2015-181-E DEAPR - Design Dimensions Inc. for interpretive signage design project for Blackwood Farm Park $11,400

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DocuSign Envelope ID:89E1 BA45-6A59-44F9-98DE-4164BFF4B224 '4C°RO® CERTIFICATE OF LIABILITY INSURANCE 4/1/2015 ) 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(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 CONTACT TRACY MEADOWS NAME: INSURE PHONE (919 761-11155 A/C No):(919)783-6427 IA'C 2607 GLENWOOD AVENUE E-MAIL ADDRESS:TMEADOWS @INSURE-NC.COM PO BOX 31508 INSURERS AFFORDING COVERAGE NAIC# RALEIGH NC 27622 INSURERA:TRAVELERS INDEMNITY CO OF CT INSURED INSURER B:TRAVELERS CAS INS CO OF AMERICA DESIGN DIMENSION INC INSURERC:TRAVELERS INDEMNITY COMPANY 901 NORTH WEST STREET INSURERD: RALEIGH NC 27603 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:STD-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 POLICY LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDD/YYYY MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A AG X COMMERCIAL GENERAL LIABILITY PREM SES(Ea occu ante) $ 300,000 A CLAIMS-MADE F_x1 OCCUR I-660-7A930152-TCT-14 10/25/2014 10/25/2015 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1 0005 000 B X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED A-7A387415-14-SEL 10/25/2014 10/25/2015 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident Uninsured motorist combined $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ UP-7A930336-14-42 10/25/201410/25/2015 $ C WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMIT ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? [NE] N I A (Mandatory in NH) IA-UB-7A38701-0-14 10/25/2014 10/25/2015 E.L.DISEASE-EA EMPLOYE $ 1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ORANGE COUNTY ACCORDANCE WITH THE POLICY PROVISIONS. DEPT OF ENVIRONMENT, AGRICULTURE, PARKS AND RECREATION AUTHORIZED REPRESENTATIVE ATTN PETER SANDBECK PO BOX 8181 HILLSBOROUGH, NC 27278 TRACY MEADOWS/TRACY ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(207005).07 The ACORD name and logo are registered marks of ACORD