2014-557-E AMS - The Resolute Building Company for Preliminary Development cost for Southern Branch (Brewer Lane) Library Project $1,200

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DocuSign Envelope ID: 24393F55- 9D5E- 4A68- 94A6- 8C20E497B2FD 191342 ACORN® CERTIFICATE OF LIABILITY INSURANCE DATE 10/29/2014 ) 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 Commercial Lines - (919) 676 -8834 Wells Fargo Insurance Services USA, Inc. 8540 Colonnade Center Drive, Suite 111 CONTACT Beth Pack NAME: PHONE g19 334 -2638 FAx (877) 506 -0509 A/C A/C No, Ext : ( ) No E-MAIL beth.pack @welisfargo.com INSURERS AFFORDING COVERAGE NAIC # Raleigh, NC 27615 INSURERA: Westfield National Insurance Company 24120 INSURED Resolute Building Company, Inc. INSURER B : Westfield Insurance Company 24112 INSURER C : Chartis Specialty Insurance Company 26883 PO Box 3656 INSURER D : X Chapel Hill NC 27514 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 8344985 REVISION NUMBER: See below 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. 1�TR TYPE OF INSURANCE ADS L SUER POLICY NUMBER MMIDIDY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE N OCCUR TRA4527240 11 0/ /2014 10/1 /2015 EACH OCCURRENCE $ 1,000,000 DAMAGE PREMISES S (RENTED Ea occurrence $ 500,000 X MED EXP (Any one person) $ 10,000 Contractual, XCU X Broad Form PD PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PO- JERCT F—] LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY TRA4527240 10/1/2014 101112015 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS HlredComp /Coll Deds: PROPERTY DAMAGE Peracddent $ $ $500/$500 A X UMBRELLA LIAB X OCCUR TRA4527240 10/1/2014 10/1/2015 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION § 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) N / A WCP4527399 10/1/2014 10/1/2015 X STATUTE ERH E.L. EACH ACCIDENT 500000 $ E.L. DISEASE - EA EMPLOYE $ 500000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500000 C Contractors Pollution Liab. CPL 24770200 5/16/2013 5/16/2015 $1,000,000 each Loss $1,000,000 Aggregate $25,000 SIR DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) Re: Butler property site due diligence Evidence of Coverage CERTIFICATE HOLDER CANCELLATION 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 9e or The ACORD name and logo are registered marks of ACORD ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101)