2014-580-E AMS - Corley Redfoot Architects, Inc. for Civil Engineering Services at 125 East King Street Parking lot $5,000

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UUI:UJIIyII CIIVCIUPt! IU. Uly'#UJOJ- OCDq -qrt U- OML)D -mrOUr DrLDLrC AC.VKU CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 11/13/2014 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 Business Insurers of Carolinas 800 Eastowne Drive, Suite 208 PO BOX 2536 Chapel Hill NC 27515 -2536 CONTACT Patty Miller NAME: y PHONE , (919) 968 -4611 AA/C No: (919) 968 -8991 ADDRIESS:Pom @business- insurers.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Continental Western 10804 INSURED Corley Redfoot Architects, Inc 222 Cloister Court Chapel Hill NC 27514 INSURERB:Stonewood Ins. Co. 11828 INSURERC: INSURERD: INSURER E : $ 1,000,000 INSURER F: X COMMERCIAL GENERAL LIABILITY COVERAGES CERTIFICATE NUMBER:2014 -2015 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 LTR TYPE OF INSURANCE ADD S BR D POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREM SESOEa occur ence $ 100,000 A CLAIMS -MADE FX OCCUR CPA1008189 7/9/2014 /9/2015 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $ 2,000,000 X POLICY PRO- LOC JFCT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS PA1008189 /9/2014 /9/2015 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS Uninsured motorist BI split limit $ 1,000,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ A EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ C $ PA1008189 7/9/2014 /9/2015 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN X WC STATU- OTH- TORY LIMITS ER_ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED7 (Mandatory in NH) NIA C10000022052013A 12/31/2013 12/31/2014 E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: 125 E King Street Hillsborough NC Parking Lot Repairs CERTIFICATE HOLDER CANCELLATION Orange County PO Box 8181 Hillsborough, NC 27278 ACORD 25 (2010/05) INS025 (9mnnm m 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 Patty Miller /PATTY � � �- d ©1988 -2010 ACORD CORPORATION. All rights reserved. Thn A(`r )Pn nmmn onrl Innn nrn rnniafarnrl mnrlrc of Ar..r)Pr1