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DocuSign Envelope ID: 25C4AB3A -E78D- 4832- AE60- 35DE2C6OD113 <br />Erie CERTIFICATE OF INSURANCE <br />I nsurance —, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY -- <br />Home Office - 100 Erie Insurance Place • Erie, Pennsylvania 16530 - 814.870 2000 <br />Toll free 1 800.458.0811 • Fax 814.870 3126 - vww✓.erieinsurance coin <br />DATE ISSUED (MM /DD/YY) <br />11/25/14 <br />NAME AND ADDRESS OF AGENCY BAREFOOT & YOUNG INS GROUP LLC AGENT'S NO. C G CO. RAGE_ <br />Co LC ERI 0 - <br />616 N 1 ST AVE 1,11524 CO,: D ERIE 14,5 RANGE P84PER�1T 8 CASUALTY COfviPAtLY__ <br />KNIGHTDA LE, NC 27545-8506 Co.: E IE INSURf�NCEE F:XCHANGF 1NotAppiicble —j <br />ri0 Indemnity Co „Attorney in Fact <br />_06 1_; 7118 NSl1RAN ^GE_COMPANY OF NEW YORK, <br />(919)217 -5870 ____ This certificate Is Issued for information purposes only and confers <br />NAMEAND ADDRESS oiF NAMED INSURED no rights 'on the certificate holder. It does not affirmatively or <br />negatively amend, extend, or otherwise alter the terms, exclusions <br />Axis Construction Management and conditions of insurance coverage contained in the pol(cy([es) <br />3308 Durham Chapel Hill BLVD indicated below. The terms and conditions of the policy(tes) govern <br />the insurance coverage as applied to any given situation. limits <br />SLItie 150 shown may have been reduced by claims paid. This certificate of <br />insurance does not constitute a contract between the issuing <br />Durham, NC 27707 insurer(s), authorized representative or producer and the <br />certificate holder. <br />This is <br />to certify that policlos, as (ndicateiJby the Policy Number below, are In force for the Named Insured at the <br />time that the Certificate is being Issued <br />iB Ll ns', <br />__ TYPE _ff NSURAtICE _ _ POLICY NUMBEA.. _ M! 1_ ....( <br />LIMITS <br />I.(- <br />GENERALLIABILITY Q350122062 11/1/14 1111115 <br />!1 COMMERCIAL GENERAL LIABILITY! <br />EACHOCCURRENCE is 1,000,000 <br />FIRE DAMAGE (M One Fire 1,000,000 <br />❑ CLAIMS MADE ❑ OCCUR <br />_ <br />MED EXP (Any One Person) s 5,000 <br />__. <br />PERSONAL& ADV. INJURY $ 1,000,000 <br />GENERAL AGGREGATE 2,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER! <br />PRODUCTS- COMP /OPAGG $ 2,000,000 I <br />❑ POLICY [XI PROJECT El LOCi <br />T - <br />(� <br />AUTOMOBILE UABILrrY <br />BODILY INJURY <br />"ANYAUTO° (OWNED NED) <br />(EACH PERSON) <br />$ <br />(_....] OWNED <br />BODILY INJURY <br />FAG ACCIDEN <br />�� HIRED <br />PROPERTY DAMAGE <br />_ -- <br />S <br />❑ NON -OWNED <br />BODILYINJURYAND <br />i <br />I GARAGE <br />PROCOMBINEDAGE <br />$ <br />i <br />F-] <br />EXCESS LIABILITY i <br />EACH OCCURRENCE <br />❑ OCCURRENCE <br />_ - -- AGGREGATE _....•--- <br />.._.__ ... _........... <br />is <br />( .] RETENTION S <br />$ <br />j <br />1 <br />WORKERS COMPENSATION 8 95 0102849 1 1/1/14 1 1 /1 /15 <br />EMPLOYERS LIABILITY Q <br />_ <br />ACCIDENT $ 1,000,000 EACH ACCIDENT <br />BODILY <br />INJURY <br />DISEASE $ 1,000,000 POLICY LIMIT <br />BY <br />DISEASE $ 1,000,000 EACH EMPLOYEE <br />OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />John Link Center Basement <br />CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIV- <br />ERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer <br />rights to the certificate holder in lieu of such endorsement(s). <br />NAME AND ADDRESS OF CERTIFICATE HOLDER <br />Orange County <br />PO Box 8181 <br />Hillsborough, NC 27278 <br />AU HORIIED REP4SENfATiVI - <br />