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CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODIYYYY) <br /> 06/03/2014 <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 sights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> Knightlnsurance "HONE <br /> 919-245-1020 Arc No:919-245-1010 <br /> 110 Boone Square Street Suite 18 E-MAIL <br /> ADDRESS: knightinsurance@raleigh.twcbc.com <br /> Hillsborough,NC 27275 INSURERS AFFORDING COVERAGE NAIL# <br /> INSURER A: inte on National Insurance Company <br /> INSURED INSURER B: Northfield Insurance Company <br /> Bracken,Jeffrey DBA INSURER C: <br /> JB Tree Service INSURER D: <br /> 7410 NC Hwy 86 N <br /> INSURER E <br /> Hillsborough,NC 27278 1 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 /> ILTR TYPE OF INSURANCE. ADDL SUER POLICY EFF POLICY EXP <br /> POLICY NUMBER MMIDDIYY.-X) IMMIDONYM LIMITS <br /> GENERAL LIABILITY WS103388 07126113. 07/26/14 EACH OCCURRENCE $1000,000 DAMAGE B COMMERCIAL GENERAL LIABILITY .PREMISE Ea axurreneae 650 000 <br /> CLAIMS-MADE a OCCUR MEDEXP An one rson .5.5000 <br /> PERSONAL&ADV INJURY S1,000,000 <br /> GENERAL AGGREGATE s2,000,000 <br /> GEML.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPfOP AGG s2,000,000 <br /> X POLICY PRO LOG S JECX F] <br /> AUTOMOBILE LABILITY 2002232193 03123114 09123!14 <br /> ,,MINED�SINGLE LIMIT 750 000 <br /> A X ANY.AUTO BODILY INJURY(Per Person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY( } <br /> Per accident),. <br /> NON-OWNED PROPERTY DAMAGE <br /> HIRED.AUTOS- AUTOS Per accident s <br /> S <br /> UMBRELLA LIAS OCCUR <br /> EACH OCCURRENCE s <br /> EXCESS LIAB CLAIMS-MADE. AGGREGATE s <br /> DED I RETENTIONS $- <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY YIN TORY LIMITS I I FR <br /> ANY PROPRIETORIPARTNERIEXECUTIVE <br /> OFFICERIMEMBER'EXCLUDED? NIA <br /> E.L.EACH ACCIDENT 9 <br /> (Mandatory in NH) 1=.L.DISEASE-EA EMPLOYE S <br /> I1.yes,d@scnbe under <br /> DESCRIPTION OF OPERATIONS below _F I E.L.DISEASE-POLICY LIMIT 1$ <br /> DESCRIPTION OF OPERATIONS l LOCATIONS I VEHICLES(Attach ACORD 104..Additional Remarks Schedule,if more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County Government: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> PO Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hillsborough,NC 27278 <br /> AUTHORIZED EPR NTATIVE <br /> (0 1988-201 CO D C RA ON. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks oVX&OAD <br />