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DocuSign Envelope ID: 7A32F47E-0314-4268-B9A1-3143A24CC164
<br /> AC"R"' CERTIFICATE �� M4BM� TY INSURANCE DATE(MMODNYYY)
<br /> 1r /201 2/12/2014
<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 IN$URER(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: It the certificate holder is an ADDITIONAL INSURED,the policy(iesj must be endorsed. It 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 LocktOn Companies
<br /> 444 W,47th StleeT,Suite 900 AIC M Eat: Arc No):
<br /> Kansas City O 64112.1906 E-MAUL
<br /> (816)960-90 I'00
<br /> INSURERfSl AFFORDING COVERAGE NAIC#
<br /> INSURERA'. AIG S Specialty C onipatny 26883
<br /> INSURED TERRACIONCONSULTANTS,INC. INSURER 8: I"ru+"clefts'Pr<alr. C"auakv^CoofA.enn 25674
<br /> 1312893 2401 BRENTWOOD ROAD INSURER C: The'fravder5 Inderrinity C."ornpany 2.5658
<br /> RALEIGH NC 27604 INS REH • T.a'-Mn9ICtlt Ttl,`ttar�IQCCC"alntrosut! 19,132
<br /> INSURER F;
<br /> COVERAGES-I""rRC 000 CERTIFICATE NUMBER: 13010717 (REVISION NUMBER: XXXXXXX
<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 CCNOII'ION 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. ADDL SU8R POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE q POLICY NUMBER N LlMrrs
<br /> A X COMMERCIAL GENERAL LIABILITY tilr N PROP 3779274 1/l/2015 1/I/2016 EACH OCCURRENCE 1,000,000
<br /> CLA M,ISMAtTE[-X—]OCCUR
<br /> PAMA,r ETORENTED m:... 1 M00,000.,,,.
<br /> X (ON-]R'L LIABILTI`Y MET)EXP Any a he prersw,i s 25,000
<br /> PERSONAL tt.AOV INJURY $ 1.,000,000
<br /> GEN`L AGGREGATE LIMIT APPIAE:S PE',R. GENERAL AGGREGATE $ 2,000,000
<br /> PaLic.;YLJJET PRODIUCTS-CO'MWOPAGG $ 2,000„000
<br /> OTHER $
<br /> F;...
<br /> AUTOMOBILE LIABILITY Y N .T"C2J-f"rr P-131. 858 11I/2015
<br /> P1/'2(Y1 a %X1, E tSINGLE LIMIT
<br /> °"9TAF131J3I15 llI/2G13 III2tGC ' $ 1,000,000
<br /> I ANY BODILY $ ..
<br /> XXX.X.r�`t'.X.,S'
<br /> ALL OWNED SCHEDULED
<br /> AUU705 AUTCrs BODILY INJURY(Per accident $ XXXXX,�n.X
<br /> NONO`,I4+'NED P'RC3PERTYDAMAGE $ ;'K;XXX.X.XX.
<br /> X HIRED AUTOS X AUTOS R r-rar r nt
<br /> XXXXXX
<br /> UMBRELLA.LIAR OCCUR EACH OCCURRENCE $ XxXX X.X.
<br /> EXCESSLiA,S CLAIMS-MADE NOT APPLICABLE AGGREGATE X.X.XXX:X.X
<br /> CEO I I RETENTION$ $
<br /> C WORKERS COMPENSATION TRRCJTII3I.T.I34Crls Al,I�f61, A 1/1120 1 l/1d3I71T STATUTE
<br /> aER oTri-
<br /> ANO EMPLOYERS"LIABILITY 1�ii
<br /> C” YrN °TC.2KU1T1:3I.IT74215TAOS1 1fl120Iti Ift/ (JIG
<br /> nnu°r CEWM ETOErtaa�LU0E':xECUTIVE E:x EACH ArD��ICrem7 1,N'TtITT CT N(T
<br /> It crt-a:LrtrnrESrriLr.HxcautDE�o1 � NIA Tt 2K1S1313I7I7421S(C"A) 1/Id2tII5 Il1!'2fYlei �"
<br /> (M=as ry,r NHI L.rai EASE-EA EMPLOYEE 1,0(10,000
<br /> V
<br /> ESCRPTecnm c,I°0 EPATl S k.,a— Lr CHSEASF-POUCY LIMIT I J)00,000
<br /> 0
<br /> D �OFESSIONAL 1 N 200312.16 1/1/2015 1/1/211" �SI000000 CH71(71-AIM
<br /> .1 ANNUAL
<br /> DESCRIPTION OF OPERATIONS U LOCATIONS J VEHICLES(Attach ACORO tot„Additional Remarks Schedule„may he attached It more space Is required)
<br /> RE PROJECT THE x141111 1"",D BUILD NG Pv EET11'tiO ROOM AND PARKING LOT ORANGE C O[J'N'T Y IS AN AD'DrFICINA'L.INStJRL''.I':)AS
<br /> RESPECTS CII'':a.IVERAI,AND AI1TO LIABILITY,AS REQUIRED BY WRITTEN N C,ON I RACT
<br /> CERTIFICATE HOLDER CANCELLATION See Attachments
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED iBEFORE
<br /> THE EXPIRATION DATE.THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS,.
<br /> 13010717 AUTHORIZED REPRESENTATIVE
<br /> ORANGE COUNTY
<br /> P,O.BOX 8181
<br /> HILLSBOROUGH NC 2`7276 iI
<br /> AC RD 2 2014/01 Cl1 8-20 4 ACORD CORPORATION.MION. –_
<br /> O, 5( � ANN frights reserved
<br /> The AC'ORD name and logo are registered marts of ACORD
<br />
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