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DocuSign Envelope ID:031 EE8CF-2548-4833-814C-DACDBOOCF50B
<br /> A ° CERTIFICATE OF LIABILITY INSURANCE i ��N 1 te � �i 5
<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) imust 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. CONTACT
<br /> NAME: ........., _....................... ..... ._._.,._,... .
<br /> All
<br /> Colonial Insurance Agency Hillsborough PHO_NE I. (9,19)732-2191 F(A'C' (919)'732-^2192
<br /> EM"E
<br /> A R S'.
<br /> PO Box 490 _ _ INSURERS AFFORDING COVERAGE NAM(it
<br /> ll__.
<br /> HILLSBOROUGH NC 2"7271 INSURERA:Owners _. 32700
<br /> ........-............................................__._ .... ............._.._........ _
<br /> INSURED INSURERB;AU TO OWNERS INSURANCE COMPANY ....._ ......... —.....
<br /> Hillsborough Plumbing Company Inc INSURERC
<br /> 1020 Nc Highway 57 INSURER,D
<br /> INSURER E
<br /> Hillsborough NC 27278-89'97 INSURER F:
<br /> COVERAGES CERTIFICATE NUMIBER:Ct145700 548 REVISION NUMBER-
<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 CAR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TMS
<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 CLAIM'S.
<br /> - ._
<br /> IN:3R 17 ,,,'., POLICY EFA= POLICY EXP ___.. ........................
<br /> LTR TYPE OF INSURANCE INSR POLMCY NUMBER (MMIDD(YYY'Y (MMIDO(YYYYJ LIMITS
<br /> GENERAL LIABILITY
<br /> EACH CA(;1;LJRR£:NCE'. $ 1,000,000
<br /> 7jTVA1 C It NT
<br /> C,I3MME."CR DIAL GENERAL LIABILITY P MI n S 300,000
<br /> A CLAIMS-MADE Ex OCCUR 35255947 5114,/2074 /14/2015 _.._
<br /> MFDENP IA�...nrs panrsa a.}... 7 10,000
<br /> PFR;,O7jnt.7,ACT^»+INJURmY $y 1,000,000
<br /> GENERAL AGGREGATE $ 2,000,000
<br /> GEN"L.A.3R'EGATE LIMIT APPLIES PER PRODUCTS-a;OM�6'IC, AGG 7 2,000,000
<br /> POLICY '/ PR LOC
<br /> AUTOMOBILES LIABILITY COMBINED SINGLE I IMII
<br /> Esa argdetl)__...... ..........I_.$................... 1,,_000,000
<br /> A ' ANY AUTO IIODIp Y INJURY IPer person) $
<br /> ALL OWNED SCHEDULED 4725694703 /14/2014 5/14./2035 ..BODILY INJURY(PeraccidlentC $ i
<br /> AUTOS AUTOS
<br /> NONfi9W4WD I PR PIERT`DAMAGE ._� ....
<br /> HIRED AUTOS ._ AUTOS .APL,��,�,alttu7.l�.L....................................... ............._. . .
<br /> $
<br /> JC UMBRELLA LIAR X OCCUR EACH OCCURFaFNCF $ 5,000,000
<br /> EXCESS LIAR J.CL AGGREL,ATF S 5,000,0010
<br /> CbF:D RETENTION$ "725694700 :/14../2014 5/74/2015 $
<br /> A WORKERS COMPENSATION 'wA+C STATILi e:aTH
<br /> AND EMPLOYERS"UABILITY YIN
<br /> ANY PR�OPRI TORMARTNER]EXECUTIVE F L EACiR ACC IDFNT $ 1 d�t1 �6�'V�
<br /> "ONCERMEMSER EXCLUDED? � NIA 35041,871 5/14,/2014 5/14/2015 a ✓
<br /> (Mandatory In NiH) E L.DISE.ASE...EA EMPLOYE.t $ 1. 000 000
<br /> ff s ass desalbeund'er
<br /> oGRaPrlc 7 JP OtFRnru�aN dr,w ..... E L Di<zH E ParLlr r L(MIT $ 1 t70a gtbCM
<br /> A Leased or Rented 35256947 /14/2014 5114/2015 Unr 50,000
<br /> Equipment DeckxYibte 1_000
<br /> DESCRIPTION OF OPERATf'•.ONS I LOCATIONS F VEHICLES (Attach ACORD 101,Additional Remarks Schedule,.11 more space is required)
<br /> Project: 1.50320 Orange County-Garay 'Water Revisions-Phase S
<br /> Certificate Holder is additional insured with respects to General Liability by written contract.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE T'HEREOF', NOTICE WILL BE DELIVERED IN
<br /> Orange County ACCORDANCE WITH THE POLICY'PROVISIONS.
<br /> PO Bola 8181
<br /> Hillsborough, HC 27278 AUTHORIZED REPRESENTATIVE
<br /> CARLA MOORE/C:ARLA
<br /> ACORD 25(2010/05) Oc 1988-2010 ACORD CORPORATION. AIII rights reserved.
<br /> I NP-,025 rmt nngh nn Then ArrlRrn nama anrt Innn aria ranictarart mnrLre n f 6,r`.rnRrn
<br />
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