2016-178-E DEAPR - Design Dimensions, Inc. for CG history wall design Phase 1

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DocuSign Envelope ID:9A42A14F-A9B7-4E76-9457-9C3B95A32587 A16._� ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD015 10/19/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT TRACY MEADOWS NAME: INSURE PHONE (919)7B1-1115 FAX No: (919)783-6427 0. 2607 GLENWOOD AVENUE E-MAIL ADDRESS:TMEADOWS @INSURE-NC.COM PO BOX 31508 INSURERS AFFORDING COVERAGE NAIC# RALEIGH NC 27622 INSURERA:TRAVELERS INDEMNITY CO OF CT INSURED INSURER B:TRAVELERS CAS INS CO OF AMERICA DESIGN DIMENSION INC INSURERC:TRAVELERS INDEMNITY COMPANY 901 NORTH WEST STREET INSURERD: RALEIGH NC 27603 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:STD-15/16 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ A CLAIMS-MADE Fx_1 OCCUR I-660-7A930152-TCT-15 10/25/2015 10/25/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENI AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY EOa acedeDtSINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED A-7A387415-15-SEL 10/25/201510/25/2016 AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY Pacd t accident) $ HIRED AUTOS AUTOS Uninsured motorist combined $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESS LIAB CLAIMS-MADE UP-7A930336-15-42 10/25/201510/25/2016 AGGREGATE $ 1,000,000 DED F RETENTION$ $ C WORKERS COMPENSATION X WC STATU- O R AND EMPLOYERS'LIABILITY TORY LIMIT ER OFFICER/MEMBER/EXCLUDED ECUTIVE� N/A E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) IA-UB-7A38701-0-15 10/25/201510/25/2016 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ORANGE COUNTY ACCORDANCE WITH THE POLICY PROVISIONS. DEPT OF ENVIRONMENT, AGRICULTURE, AUTHORIZED REPRESENTATIVE PARKS AND RECREATION ATTN PETER SANDBECK PO BOX 8181 HILLSBOROUGH, NC 27278 TRACY MEADOWS/TRACY ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD