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OP ID:DC <br /> A�,O1z° <br /> DATE(M <br /> CERTIFICATE OF LIABILITY INSURANCE 4120 4 <br /> 04/14/2014 <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. If 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 Phone:919-682-4814 NAME <br /> ACT Debbie Callahan <br /> The Sorgi Insurance Agency Fax:919-682-4906 PHONE 919-682-4814 FAX No):919-682-4906 <br /> 16 Consultant Place Suite 102 Alc No Ext <br /> Durham,NC 27707 ADDRESS:debbie@_sorglinsurance.com <br /> James E.Sorgi,CIC PRODUCER <br /> CUSTOMER ID a:TRIALAN <br /> INSURERS AFFORDING COVERAGE NAIC N <br /> INSURED Triangle Landscaping Inc. INSURER A:Erie Insurance Exchange 26271 <br /> Brad Lewis dba INSURER B: <br /> 3582 Fletchers Way <br /> INSURER C: <br /> Stem,NC 27581 <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 /> INSR TYPE OF INSURANCE ADDL SUB POLICY NUMBER MM DCD/YYYY MM DD/YYYY LIMITS <br /> LTR <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br /> 03/26/2014 03/26/2015 DAMA E TO RENTED <br /> X COMMERCIAL GENERAL LIABILITY Q2726204479 PREMISES Ea occurrence $ <br /> CLAIMS-MADE 7X1 OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 <br /> POLICY PRO f F] LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ .750,00 <br /> 03/2612014 03/26/2015 (Ea accident) <br /> A ANY AUTO 0032630379 BODILY INJURY(Per person) $ <br /> ALL OWNED AUTOS BODILY INJURY(Per accident) $ <br /> X SCHEDULED AUTOS PROPERTY DAMAGE $ <br /> HIRED AUTOS (Per accident) <br /> NON-OWNED AUTOS I -- — - <br /> I UMBRELLA LIAB OCCUR EACH OCCURRENCE $L i I—1 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ - -- <br /> RETENTION $ $ <br /> WORKERS COMPENSATION X WC STATU- O R <br /> AND EMPLOYERS'LIABILITY Y/N 100,00 <br /> X ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA 0872600559 03/26/2014 03/26/2015 E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,00 <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT 1$ 500,00 <br /> DESCRIPTION OF OPERATIONS below <br /> A JContractoes equip Q272620479 03126/2014 03/26/2015 Equipment 92,30 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> 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 /> PO Box 8181 <br /> Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE <br /> ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> ACORD 26(2009/09) The ACORD name and logo are registered marks of ACORD <br />