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DocuSi n Envelope ID:4B2CC4A2-9375-4CA5-B4DF-EB9993ABD639
<br /> H ^� CERTIFICATE OF LIABILITY INSURANCE DATE
<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 /> PRODUCER CONTACT Sammy Anderson, CPCU, ARM
<br /> Fountain, Roberson, Anderson PHONE (252)823""2416 FAX (252)823-2925
<br /> JA/C"No,Exth IAJC,Nol;
<br /> P.O. Box 338
<br /> ADDE-MR(a AIL ;sammy@frainsurance.com
<br /> 119 East St. James Street INSURERIS)AFFORDING COVERAGE NAICti
<br /> Tarboro NC 27886 INSURER A:Erie Insurance Company
<br /> INSURED INSURER B:
<br /> Archaeological Consultants Of The Carolinas, _INSURER C:
<br /> 121 First Street INSURER D `
<br /> INSURER E
<br /> Clayton NC 27520 INSURER F: u
<br /> COVERAGES CERTIFICATE NUMBER:CL1381400532 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. I
<br /> ILTR TYPE OF INSURANCE INSR l D POLICY NUMBER POLICY EFP POLICY EXP
<br /> �V IMMIDDIYYYY) 4MM/DDlYYYY) LIMITS 1
<br /> 1 GENERAL LIABILITY EACH OCCURRENCE $ 1,©©©,000
<br /> I.,,., s 1,000,000
<br /> d COMMERCIAL GENERAL.LIABILITY PREMISES Ea occurrence $
<br /> A CLAIMS-MADE L. OCCUR 0441350483 8/13/2016 8/13/2017 MF..D LXP(Any one person) $ 5,000
<br /> PERSONAL&ADV INJURY $ 1,000,000'
<br /> GENERAI, AGGREGATE $ 2,000,0001
<br /> GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ ,.2,000,006
<br /> X POLICY PRO. LOG $
<br /> fFG'i 1
<br /> AUTOMOBILE LIABILITY C arcidentSlN(,LE'.LIMIT i 1,000,000
<br /> A ANY AUT O 1 BODILY INJURY(Per person)
<br /> $
<br /> ALL OWNED SCHEDULED .081230445 8/12/2016 8/12/2017 HOD Y INJURY(Per a^clden 4) $MO AUTOS
<br /> ........
<br /> NON OWNED PROPERTY DAMAGE
<br /> HIRE),)AUTOS AUTOS Per ,ccidenl $
<br /> i $
<br /> UMBRELLA LIAB OCCUR , EACH OCCURRENCE $
<br /> EXCESS UAB CLAIMS-MADE 1
<br /> 1 AGGREGATE S
<br /> DED RETENTION$ $
<br /> WORKERS COMPENSATION , — X We STATU^ OTH-I
<br /> AND EMPLOYERS LIABILITY Y l N `' t/ "I Z
<br /> ANY PROPRIEPOR/PAFVNER/EXI.:CUtIVE E L EACH ACCIDENT $ 500 0001
<br /> OFFICER/ME MBE'.R.EXCLUDED? N/A
<br /> A (Mandatory in NH) 1 .923000486 8/30/2016 8/30/2017 F..l..DISEASE EA E,MPLOYEC,$ 500 000
<br /> If N OF OPERATIONS below F..,.V..,DISEASE•POLICY LIMIT 1 $ 500 000'
<br /> D
<br /> I
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,it more space Is required)
<br /> III
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 131 W Margaret Lane
<br /> Hillsborough, NC 27278 AUT`a`IZED" "RESENTATVVE
<br /> ' . I1 " - / �■�_", '— /8 _ w «. 2on/L S
<br /> ACORD 25(2010/05) ©1988-2'.10 ACORD CORPORATION. All rights reserved.
<br /> INS025(201005)01 The ACORD name and logo are registered marks of CORD
<br />
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