2015-180-E DEAPR - Redmill Landscape & Nursery, Inc. for xeriscaping/erosion control $11,600

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DocuSign Envelope ID: BOE0561 D-72F1-4418-A20C-45A380925A43 AC"RV DATE CERTIFICATE OF LIABILITY INSURANCE 3/19/2015) 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(les)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 NAME: Martha Aycock, CISR Jake A Parrott Insurance Agency Inc PHONE . (252)523--7.043 A, (252)521-0145 250$ N FiERRiTAGE STREET ADDRESS:mp a rro t t@parrott ins.com PO BOX 3547 INSURERS AFFORDING COVERAGE NAIC q KINSTON NC 28502 INSURER AEMCASCO INSURANCE COMPANY 21407 INSURED IN URERB:EMPLOYERS MUTUAL CASUALTY CO 21415 REDMILL LANDSCAPE & NURSERY, INC. INSURER C BUILDERS PREMIER INSURANCE CO 13036 4517 RED MILL RD INSURER D: INSURER E; DURHAM NC 27704-9455 INSURERF: COVERAGES CERTIFICATE NUMBER:14-15 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 TYPE OF INSURANCE ADDL BR POLICY NUMBER M&VD�NYY MfWD6 YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED 100 000 PREMISES Ea occurrence $ , A I CLAIMS-MADE OCCUR D93305 2/1/2014 2/1/2015 MED EXP(Any one person) $ 5,000 PERSDNAL&ADVINJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY X PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE E�DSINGLELWIT BI 11000,000 A X ANY AUTO BODILY INJURY(Per person) $ ALLOMED SCHEOULED E93305 2/1/2014 2/1/2015 BODILY INJURY(Per acadenl) $ AUTOS AUTOS NON-OVA'NED PROPERTY DAMAGE HIREDAUTOS AUTOS Per accident S Medical payments S 2,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE S 5,000,000 B EXCESS LIAB HCLAIMS-MADF AGGREGATE S 5,000,000 DED RETENTION J93305 2/1/2014 2/1/2015 $ C WORKERS COMPENSATION X WCSTATU- X O€H- AND EMPLOYERS'LIABILITY YIN ITO ANY PROPRIETORIPARTNER/EXECUTIVE NIA E.L.EACH ACC IDENT $ 1,000,000 OFF10EFUMEMBER EXCLUDED? (Mandatory In NH) Pwc 1009223 03 2/1/2014 2/1/2015 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 1010 Additional Remarks Schedule,If more space Is required) EXCLUDED OFFICERS IN W/C COVERAGE: BILL SPARROW SR, BILL SPARROW JR, & MARGIE SPARROW CERTIFICATE HOLDER CANCELLATION ltaf t@ orangecountyne.goV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ORANGE COUNTY NC ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX $181 HILLSBOROUGH, NC 27278 AUTHORIZED REPRESENTATIVE Allen Parrott/LEANNE ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. 1N8025omnfk�rm Thm Artnpin nnma and Innn arm rmniaFararl mnrlrc of Ar..nPr)