCER SM.9'-36sdT .C'�fd'tll..LGCaIS_: <br /> Summers Thompson Lovvty;Inc. E FAX <br /> 100 Europa Drive <br /> Suite 571 915=$42.4 :1 919-969- 311 No):919=9424221 <br /> Chapel II;NC 2 317 D'. 3'3 e.4th sell Sure,G:om <br /> C.Duke Thompson CPCU ARM <br /> INSURER iAFFURDi.G-GOVERAG;E NAIL <br /> INSURERA attSl C,esiUal. CO. <br /> INSURED 4.F,. .-lkerson Contracting 06. 'INSURER e'CAWlttsuranceCompany <br /> Inc.&. 1096ph.ytlilkerson :INsuRERr �hiol:Casual Ins CO 24074 <br /> P.O.9x 963 <br /> Morri$vllle,NC 27B60 INSUaERp <br /> �IN3.tIttER.$ <br /> COVERAGES RT.1. Ft- R SION.:NUNC ER:. <br /> THIS IS TO CERTIFY THAT THE PCrL,ICIES OF-IM11AW-9 LISTED BOLOW'HAVE BEEN'19S4ED TO THE INSURED NAMED ABOVE:FOR:THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY ttE41Ji Krir',.�TERM 6*00NDITI'ON (IIF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUEP OR,MAY PERTAIN T E;IN3URAISIG AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSJONS AND C,ONDITIONS'OF$UCH P,OLI. ICS {I 1f3:SH NN Y}1AVE'QfiEN-#E000ED BY'PA10 CLAIMS. <br /> INSR <br /> TYPE OF INSURANCE .. <br /> LIMBS <br /> GENERAL LIABILITY E�4CHOCCUR.RENCE $ 1;000,00 <br /> A X COMMERCIAL GENERAL LIABILITY X OK/15270.0528 0410111.1 04/01112 PREMISES Es occurrence S 100,00 <br /> CLAIMS-MADE OCCUR -MED EXP.(Any one person) $ i0,00cl <br /> PERSONAL&ADV INJURY $ 1,000,00cl <br /> GENERALAGGREGATE $ 2,0.00,00 <br /> GENL AGGREGATE LIMrt APPLIES PER. PR CT$-COMP/OP AGG $ 2,000,00 <br /> P.ouCY Pno Lod E.m i&lh. $ 1.000 OO <br /> AUTombsILiELIABILITY a eboiderlt 1,000;00 <br /> A X ANY.AUro g/1(!152i 5512 II 04/01/11 04101/12 BODILY INJURY(Per person) $ <br /> baO NEO SS DLIED BODILY INJURY(Per accident) S <br /> NOTN-OSUV�YNED er sccrOMMG <br /> X HIRED AUTOS .X A.LtrOS <br /> $ <br /> UMBRELLA:LIAR OCCUR EACH OCCURRENCE $ 51000,00 <br /> C X EXCESS I" HCLAMS-MADE EPO"OM0417 04101771 04101112. AGGREGATE S 5,000,00 <br /> X1 NTION S SCAM: <br /> WORKERS COMPENSAMON ATl1. fflH- <br /> AND EMPLOYERS'LIABIUTQ y� � ''� <br /> LLLJJJ ,. . EEL <br /> B ANY PROPRETORIRAIJTN.MJEXECUTIVE NSA 1 Vlr 1:000ob'IB0720011A 0710111.1 07/(11'/12 E:L EACH ACCIDENT $ 500,00 <br /> OFFICER61EMBER EXCLUOEO? 500,00 <br /> (MMdatory In NH) :�.L..DI$WE-EA.EMPLOYE $ <br /> II yes,tl ON.Under 1 <br /> E E.L.DI E-POLICY•LICY LIMIT 500,00 <br /> A Installation Real: EM052700528 "101/11 I14101K2 Pier.}op 500,00 <br /> A Excess Liability ECb115443$41.7 04101'/11 04/01712 Occ 5,000,00 <br /> DESCRIPT10kOFOT'EkA110N87L0.CAT10N8)VEHICLES.IAWtrll.GQftfi101 Ad4NOPplt�MAFlts$ d�ife;:Nmero�ppaq- :rsqulHe) <br /> ork as ordered cin Sanitary Sewer ImpTt9verhanta foT,6uolhoih Ar$>3 North of <br /> -85,Central Efland , Cantradt#20--1 <br /> 1 <br /> range County is additional insured as respsot toyenerat lTaltili;yps <br /> TIC HOLDER CANQ LLATION <br /> aspect to-the above callttoneti prbjet;�t. <br /> oRANGt . <br /> S.HOUI:D ANY OF THE At30UE�DESCRIBED-POLICIES BE CANCELLED BEFORE <br /> THE EXPIRA116N �LLATE T REQF, NOTICE WILL Sts DELIVERED IN <br /> ACC*RDAKCkWITNrTNEPOL1I YOR641180NS. <br /> Orange.County <br /> 200 S.Cameron St AIFn((tRl�Ed'REPREBEMFA,TNE <br /> Hillsborough,NC X7278 <br /> 01988.2611 AGC)RE CORPORATION. All rights reserved. <br /> ACORD 25(2010105) T.heACOR10 name and;loga are registered marks of ACORD <br />