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DocuSign Envelope ID: F4CF91BB-74B3-4B07-9E4A-4099BF54DBE8 <br /> DATE(MM/DD/YYYY) <br /> A-CO-RD- CERTIFICATE OF LIABILITY INSURANCE 1/25/2016 <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 9 <br /> INSURED Summit Design and Engineering Services, INSURER A: Starr Surplus Lines Insurance Company <br /> 504 Meadow and Drive INSURER B: <br /> Hillsborough, NC 27278 INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTEDBELOW HAVE 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 BYTHE POLICIES DESCRIBED HEREIN ISSUBJECT TOALLTHETERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR WUL POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR INSIRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DDIYY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> ' <br /> COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) $ <br /> CLAIMS MADE El OCCUR M ED EXP(Anyone person) $ <br /> [PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIESPER: PRODUCTS -COMP/OP AGG $ <br /> PRO- <br /> POLICY L1 LOC <br /> FILIJE <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 CLAIMS MADE AGGREGATE $ <br /> FDEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND TORY LIMITS I —,IER- <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 Professional Liability SLSLPR026238015 4/2/2015 4/2/2016 $1,000,000 limit each claim <br /> c—t.—t—, P.11.t.—Libility 1 $2,000,000 in the aggregate <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES EXCLUSIONS ADDED BYENDORSEMENT /SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Orange County, NC 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 /> c/o Marabeth Carr REPRESENTATIVES. 1111I T <br /> 306 . Revere Road [AUTHORIZED REPRESENTATIV W 16 <br /> Hillsborough, NC 27278 UAt&AA/ I <br /> ACORD25(2001/08) ACORD CORPORATION 1988 <br />