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Sep 09 2013 7:04PM HP Fax page 1 <br /> '4` -- CERTIFICATE OF LIABILITY INSURANCE �TE(MM1YDD/YYYYi <br /> 9/9/2013 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, <br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies) must be endorsed, tf SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement, A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER o E Sammy Anderson, CPCU, AM <br /> Fountain, Roberson, Anda3rson PH (252)823-2416 1 IFAAIC, (252)823-2925 <br /> P.O, Sox 338 <br /> 119 East St. James Street INSURE F43)ARORDING COVERAGE NAIC s <br /> Tarboro NC 27886 INSuRERA:Zrie Insurance Company <br /> INSURED <br /> INSURERS: <br /> Archaeological Consultants Of The Carolinas, INSURERC: <br /> 121 First Street INSURER D: <br /> IN lRE: <br /> Clayton NC 27520 INS r: <br /> COVERAGES CERTIFICATE NUMBER:CL1381400532 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> TYPE OF INSURANCE NUMBER POLICY EFF POLICY EXP LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LUIBIUTV <br /> $ 1,000,000 <br /> A CLAIMS-MADE ❑X OCCUR X D441350483 8/13/2013 /13/2014 MED EXP(Any one man $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP)OP AGG $ 2,000,000 <br /> X POLICY PRO- LOC $ <br /> AUTOMOBILE LIABILITY COMBINED 1 <br /> n 11000,000 <br /> A ANY AUTO 8001 LY INJ URY(Per person) $ <br /> ALLOSNED AUTOSULED X 081230445 /12/2013 /12/2014 Soo 1LY INJURY(For accident) 3 <br /> HIRED AUTOS AUTOSED P AM0.GE b <br /> b <br /> HUMBRELLA LIAS OCCUR EACH OCCURRENCE $ <br /> EXCESS LUIS CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTIONS__ $ <br /> WORKERS COMPENSATION X VVC STATU- OTH- <br /> AND EMPLOYERS*LIABILITY YIN Lim <br /> ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100 000 <br /> A OFFICERlMEMBER EXCLUDED? NIA <br /> (Nardawry in NH) 923000486 /30/2013 6/30/2014 E.L DISEASE-EA EMPLOYEE 4 100 000 <br /> Ifyes,denONender E.LDISEASE-POLICYLIMIT $ 500 000 <br /> DE CRIPTION OF OPERATIONS below <br /> DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (Attach ACORD 101,AddHlonal Ramerks Schedule.It men apace Is required) <br /> Orawle County is named as additional insured. <br /> CERTIFICATE HOLDER CANCELLATION <br /> (919) 636-4913 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> David Cannell, Purchasing Agent <br /> 200 South Cameron Street RUTH DREPRESENTATIYE <br /> Hillsborough, NC 27276 <br /> ACORD 25(2010106) 1188-2010 ACORD RPORATION. All rights reserved. <br /> INS025(201005).01 The ACORD name and logo are registered larks of ACORD <br />