2014-377 DEAPR - Eastern Turf Maintenance, Inc. for deep tine aerify and topdress job $4,750

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,aco CERTIFICATE OF LIABILITY INSURANCE DATE-iMMIDD'YYYY) �.--� 718/, 014 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 CONTACT NAME: patt y Miller Business Insurers of Carolinas PHONE (919 537-7216 FAl (919)9atr i'v 91 Nolo 800 Eastowne Drive, Suite 208 AbDARLSS:pom @business-insurers.com PO BOX 2536 INSURERS AFFORDING COVERAGE _ NAIC# INSURER A'Emcasc0 _ 2.14.07_ Chapel Hill NC 27515-2536 INSURED INSURER B: _ Eastern Turf Maintenance Inc. INSURERC: 3305 Anvil Place INSURER D: INSURER E: Raleigh NC 27603 INSURER F: COVERAGES CERTIFICATE NUMBER:2014-2015 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POi I=ERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO iJHIC:H THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL r-E. TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. tLTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDY� POLICY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY AMAGE ENT ED PR EME Ea occurrence $ 100,000 I A CLAIMS-MADE Fx�OCCUR 41367716 /15/2014 /15/2015 MED EXP(Any one person) $ 102000 PERSONAL&ADV INJURY $ 1 000,000 GENERAL AGGREGATE $ .'. 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 000,000 X POLICY X PRO LOC $ __ AUTOMOBILE LIABILITY COMBINED SINGLE LIM T Ea accident 0 0 0�0 00 A Ix ANY AUTO BODILY INJURY(Per peron) $ALL OWNED X SCHEDULED 4E67716 /15/2014 /15/2015 BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident Medical payments $ 5,000 X I UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1 ,0 0 0,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1_600,000 DED X RETENTION$ 10,00C 4J67716 3/15/2014 /15/2015 $ A WORKERS COMPENSATION X WC LIMIT ER AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1.,000_ 000 OFFICERlMEMBER EXCLUDED? NIA H67716 /15/2019 /15/2015 (Mandatory in NH) E.L.DISEASE-EA EMPI OYE $ _ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 1,0 0 0 000 A Leased/Rented Equipment 4067716 3/15/2014 /15/2015 $25,000 ACV $SOT, deduct DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) RE: Orange County Parks & Recreation Soccer Fields CERTIFICATE HOLDER CANCELLATION _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLF D BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County ACCORDANCE WITH THE POLICY PROVISIONS. Lori Taft ------ 302 West Tryon st AUTHORIZED REPRESENTATIVE Hillsborough, NC 27278 Patty Miller/PATTY dfpl�- ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 mmnns)ni Tho AR(lDrl namrs anrd Innn aro roniefornrd mnr4e of Af'r1Rrl