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HAWKI-3 OP ID:HR <br /> CERTIFICATE OF LIABILITY INSURANCE DATE(M14/1YYY) <br /> 10/14/14 <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 rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER 803-775-1168 CONTACT <br /> Creech Roddey Watson insurance PHONE FAX <br /> P O BOX 70 803-773-8855 C N E A/C No): <br /> Sumter,SC 29151 -MAIL <br /> CRW ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Auto-Owners Insurance Co 18988 <br /> INSURED Hawkins Construction Company I INSURER B:Owners Insurance Company 32700 <br /> T/A Century 21-Hawkins&Kolb <br /> 698 B Bultman Dr INSURER C: <br /> Sumter,SC 29150 INSURER D: <br /> INSURER E: <br /> 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 /> INSR TYPE OF INSURANCE POLICY E F POLICY EXP LIMITS <br /> LTR POLICY NUMBER MMIDD M D <br /> GENERALLIABILITY EACH OCCURRENCE $ 1,000,00 <br /> B X COMMERCIAL GENERAL LIABILITY 36040971 05101114 05/01/15 PREMISES Ee occurrence $ 50,00 <br /> CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,00 <br /> PERSONAL BADVINJURY $ 1,000,0 <br /> GENERAL AGGREGATE $ 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY PRO- LOC $JECT <br /> AUTOMOBILE LIABILITY EOe BB,INEDtSIN LIMIT 1,000,00 <br /> A X ANY AUTO 9426901301 05/01/14 05/01/15 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS NON-OWNED PROPERTY DAMA E $ <br /> HIREDAUTOS <br /> r $ <br /> AUTOS Per accident <br /> X UMBRELLA LIAB X J OCCUR EACH OCCURRENCE $ 5,000,00 <br /> A EXCESS LIAB CLAIMS-MADE 9546555300 05101/14 05101115 AGGREGATE $ 5,000,00 <br /> DEC) I X I RETENTION$ 10,000 $ <br /> WORKERS COMPENSATION WC STATU- TH- <br /> AND EMPLOYERS'LIABILITY T FER <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE Y NIA 36124142 05/01/14 05101/15 E.L.EACH ACCIDENT $ 500,00 <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,00 <br /> If yes,deacdbe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> a County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Oran <br /> 9 ty ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Dept.of Environment, <br /> Agriculture,Parks&Recreation AUTHORIZED REPRESENTATIVE <br /> PO Box 8181 <br /> Hillsborough,NC 27278 q ,lam jlpj� <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />