Orange County NC Website
DocuSign Envelope ID:4BF8DA7D-6721-483B-B3AC-1 D33320904FD <br /> SUNRCON OP ID:CB <br /> • A.0 ' . x YY,TIFICAT OF LIABILITY INSURANCE NC 07/2 7/201 6 <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 pollcy(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 staterneht on this certificate does not confer rights to the <br /> certificate holder In lieu of such endorsement(s). <br /> PRODUCER - Phone:919-682-4814 CONTACT Christine Barnett <br /> The Sorg! Insurance Agency. PHONE FAX <br /> 16 Consultant Place Suite 102 Fax:916- 82-4906 1 e Ext;919-682-4814 orc,Ne); 919-682.4906 <br /> Durham, NC 27707 ADDRESS:chriscdisorgiinsurance.dom <br /> Rodney Allison • <br /> INSURER(S)AFFORDING COVERAGE _ NAIC# <br /> INSURERA:Erie Insurance Exchange 26271 <br /> INSURED Sunrise Contracting - INSURERB:Builders Mutual Insurance Co. <br /> Services LLC <br /> 4603 Hillsborough Rd Ste H INSLIRERC: <br /> Durham, NC 27705 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER; 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 /> INSR TYPE AUULSUEK - POLICY EFF POLICY EXP LIMITS <br /> LTR INSR WVD POLICY NUMBER (MMIDDIYYTY) (MMIDD/TYYY) <br /> GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000• <br /> A X COMMERCIAL GENERAL LIABILITY GENER LIABILITY Q301350607 02/13/2016 02/13/2017 PREEMI u r SE (Ea occurrence) $ 2,000,000 <br /> P <br /> CLAIMS-MADE X OCCUR •MED'EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY _ $ 2,000,000 <br /> GaIERAL AGGREGATE $ 4,000,000 <br /> GENT.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 <br /> POLICY n jEa LOC $ <br /> .AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 000 000 <br /> (Ea accident) <br /> A ANY AUTO Q01 0141609 02/13/2016 02/13/2017 BODILY INJURY(Per person) $ <br /> ALL X ,SSCCHEDULED BODILYRINJURY(Per aoCIdent) $ <br /> X HIRED AUTOS X AUTO QED: (Perecclde�DAMAGE <br /> $ <br /> X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 5,000,000 <br /> A EXCESSLIAB CLAIMS-MADE Q261370214 02/13/2016 02113/2017 AGGREGATE $ 5,000,000 <br /> OED RE 16NTION$ $ <br /> WORKERS COMPENSATION x WC STg1U- <br /> AND EMPLOYERS'LIABILITY _TORY LIMITS 10& <br /> Y/N <br /> B ANYPROPRIETORiPARTNERIEXECURVE WCP2545512 11/18/2015 11/113/2016 EL.EACHACCIDENT $ 1,000,000 • <br /> • OFFICERIMEMBER EXCLUDED? N 1 N/A <br /> (Myandatory InNH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> DESCRIPTION OF OPERATIONSbeleW E,L.DISEASE-POLICYLIMIT $ 1,000,000 <br /> • A Inland Marine Q361350687 02/13/2016 .02/1312017 Contr Equ 41,500 <br /> A "Special Porn" PROPERTY 02/13/2016 02/13/2017 Rental Eq 25,000 <br /> DESCRIPTION of OPERATIONS I.LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more.space Is required) <br /> { <br /> 1 I <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIE6BE CANCELLED BEFORE <br /> a Coun THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange .ty ACCORDANCE WITH THE POLICY PROVISIONS, <br /> • PO Box 8181 <br /> Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE <br /> ©1.988-2010 ACORD CORPORATION. All rights reserved. <br /> 'ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br /> • <br />