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1000a
<br />ACORO CERTIFICATE OF LIABILITY INSURANCE
<br />DATE
<br />11/20/2014
<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
<br />Commercial Lines - (919) 676 -8834
<br />Wells Fargo Insurance Services USA, Inc.
<br />CONTACT Phyllis White
<br />PHONE Ext : 819.334.2634 FA/C No AX 877.506.0509
<br />A/C No
<br />E-MAIL h Ills white wellsfar o.com
<br />ADDRESS: P Y @ g
<br />INSURERS AFFORDING COVERAGE
<br />NAIC N
<br />8540 Colonnade Center Drive, Suite 111
<br />Raleigh, NC 27615
<br />INSURER A: Nautilus Insurance Company
<br />17370
<br />INSURED
<br />INSURER 13: Great Divide Insurance Company
<br />25224
<br />Environmental Holdings Group, LLC
<br />INSURER C : Hartford Fire Insurance Company
<br />19682
<br />190 Kitty Hawk Drive
<br />INSURER D: Federal Insurance Company
<br />20281
<br />INSURER E:
<br />Contract Pollution
<br />INSURER F
<br />Morrisville, NC 27560
<br />COVERAGES CERTIFICATE NUMBER: 2541 t5LUU REVISION NUMBER- See below
<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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM /DD/YYYY
<br />POLICY EXP
<br />MM /DD/YYYY
<br />LIMITS
<br />A
<br />)(
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE N OCCUR
<br />ECPO150598316
<br />09/30/2014
<br />09/30/2015
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE ( RENTED
<br />PREMISES Ea occurrence
<br />$ 300,000
<br />X
<br />MED EXP (Any one person)
<br />$ 5,000
<br />Contract Pollution
<br />X
<br />XCU, Contractual
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 1,000,000
<br />POLICY X PRO LOC
<br />JECT
<br />PRODUCTS - COMP /OP AGG
<br />$ 1,000,000
<br />Deductible
<br />$ 5,000
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />BAP150598516
<br />9/30/2014
<br />9/30/2015
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />x
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />$1,000 Comp /Coll Ded.
<br />$
<br />A
<br />UMBRELLA LIAB
<br />x
<br />OCCUR
<br />FFX150598616
<br />09/30/2014
<br />09/30/2015
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />X
<br />AGGREGATE
<br />$ 10,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED I x RETENTION $ 10,000
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR /PARTNER /EXECUTIVE YIN
<br />OFFICER /MEMBER EXCLUDED? N]
<br />(Mandatory in NH)
<br />N/A
<br />X
<br />WCA150598416
<br />9/30/2014
<br />9/30/2015
<br />x aRH
<br />STATUTE
<br />$0 Retention
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />C
<br />Rented /Leased Equipment
<br />22UUMJC1697
<br />09/30/2014
<br />09/30/2015
<br />$380,000 each item: $600,000 Total
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />Re: Projects
<br />-Cedar Park Grove Floor Tile Demolition
<br />-Cedar Park Grove Window Abatement
<br />CERTIFICATE HOLDER CANCELLATION
<br />Orange County
<br />PO Box 8181
<br />Hillsborough, NC 27278
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />AUTHORIZED REPRESENTATIVE
<br />The ACORD name and logo are registered marks of ACORD ©1988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01)
<br />
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