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DocuSign Envelope ID:A58ECB93-BAFA-45FF-BO35-B3BO78563DAC <br /> 4 <br /> A O 0 CERTIFICATE OF LIABILITY INSURANCE DATE(l/20(rag5 <br /> 7/x/zs <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS <br /> CERTINGATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENO OR ALTI!R THE COVERAGI;AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIrICATI? OF INSURANCE DOES NOT CONSTITUTE A CONTRACT 13ET4YOW THE ISSUING INSURCR(&), AUTHORIZED <br /> REPRESENTATIVE=OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: It ilia cerliflcate holder is An ADDITIONAL INSURED,IfJO poHcy(les)must be endorsed. If SUBROGAT(GN IS WAIVED,subject to <br /> the term3 and condiilons of the policy,certain policies may require all endorsement. A statameat on this certificate does not confer rlghis to the <br /> cortffleale hotdor In flcu of such ondorsornent(s), <br /> PRODUCER Co i cr Patty Miller <br /> Business Insurers of Carolinas P °Ja (919)968-4611 �� 1919)960.8991 <br /> Ip F.:14� 4T.Hals <br /> 800 Hautowne Drive, Suite 208 L .ponnbusinosa-insurers.aom <br /> IVO Box 2536 INSURER(5)AFFORDWOCOVERAOE NICE <br /> Chapel Hill He 275x5-2836 _ JII$URe11A;Union zn urarn(s Company- 25844 <br /> WsuflzO RISU CRB;SL'OneWOCCE xn Co. 11828 <br /> Coxloy RedEoot Az°hit:eak>3, 1no <br /> 222 Cloister Court IHSUA>=RD, <br /> 5URR 01 <br /> 1 <br /> Chapel Hill 110 27514 Su e <br /> COVERAGES CERTIFICATE NUMBER-2015-2016 9111-VISION NUMBER; <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 13ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM Oil CONDITION OF AHY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WIHCII TI ll:t <br /> CERTIFICATU MAY DE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIRFD HEREIN 13 SOBJECT TO ALL THE TERMS, <br /> EXCLUSJONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWY MAY NAVE BEEN REDU CEO DY PAID CLAIMS. <br /> 1ILiSR TYPgOFIHSOWINCR JAULPL V13 <br /> 1!:90 o OtfOYNllrlcER u° ° LVATS <br /> X C0MAgERCIALI7WRAL DAUILlTY EACH 0f.0 MEIM 1,000,000 <br /> A CLAS4ISd.LAOE El OCCUR EMJS TOREUMDn $ 300,000 <br /> X CE144290062 40 7[9/2016 7Jp/2e16 MEDJ7(P 61- $ 1014DD <br /> PERSONALBA13VINJURY S 110001000 <br /> GEHLMMWATrALIWTAPPLV:SyER: OFNERALAOOREQATE $ 2,000,000 <br /> X Pt3L1CY❑SECT �LOC P1ZOaUCrS•COMP30PAGG $ 2,000,000 <br /> OTHER <br /> E[r�lOyh)CAl P)tr:0tc9 LISD lr�a S 100,000 I <br /> AUTO+AOSEIE L[AeILITY Ea LuN m Ss.G -OF S .1,000,000 <br /> A }( A)YYAlfrO aODILYLYJURY(Petw n) $ <br /> X �OALFrO,) X, q9G!JH��VLET MA429Ra42 40 7/9/2015 7/417016 41DLYWJURY(PeretrMaN) S <br /> X wRrDAVrQS X }AtioiNCfl Per�YLfsnt E # <br /> (0&181 UI toR r s 1,OD0,o00 <br /> UksRe(LAI.IAI3 OCCUR EACHMCURJli:J(CE <br /> EXCESS UAB CtAJ;1i8-1MDE AGOREOA7E S -f _ <br /> DM- RE ENTIO, $ <br /> Y10MR113 COMPE)3SATION X <br /> ANDENPLOYERS'LIAttILFTY Y1tI ' <br /> AJWPROPXW0WPAnnXRocVCWiVE C.L.EAC1tACCl3EllC $ 600 900 <br /> 0FFICEPol.+E MRE)CC1-UDED7 �NIA <br /> B (6y11&nsde;ImyInNn) WC1000002205 2014A 12/31/2611 12/3112015 F.1,4115LA5E•EAW%-LQYE 500,000 <br /> BB6ES�Fd2YT101tOFOPe37A710.Sba?or E.L.olg ASC•.POLICYLAIIT S 600 ODO <br /> OESCRIPT(ON4)FOPEILA7(ONSl LOOATION$/V1:4IGE:ES{AGORDiOl,AddsUolaHR4malkssth9dula,mayGeaBadiedFrmn,ae,veoe. ••--,� <br /> Fairview Parking Lot Project <br /> i <br /> i <br /> CERTIFICATE HOLDE=R CANCELLATION <br /> 1 <br /> SHOULD ANY OF Tfir ABOVE DESCRIBED POLICIES BE GANCELLW BEFORE <br /> Orange county THE EXPIRATION DATE THEREOF, 1101ICE VIILL BE DELIVERED IN <br /> PO Box 0181 ACCORDANCE WITH THR POLICY PROVISIONS. <br /> 1(illabo ottcl)t, NC 27278 <br /> AUTHORItEO REPM6r!NTAT)Va <br /> Patty Miller/PATTY <br /> 010118-2014ACORD CORPORATION.All rights reserved. <br /> ACOND 25(2814101) Tha ACORD)lanes unit toga are ruglstorod marks of ACORD ' <br /> 1N9ortlrmrints <br /> i <br /> { <br /> I <br /> i <br /> fi <br /> j <br /> i ) <br />