2014-550-E AMS - Triangle Landscaping Inc. for Stone Maintenance & Placement at various locations $13,640

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DocuSign Envelope ID: 5663A3FF- 5C97- 4CF4- 9ADE- 4FF10E262822 OP ID: DC A4c"�RL? ' CERTIFICATE OF LIABILITY INSURANCE D081221201 YY) 08/22/2014 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 Phone: 919- 682-4814 The Sorgi Insurance Agency Fax: 919- 682 4906 16 16 Consultant Place Suite 102 CO TAC NAME; Debbie Callahan PHONE No Ext ; 919- 682 -4814 FAx (FAX, No): 919- 6824906 Durham, NC 27707 James E, Sorg], CIC ADDRESS: debbie@sorgiinsurance.com PRODUCER CUSTOMER ID x: TRIALAN INSURER(S) AFFORDING COVERAGE NAIC ;F INSURED Triangle Landscaping Inc. INSURERA: Erie Insurance Exchange 26271 Brad Lewis dba 3582 Fletchers Way Stem, NC 27581 INSURERS: INSURER C: Q2726204479 03/26/2014 03/26/2015 PREMISES Ea occurrence INSURER D : MED EXP (Any one person) INSURER E : CLAIMS -MADE � OCCUR INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NLIMBER: 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. LR TYPE AUUL INS WIT D POLICYNUMBER NEFF MMIDD POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY Q2726204479 03/26/2014 03/26/2015 PREMISES Ea occurrence $ MED EXP (Any one person) $ CLAIMS -MADE � OCCUR PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,00 POLICY PEI LOC $ A AUTOMOBILE LIABILITY ANY AUTO Q032630379 03/26/2014 03/26/2015 COMBINED SINGLE LIMIT (Ea accident) $ 750,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ NON-OWNED AUTOS $ $ UMBRELLALIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DEDUCTIBLE $ $ RETENTION $ X WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A Q872600559 03/26/2014 03/26/2015 WC S7ATU- OTH- X TORY LIMITS ER E.LEACHACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 A Contractor's equip Q272620479 03/26/2014 03/26/2015 Equipment 92,300 DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Orange County PO Box 8181 Hillsborough, NC 27278 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988- 2009ACORD CORPORATION. All rights reserved, ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD