2014-503-E DEAPR - Redmill Landscape and Nursery, Inc. to provide and install booster pump and controls $4,892

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DocuSign Envelope ID: C12BCEBA-47F9-4A49-9CB2-2A5CE57ED981 AC" CERTIFICATE OF LIABILITY INSURANCE 8/27/2019' 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(Ees) 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 NAME CT Martha Aycock, CISR Jake A Parrott Insurance Agency Inc PHONE , (252)523-1041 MIG o.(252)523-0145 2508 N HERRITAGE STREET ADDRIESS:mparrott @parrottins.com PO BOX 3547 INSURERS AFFORDING COVERAGE NAIC 9 KINSTON NC 28502 INSURER A.EMPLOYERS MUTUAI, CASUALTY CO 21415 INSURED INSURERS-JIBUILDERS PREMIER INSURANCE CO 13036 REDMILL LANDSCAPE & NURSERY INC INSURER C�MCASCO INSURANCE CO 21407 4517 REDMILL RD INSURER D: INSURER E DURHAM NC 27704 1 INSURER F: COVERAGES CERTIFICATE NUMBER:2013-2014 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDY EFF MWDD. EXP LIMITS VIVID LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGIE TO RENTED 100 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ + C CLAIMS-MADE W OCCUR 21393305 2/1/2013 2/1/2014 MED FXP(Any one person) S 5,000 PERSONAL&ADVINJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO $ 2,000,000 POLICY X PE Cy LOC S AUTOMOBILE LIABILITY Ea COMBINED LIMIT 1,000,00 C X ANY AUTO 130DILY INJURY(Perperson) $ ALL OWNED SCHEDULED E93305 2/1/2013 2/1/2014 BODILY INJURY(Per accident) $AUTOS X HIRED SAUTOS NON-OWNED POP 1e,DAMAGE $ S X UMBRELLA LIAB OCCUR EACH OCCURRENCE S 5,000,000 A E X XCFSS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I X I RETENTIONS 10,BBC 2J93305 2/1/2013 2/1/2014 $ B WORKERS COMPENSATION X VI"C STATU- X OTH- AND EMPLOYERS'LIABILITY TORY LIM its ANY PROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $ 11000,000 CFFICERIMEMBEREXCLUDED? NIA WC 1009223 02 2/1/2013 2/1/2014 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE4 S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Addillonal Remarks Schedule,If more space Is required) EXCLUDED OFFICERS IN W/C COVERAGE: BILL SPARROW SR, BILL SPARROW JR & MARGIE SPARROW CERTIFICATE HOLDER CANCELLATION cfarmar@ orangecountync,gov SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ORANGE COUNTY NC ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 8181 HILLSBOROUGH, NC 27278 AUTHORIZED REPRESENTATIVE M Aycock, CISR/MARTHA ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025r3nim,%ni Tho AC'npin namn and Inrtn am roniefororl marlin of A(OPn