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OP ID:DC <br /> CERTIFICATE OF LIABILITY INSURANCE <br /> DATE 11/2 11201 YV) <br /> 11121/2013 <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(fes)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: Debbie Callahan <br /> The Sorgi Insurance Agency Fax:919-682-4906 PHONE 9 FAx <br /> 16 Consultant Place Suite 102 A/C No Ext: 19-682-4814 A/C No: 919-682-4906 <br /> Durham, 27707 DR <br /> James E.S orgi,CI C E-MAIL debbie so► iinsurance.com <br /> PRODUCER <br /> CUSTOMER ID x:TRIALAN <br /> INSURER(S) AFFORDING COVERAGE NAIL N <br /> INSURED Triangle Landscaping Inc. INSURER A:Erie Insurance Exchange 26271 <br /> Brad Lewis dba INSURER B <br /> 3582 Fletchers Way <br /> Stem,NC 27581 INSURER C <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 ADDL SUB POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE POLICY NUMBER MMIDD MMIDD LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br /> X COMMERCIAL GENERAL LIABILITY Q2726204479 03/26/2013 03126/2014 AMAG O NT <br /> PREMISES Ea occurrence $ <br /> CLAIMS-MADE OCCUR MED EXP(Any one person) $ <br /> PERSONAL 8 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 LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> A ANY AUTO (Ea accident) $ 750,00 <br /> Q032630379 03/26/2013 03/2612014 <br /> ALL OWNED AUTOS BODILY INJURY(Per person) $ <br /> X SCHEDULED AUTOS BODILY INJURY(Per accident) $ <br /> PROPERTY DAMAGE <br /> HIRED AUTOS (Per accident) $ <br /> NON-OWNED AUTOS $ <br /> $ <br /> UMBRELLA UAS OCCUR EACH OCCURRENCE $ <br /> - H EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE <br /> RETENTION $ $ <br /> WORKERS COMPENSATION WC STATIC OTH- <br /> AND EMPLOYERS'LIABILITY X <br /> YIN <br /> X ANY PROPRIETOR/PAR R/MEM ER EXCLUDED?ECUTIVE ❑N N/A Q872600559 0312612013 03/2612014 E.L.EACH ACCIDENT $ 100,00 <br /> (Mandatory In <br /> If yes,desvibe under E.L.DISEASE-EA EMPLOYEE $ 100,00 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 <br /> A Contractor's equip Q272620479 03/26/2013 03126/2014 Equipment 92,30 <br /> DESCRIPTION OF OPERATIONS/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 /> Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 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 25(2009109) The ACORD name and logo are registered marks of ACORD <br />