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DocuSign Envelope ID: DD5137D8-OFB4-4BO2-BEB7-5B14OAE9CD6A <br /> CORDrn CERTIFICATE OF LIABILITY INSURANCE /DD/YYYY)DATE <br /> 121.52— <br /> PRODUCER THIS CERTIFICATE IS ISSUEDAS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> PROFESSIONAL DESIGN INS MGMT CORP HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> PO Box 501130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Indianapolis, IN 46250 <br /> (317) 570-6945 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED Summit Design and Engineering Services, INSURER A: starr, surplus Limes Insurance Company <br /> 504 Meadowland Drive INSURER B: <br /> Hillsborough, NC 27278 INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR WD1 POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR NSRO TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MWDD1YY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> REIqTED- <br /> COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) $ <br /> —I CLAIMSMADE FIOCCUR M ED EXP(Anyone person) $ <br /> [PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> PRO- <br /> POLICY LOC <br /> —I LIJECT r <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANYAUTO (Ea accident) <br /> ALLOWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANYAUTO OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> AOCCUR 1-1 CLAIMSMADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WU S I ATT--j TH_ <br /> WORKERS COMPENSATION AND TORY LIMITS I JOER <br /> EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ <br /> Ifyes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT <br /> OTHER <br /> A Profes ional.1,iak)ilit.y SLSLPR02623801.5 4/2/2015 4/2/201.6 $1,000,000 limit each claim <br /> C-t-t- 1-bility $2,000,000 in -the aggregate <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Orange County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> Department of Environment.,Agriculture, NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO[DO SO SHALL <br /> Parks and Recreation IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> 306A Revere Rd , PO Box 8181 REPRESENTATIVES. <br /> Hillsborough NC 27278 AUTHORIZED REPRESENTAX,,, 4–B <br /> I I w—chry <br /> ZaE25(2001108) U ACORD CORPORATION 1988— <br />