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DocuSign Envelope ID: E32719BA-2C76-4B20-A01E-5807DC7D82F5 <br /> ACCORD OF LIABILITY INSURANCE 6/9/2016 DATE® rm <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> CONT <br /> PRODUCER <br /> NAMEACT Pam Riddick <br /> Arthur J. Gallagher Risk Management Services, Inc. PHONE No,Ext):601-863-3135 is,No):601-812-6228 <br /> P.O. Drawer 16447 E-MAIL <br /> Jackson MS 39236-6447 DSS: am_riddick a Jg com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA:The Travelers Indemnity Company of 25682 <br /> INSURED INSURER B: <br /> Neel-Schaffer Inc., Maptech, Inc; SoilTech INSURERC: <br /> Consultants,Inc;Premier Emergency Management,LLC; INSURER D: <br /> True North Emergency,LLC;Engineers Constructorslnc <br /> P. O. Box 22625 INSURER E: <br /> Jackson MS 39225-2625 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 1033873664 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> IN R TYPE OF INSURANCE ADDL SUBR <br /> WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> (MM/DD/YYYY) (MM/DD/YYYY) <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ <br /> CLAIMS-MADE OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY PRO- <br /> JECT LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> PROPERTY DAMAGE <br /> NON-OWNED <br /> HIRED AUTOS AUTOS (Per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> A WORKERS COMPENSATION UB3E458956 4/1/2016 4/1/2017 X WCSTATU- OTH- <br /> AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange COunty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Post Office Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hilsboro NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> • -�" 'c <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />