Orange County NC Website
DocuSign Envelope ID:A58ECB93-BAFA-45FF-BO35-B3BO78563DAC <br /> ,�$C�° oATE(hSA!roDlYYYYI <br /> ' CERTIFICATE OF LIABILITY INSURANCE 6/�/aozs <br /> THIS CERTIFICATE IS 13SUED AS A MATTIM Or INI ORMATION ONLY AND CONFE.•'R$NO MOM UPON THE CERTIFICATE HOLDER,THIS <br /> CIERTIFICATC DOES NOT AFFIRMATIVELY OR NEGATIVRLY ANIENR, EXTEND OR ALTER THE COVERAOI;AFFORD50 OY THE POLICIES <br /> BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT 1313-TWEEN THE ISSUING INSURER($), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE`CGRTIFiCATE HMMR, <br /> IMPORTANT, If 14o Certificate holder Is an ADDITIONAL INSURED,the policy(fes)must hs andorsed. 11 SUBROGATION IS WAIVED,sublact to <br /> the terms and conditions of tha policy,certaln polloles nlsy require an ondorsemenh A 61%(oment on this corllticate does not confor tights to(lie <br /> ccri4Ncotd holdorIn Ilou of such andorsement s, <br /> PRODUCER C CT T3kandd UApp7,e _ <br /> �nsuxaROB Managemant eonrru7.kanta, Ind. 1{',W {704}799»x(;00 <br /> V.0. aQx $490 0 RLSS. <br /> R;S 4k'5LAEF0 0f 40 co Rme twc# <br /> 11DAVIdnon ATC 28036• III%UAERAtbCaR1O ineurance CotD an Ind. 137540 <br /> €,11,10 NSDRER 9 <br /> C.I.y Redfoot Arohiteota, TAV. Ct <br /> 222 C1o3.Atpr Court 1 SUtti <br /> SU ERP <br /> Cltapel 3L111, Ne 27516 <br /> COVERAGES CERTIPICATCNUMBER;6/7/16 11I, Renawal REVISIONNUM13ER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 13111.01111 IAVe BEEN ISSUED,TO THE INSURED NA'%IEO ABOVE FOR THE POLICY PE11100 <br /> 1ND,CATEO. NOTWITHSTANDINO ANY RROU€ftEMENT,TERM OR CONDNTON OF ANY CONTRACT OR OTHER DOCUMENT WITH RIwSPECT TO YMICH TiIIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,TJJE INSURANCE AFFORDFD BY TILE POLICIES,DESCRIBEO ttERE€N IS SUBJECT TO ALL THE TERMS, <br /> FXCLUSIONS AND CONDITIONS OF SUGH POLICIES.LIMITS SHOWN MAY HAVE BE&I REDDo�U CCO BY PLAID CLAIMS, <br /> t R TYPE Of INSURANCE AC WE POLICYItUL16E ti01AM XR o E HATS <br /> C0}&:uE9C1AL(3FNEAALLIABILITY E%ROCCURRE(M S <br /> CLAWS 1�AUD❑OCCUR UMISF�U REtTTEOr�g $ —. <br /> MED)EXP ors arson <br /> ---- PaR5OtEAL8ADVWjURY Is <br /> 6ENLAGGREGATELnrITAppL1ESpEit: OEHERALAGOREOAIE1 Is - <br /> HP&icy0%?f QLOG PRODWY6-COMAOPA13(1 4 <br /> 0111Ert 1 14 <br /> AUTOROBILEI.IAOILITY 'r taDrrEOSU¢C¢c _xr $ <br /> Ea acc <br /> ANY AUTO 0CDILYkVdLkW&4ps10} Is <br /> ALL0ti5h`ED �AA3�D�CpJ}ar�IpHDULEO BOOR-YUIJURY(PerxskrRlJ $ <br /> AVTQ3 IKRCUAUTO3 U��r M A E S <br /> S <br /> Uk€l3RELLALIAB OCCUR EACH OCCU Rtwu <br /> EXCESS RAa CtNr,!S•bLhDE AOG,9EOATE 5 <br /> UEU RETE S $ I <br /> WORKER$COMP9USAVOR �T1f UTff A40MPLOVERS'LWIUTY <br /> rA7rNyys eeYg dPaRa lOa ry fU OolPlRf 4wPAERRTAFTr[W0MlN EMCU!aRr E Ly--i'p-.J€ <br /> 141A,MeFCFAnt PXfggY <br /> ✓ ILL.WFgScYARSAE C C•iEUA E RFMT KOYE <br /> L.DISESE•PICYLWT <br /> $$ I <br /> A PROPESSIGA1, LTAIM XTY VISTFT150201 6%1/2015 6/7/2016 PERCLAIM $2,000,000 <br /> AGGE4ATE $2e000e000;E ; <br /> i <br /> RaSCRIPTIOtIOpOpERgrt0Y51LOCATIONSrYEHIC rFS(ACOA016r,AdditlonalRem�,tsScisedare,rnayboallachedllma:oepacorstaqurredJ <br /> ' I <br /> Fairview Parking Lot Projeet <br /> 1 <br /> t <br /> CERTIFICATE HOLOW CANCELLATION <br /> toomarGorangeanurLtyno.qov <br /> SHOULD ANY OF THE ABOVEI DESCRIBED POLICIES BE CANCELLED BEFORE <br /> County of Orange THE; tXPIRATLON OATS THEREOF, NOTICE WILL BE DELIVERED IN <br /> P. 0. 13QX 0101 ACCORoAtICR WITH TtIG POLICY PROVISIONS, I <br /> I{3.11,9bt)r;oug}sr NC 2727II � <br /> AUTHORI2EpRBF'RESI:NTATtti'a r �� � <br /> Ueff Todd/J31) <br /> O 19$8.2014 ACOI2D CORP0RATI0N, All rlJhls resorvad, <br /> AC013U 20(2014101) Tho ACORD nante and logo nro rogIstered marks of ACORD <br /> INS02Snnrron <br /> i <br /> I <br /> i <br />