2013-502 AMS - Burke Design Group for SportsPlex Entry Renovations $25,000

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BURKE-1 OP ID:SJ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDWYYYY) 11/25113 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY 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 may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 919-552-8274 CONTACT THE YOUNG GROUP OF FUQUAY 919-552 4695 PHONE FAX 1411 N Judd Parkway NE,Suite A c No.Ext): Arc J: Fuquay-Varina,NC 27526 EMAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford Underwriter Ins.Co. ;30104 INSURED Burke Design Group,PA INSURER B:Erie Insurance Group 26271 Ben Burke 3305-109 Durham Drive INSURERC: Raleigh,NC 27603 INSURERD; 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. INS TYPE OF INSURANCE POLCY EFF POLICY EXP LTR POLICY NUMBER MMA)DlYYYY I (MWDPNYYYI i LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 22SBAVD6060 12/23/13 12/23/14 UAI A-GET0-RENTED PREMISES Ea occurrence $ 1,000,00 CLAIMS-MADE OCCUR MED EXP Any one person) S 10,00 X Business Owners PERSONAL&ADV INJURY $ 1,000,00 I __I AT i GENERAL AGGREGATE S 2,000,00 GEN%AGGREGELIMITAPPLIESPER: PRODUCTS-COMPIOPAGG S 2,000,00 jEGT POLICY^ V PRO- n LOC S AUTOMOBILE LIABILITY LIMIT COMBINED SINGLE 1 �Ea eocldenq $ 1,000,000 B X ANY AUTO Q12-2330364 12/23/13 12/23/14 ;BODILY INJURY(Per person) 'j$ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident)is X , NON-OWNED PROPERTY DAMAGE HIRED AUTOS X $ AUTOS Per accident Is UMBRELLA LIAR I OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE I AGGREGATE I$ DED RETENTIONS 5 WORKERS COMPENSATION X WC STAN- = OTH- AND EMPLOYERS'LUIBILITY. Y/N T-QBINKMS 1 ER A ANY PROPRIETORIPARTNERfEXECUTIVE 22WBCRI8597 11/28/13 j 11/28114 E.L.EACH ACCIDENT Is 1,000,000 OFFICERIMEMBER EXCLUDED? N!A I(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 E If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT S 1,000,000 C Prof.Liability AR00005085 08/04/13 08/04/14 Limit 1,000,00 ded 2,500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,H more space is required) i CERTIFICATE HOLDER CANCELLATION ORANGEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County,NC Government THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g tyr ACCORDANCE WITH THE POLICY PROVISIONS. 131 W.Margaret Lane \,�( ,� ` {(��/� Hillsborough, NC 27278 AUTHORIZED REPRESENTA'*- �-�4 0. C act I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD