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T Erie CERTIFICATE OF INSURANCE <br /> �.� Insurances -THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY- <br /> 100 Erie Ins.PI. • Erie,PA 16530 <br /> NAME AND NUMBER OF AGENCY DATE ISSUED <br /> THE SORGI INSURANCE AGENCY INC JJ1095 05/27/2014 <br /> NAME AND ADDRESS OF CERTIFICATE HOLDER NAME AND ADDRESS OF NAMED INSURED <br /> ORANGE CO DEPT OF ENVIRONMENT COULTER JEWELL THAMES PA <br /> AGRICULTURE, PARKS & REC PO BOX 912 <br /> ATTN: MARABETH CARR DURHAM NC 27702-0912 <br /> PO BOX 8181 ''a <br /> HILLSBOROUGH ND 27278 <br /> 66703595 <br /> JJ1089 <br /> This is to certify that policies,as indicated by Policy Number below,are in force for the Named Insured at the time that the certificate is being <br /> issued. <br /> GENERAL LIABILITY Q470191663 11/01/2013 11/01/2014 EACH OCCURRENCE $2,000,000 <br /> COMMERCIAL GENERAL LIABILITY FIRE DAMAGE $2,000,000 <br /> OCCURRENCE FORM (Any one premises) <br /> GEN'L AGGREGATE LIMIT APPLIES <br /> PER:POLICY MED EXP(any one person) $5,000 <br /> PERSONAL&ADV INJURY $2,000,000 <br /> GENERAL AGGREGATE $4,000,000 <br /> ADDITIONAL INSURED PRODUCTS COMP/OPAGG $4,000,000 <br /> BODILY INJURY $ <br /> (EACH PERSON) <br /> BODILY INJURY $ <br /> (EACH ACCIDENT) <br /> PROPERTY DAMAGE $ <br /> BODILY INJURY AND $ <br /> PROPERTY DAMAGE <br /> COMBINED <br /> EACH OCCURRENCE <br /> AGGREGATE <br /> STATUTORY <br /> BODILY ACCIDENT $ EACHACCIDENT <br /> INJURY DISEASE $ POLICY LIMIT <br /> BY DISEASE $ EACH EMPLOYEE <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> CANCELLATION:SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE <br /> WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the <br /> 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 <br /> in lieu of such endorsement(s). <br /> THIS CERTIFICATE IS ISSUED FOR INFORMATION PURPOSES ONLY Erie Insurance Exchange <br /> AND CONFERS NO RIGHTS ON THE CERTIFICATE HOLDER.IT DOES <br /> NOT AFFIRMATIVELY OR NEGATIVELY LIST,AMEND,EXTEND,OR <br /> OTHERWISE ALTER THE TERMS,EXCLUSIONS AND CONDITIONS OF <br /> INSURANCE COVERAGE CONTAINED IN THE POLICY(IES)INDICATED <br /> ABOVE.THE TERMS AND CONDITIONS OF THE POLICY(IES)GOVERN <br /> THE INSURANCE COVERAGE AS APPLIED TO ANY GIVEN SITUATION. <br /> LIMITS SHOWN MAY HAVE BEEN REDUCED BY CLAIMS PAID.THIS <br /> CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT AUTHORIZED Adul <br /> BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE <br /> REPRESENTATIVE OR PRODUCER AND CERTIFICATE HOLDER. <br /> OF-1568 08/11 <br />