2017-128-E DEAPR - Legacy Research Associates for archaeological investigations and ground pentrating radar

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DocuSign Envelope ID:87F610F5-AC6B-48EF-8C0E-270073825005 �–^—� LEGAC-1 OP ID: CH ,acoRGY CERTIFICATE OF LIABILITY INSURANCE DATE 02/28/DD/YYYY) 02/28/2017 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 NAME CT Robert M. Good First Insurance Services,Inc. PHONE FAX P.O.Box 13687 (A/c,No Ext):919-941-0549 (A/c,No): 919-941-0135 RTP, NC 27709 EMAIL Robert M.Good ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford Casualty Insurance Co 29424 INSURED Legacy Research Associates Inc INSURER B: 125 West Woodridge Dr Durham, NC 27707 INSURER c INSURER D: 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. I POLICY EFF POLICY EXP LTR TYPE OF INSURANCE N W SD VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR X 22SBALO5758 03/16/2017 03/16/2018 DAMAGES))RENTED 300000 PREMISES(Ea occurrence) $ , Business Owners MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE i $ 4,000,000 PRO- POLICY JECT I LOC PRODUCTS-COMP/OP AGG i $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO 22SBALO5758 03/16/2017 03/16/2018 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident)I $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPE $) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXX EXCESS LIAB CLAIMS-MADE AGGREGATE $ XXXX DED RETENTION$ $ XXXX WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N A ANY PROPRIETOR/PARTNER/EXECUTIVE 22WBCCM2318 03/14/2017 03/14/2018 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe wider ----- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT i $ 500,000 PROPERTY 2,500 I I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Orange County Dept of Environment, Agriculture and Parks & Recreation are listed as additional insureds if required by a written/executed contract or agreement prior to a loss. CERTIFICATE HOLDER CANCELLATION COUNTY3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County Dept ACCORDANCE WITH THE POLICY PROVISIONS. of Environment Agriculture &Parks&Recreation AUTHORIZED REPRESENTATIVE Box 8181 Hillsborough, NC 27278 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD