2016-490-E DEAPR - Fortress Fencing, LLC for fencing repair at CG Park

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DocuSign Envelope ID:749B28AA-0CA0-4755-9F8E-46A109605504 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM!DDIYYYY) 04/19/2016 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 have ADDITIONAL INSURED provisions or 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 NAME: Charlie Dickerson The Insurance Pros.Inc. PHONE FAX 1210 Cole Mill Road (NC.No.Ext):(919)294-6613 (A/c,No(866)294-9470 E-MAIL Suite 101 ADDRESS:charlie@insuranceprosonline.com Durham,NC 27705 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Erie Insurance Exchange INSURED INSURER B:Erie Insurance Exchange Fortress Fencing,LLC INSURER C:Erie Insurance Exchange Po Box 1377 Carrboro, NC 27510-3377 INSURER D;Insurance Solutions INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER LIMITS (MMlDD/YYYY) (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY Q382250720 2/22/2016 2/22/2017 EACH OCCURRENCE $ 1000000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 1000000 } MED EXP(Any one person) $ 5000 i PERSONAL&ADVINJURY $ 1000000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OPAGG $ 2000000 OTHER: $ B AUTOMOBILE LIABILITY Q022240032 2/22/2016 2/22/2017 CO eBINED SINGLE LIMIT $ 1000000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY (Per accident) $ C UMBRELLA LIAB X OCCUR Q262270226 2/22/2016 2/22/2017 EACH OCCURRENCE $ 1000000 x EXCESS LIAB x CLAIMS-MADE AGGREGATE $ 1000000 DED 0 RETENTION S $ D WORKERS COMPENSATION WC100-0007808-2014A 3/9/2016 3/9/2017 X PER O STATUTE ETH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N NIA E.L.EACH ACCIDENT $ 1000000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1000000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1000000 E DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) i 2 I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ORANGE COUNTY DEAPR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 8181 ACCORDANCE WITH THE POLICY PROVISIONS. HILLSBOROUGH NC 27278 AUTHORIZED REPRESENTATIVE I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD