2014-479-E AMS - Triangle Landscaping, Inc. for Whitted Human Services Center drainage improvements $3,700

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DocuSign Envelope ID: A7A24A38-7FF8-44AF-A389-F32CAA059A40 OP ID: DC DATE(M MIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 0$12212014 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(les) 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 Phone: 919-6824814 CONTAG Debbie Callahan The Consultant Insurance Agency Fax: 919-6824906 vHc PHONE : 91 9-682-4814 FAX Nod; 919-G92-4906 'I 6 Consultant Place Suite �l D2 Durham, NC 27707 ADDRESS: debbie Sorg i insu rance.com James E. Sorgi, CIC PRODUCER CUSTOMER ID#:TRIALAN INSURER(S)AFFORDING COVERAGE NAIC INSURED Triangle Landscaping Inc. 1NSURERA:Erie Insurance Exchange 26271 Brad Lewis dba. INSURER B: 3582 Fletchers Way INSURER C .Stem, NC 27581 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE POLICY EFF POLICY EXP LTR INS D POLICY NUMBER MMIDD MM1DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY 02726204479 03/26/2014 03/26/2015 PREMISES Ea occurrence $ CLAIMS-MADE F_x1OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,00014 GEN'L AGGREGATE LIMIT APPLIES PER; PRODUCTS-COMP/OP AGG $ 2,000,Q0 'F—]POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A ANY AUTO 0032830379 03/26/20'i4 03/26/20'15 {E-a accident) $ 750,000 BODILY INJURY{Per person} $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION I WC STATU pTN- AND EMPLOYERS'LIABILITY YIN TORY LIMITS I ER X ANY PROPRIETORIPARTNERIEXECUIIVE Q872600559 03/26/2014 03/26/2015 E.L.EACH ACCIDENT $ 104,000 OFFICERJMEMBER EXCLUDED? NIA (Mandatory In NH) E-L.DISEASE--EA EMPLOYEE $ 100P000 If yes,describe under DESCRIPTION!OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 A Contractor's equip Q272620479 03/26/2014 0312612015 Equipment 92,300 DESCRIPTION OF OPERATIONS l LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE 1966-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD