2013-469 DEAPR - Landmark Surveying Inc for Boundary survey and plat for Bliss-Doby Conservation Easement $3,930

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--� ! L4NDMA 00 ID!DR D M 10ERTIFICATE OF LIABILITY INSURANCE O; MMDNYYY) 25/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGgITIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies nay require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. I Haywood m ER on Insurance Phony:336-228-0525 NCOAMTA� Debby Blanchard _ _ Pos Office Box 2038 Fa�:336-229-0900 PAIL N,Exti:336-228-0525 I Fax Burlington,NC 27216 EMAIL ___.!(acINel?336-229-0900 -A'DUREss:blanchd3@nationwide.com INSURM AF) FORDING COVERAGE NAIC 0 INSURER A:NationWide Insurance Co INSURED Landmark Surveying Inc INSURERB:Guard Insurance Group—...-- PO Box 839 - -.------- Graham,NC 27253 INSURER c: — ---_-— ---- - - -- -- - INSURER D: INSURER E• INSURER-F:--- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR -' LTR I TYPE OF INSURANCE i - POLICY NUMBER MM/DD/YYYY UNITS GENERAL LIABILITY j-EACH OCCURRENCE I$ 1,000,00 A I X� COMMERCIAL GENERAL LIABILITY CP2 53584929 08/2712013 08/27/2014 PREMISES lEa occurr $ 100,00 CLAIMS-MADE a OCCUR MED EXP(Arty one_�arson)--13---_----.----.5,00 PERSONAL BADVINJURY $_--- 1,000,00 GENERAL AGGREGATE I$ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: I — PRODUCTS•COMP/OP AGG 1$_ --- 2,000,00 POLICY PRO- F7JFCT F7 LOC I $ AUTOMOBILE LIABILITY I I COMBINED SINGLE LIMIT 1,000,0 A ANY AUTO CP2 53584929 08/27/2013 08127/2014 BODILY INJURY(Per person) :S 1 ALL OWNED SCHEDULED - I AUTOS X AUTOS j I BODILY INJURY(Per accident);S -- -__-.._ ..._.__.- X iHIRED AUTOS I X NON-OWNED "-- --- - PROPERTY DAMAGE AUTOS I (Per accident L_...._...._._._.- S- ----------------- i X I UMBRELLA LIA B X OCCUR EACH OCCURRENCE .S 2,000,000 —- - —�- A I EXCESS LIAR CLAIMS-MADE ACP2253584929 0812712013 08127/2014 AGGREGATE $ 2,000,00 f DED X RETENTION O I - ----- $ - - - WORKERS COttPENSA710N WC STATU• II 0TH-1 AND EMPLOYERS*LIABILITY YIN I I tORY1.IMUS S ANY PROPRIETORIPARTNERIEXECUTIVE LAWCi 33903 08/27/2013 08/27120141 OFFICERIMEMBEREXCLUDED? NIA E.L.EACHACCIDENT $ 1,000,00 —_----..-_----- (Mandatory In NH) E _ EASE-EA EMPLOYEE S _ 1,000,00 If yea deacrbeunder I E.L.DISEASE•POLICY LIMIT;-$ 1,000,00 DESCRIPTION OF OPERATIONS below I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Surveyor Land CERTIFICATE HOLDER I CANCELLATION ORANGEN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County,North Carolina ACCORDANCE WITH THE POLICY PROVISIONS. 306A Revere Road AUTHORIZED REPRESENTATIVE Hillsborough,NC 27278 4�� I 988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD