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DocuSign Envelope ID:011AC816-5686-4AAD-8FCF-2F8148EDBCC8 <br /> A01213 DATE(MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE 9/1/2017 <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 <br /> NAME: <br /> Jones Insurance Agency Inc. PHONE 919-772-0233 FAx 919-779-4025 <br /> 820 Benson Road <br /> (A/C,No,Ext): (NC,No>: <br /> Garner NC 27529 ADDRESS:info©jones-insurance.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Hartford Casualty Insurance Company 29424 <br /> INSURED WBPORTE-01 INSURER B:Hartford Underwriters Insurance 30104 <br /> W B Porter&Co., Inc. INSURER C: <br /> Mark Porter <br /> P 0 Box 27905 INSURER D: <br /> Raleigh NC 27611-7905 INSURERE: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 1066438144 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 OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP W /Y LIMITS <br /> LTR INSD VD POLICY NUMBER (MM/DD YYY) (MM/DD/YYYY) <br /> A x COMMERCIAL GENERAL LIABILITY 22SBABF2904 4/19/2017 4/19/2018 EACH OCCURRENCE $1,000,000 <br /> DAMAGE RETE <br /> CLAIMS-MADE X OCCUR PREMISES O(Ea occur ence) $ <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GE 'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2,000,000 <br /> POLICY PRO- <br /> JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY 22UECUD9666 4/19/2017 4/19/2018 COMBINED SINGLE LIMIT $ <br /> (Ea accident) 1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS AUTOS (Per accident) <br /> A X UMBRELLA LIAB X OCCUR 22SBABF2904 4/19/2017 4/19/2018 EACH OCCURRENCE $6,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $6,000,000 <br /> DED RETENTION$ $ <br /> B WORKERS COMPENSATION 22WECCI7033 4/19/2017 4/19/2018 x PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? 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 (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange County Landfill THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 1514 Eubanks Road ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Chapel Hill NC 27516 <br /> AUT ORIZED REPRESENTATIVE <br /> , <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />