2015-212-E DEAPR - Eastern Turf Maintenance, Inc. for verticutting fields $5,200

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DocuSign Envelope ID: 377E18E7-9CF7-4F31-AA1E-11FE6589OCCC A CERTIFICATE OF LIABILITY INSURANCE 4/8/2015"'"' 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 AME=ND, 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 Ileu of such endorsement(s). PRODUCER NAME CT patty Miller Business Insurers of Carolinas PHONE . (919)968-4611 FAC o.{919}968-8991 800 Eastowne Drive, Suite 208 F=DDReS•pom @business-insurers,com PO BOX 2536 INSURERS AFFORDING COVERAGE NAIL p Chapel Hill NC 27515-2536 INSURERAi✓mcasco 21407 INSURED INSURER B:Em to ers Mutual Casualty 1415 Eastern Turf Maintenance Inc. INSURER C: 3305 Anvil Place INSURER D: INSURER E: Raleigh NC 27603 1 INSURER F: COVERAGES CERTIFICATE NUMBER:2015-2016 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 SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDD MMlDD GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DA A E T RENTED 100 000 PREMISES Ea occurrence $ , A CLAIMS-MADE OCCUR 4D67716 /15/2015 /15/2016 MEDEXP(My one person) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GENLAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,000 X1 POLICY X PRO- LOG $ AUTOMOBILE LIABILITY COaBINEDISINGLELIMIT 1,000,000 A Ix ANY AUTO BODILY INJURY(Per person) $ ALLO4%NED NAUTOS SCHEDULED E67716 /15/2015 /15/2016 BODILYINJURY(Peraccfdenl) $ AUTOS AUTOS NON-0WNED PROPERTY DAMAGE $ HIREDAUTOS Peraccidenl Underinsuredmolorst $ 1,000,000 X UMBRELLA LIAR X OCCUR Follows form Auto,GL,WC EACH OCCURRENCE $ 1,000,000 A EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1,000,000 OED I X I RETENTION$ 10,00C 4j67716 /15/2015 /15/2016 $ A WORKERS COMPENSATION VAUSTATU- OTH- AND EMPLOYERS'LIABILITY YIN ANY CFFICEPJMEMBrR EXCLUD D?XEC�ITIYE MIA E.L EACH ACCIDENT $ 110 0 000 (Mandatory In NH) I 4H67716 /15/2015 /15/2016 E.L.DISEASE-EA EMPLOYE $ 1,000,000 Uyes,desonbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B Leased/Rented Equipment 067716 /15/2015 /15/2016 $25,000 ACV $500 deduct DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES Attach ACORD 11011,Additional Remarks Schedule,It more space is required) RE: Fairview Park Baseball Field 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. PO Box 8181 Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE Patty Miller/PATTY ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 r7mm55 m Tho A('cwn names nnrl Innn am rnni0nrnrl mnrlrc of Ar'-rTRr)