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DocuSign Envelope ID:64E0A3A3-4FB2-43A3-AE96-172E93B46992
<br /> Erie CERTIFICATE OF INSURANCE
<br /> Insurance -THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
<br /> 100 Erie Ins.PL ■ Erie,PA 16530 CERTIFICATE HOLDER COPY
<br /> NAME AND NUMBER OF AGENCY DATE ISSUED 02/20/2017
<br /> THE SORGI INSURANCE AGENCY INC JJ 1 095
<br /> 16 CONSULTANT PL STE 102 NAME AND ADDRESS OF CERTIFICATE HOLDER
<br /> DURHAM, NC 27707-8313 919-682-4814
<br /> NAME AND ADDRESS OF NAMED INSURED
<br /> •
<br /> ORANGE COUNTY
<br /> TRIANGLE LANDSCAPING INC * PO BOX 8181
<br /> PO BOX 144 HILLSBOROUGH NC 27278—
<br /> STEM NC 27581-0144
<br /> This is to certify that policies,as indicated by Policy Number below,are in force for the Named Insured at the time that the certificate is being Issued.
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<br /> COMMERCLALG NIERAL LIABILITY 0272620479 03/26/2017 03/26/2018 EACH OCCURRENCE $ 1000000
<br /> OCCURRENCE FORM FIRE DAMAGE
<br /> G EN'L AGG RELATE LIM IT APPLIES
<br /> (Any one premises) $ 1000000 !';Pf% :?,•.;'•.>s%:; ;;?;%??;;
<br /> PER POLICY :::}F!::::•%,z,.':
<br /> VOLUNTARY PROPERTY DAMAGE MED EXP(Any one person) $ 5000 I"MON"s%�;��.;i ;Ek ?
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<br /> PERSONAL&ADV INJURY $ 1000000 '``''Ii'<i"r`•{`
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<br /> GENERAL AGGREGATE $ 2000000 ><`'%:<';:R r>'"z:
<br /> PRODUCTS-COMP/OPAGG$ 2000000
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<br /> BODILY INJURY ?'l;!; ' s? ay!•Syi c,,;;f,i;l.;
<br /> AUTOMOBILE LIABILITY 0032630379 03/26/2017 03/26/2018 (EACH PERSON) $ i%< E• .':;r,;'"j°i+?;o '
<br /> ANY AUTO(OWNED,HIRED, BODILY INJURY
<br /> NON-OWNED) (EACH ACCIDENT) $
<br /> PROPERTY DAMAGE $ riyi�'siiC!r`:}:rtit�(2 :%:;
<br /> BODILY INJURY AND •,'•:•sk�?;;;,;g;;;;;t,::;a;r':;:r:}:v;:
<br /> PROPERTY DAMAGE $ 750000
<br /> COMBINED r"^<.':r^#s:'?E:;:;:,•':o;>x.:�:?.>:::
<br /> EACH OCCURRENCE ?:iti rsi^•r'' ;ii3;#i>i0i{.
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<br /> WORKERS COMPENSATION 0872600659 03/26/2017 03/26/2018 STATUTORY �:.'}'•'s?r^•::::°�:.:::::•s,•�.s>s:.s:•s:.ss::•t,:•:.<.s:» :.:
<br /> AND BODILY ACCIDENT $ 100000 r 4 EACH ACCIDENT
<br /> EMPLOYERS LIABILITY INJURY DISEASE $ 500000 POLICY LIMIT
<br /> BY DISEASE $ 100000 EACH EMPLOYEE
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
<br /> CANCELLATION:SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE
<br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and
<br /> 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
<br /> endorsement(s).
<br /> THIS CERTIFICATE IS ISSUED FOR INFORMATION PURPOSES ONLY AND ERIE INSURANCE
<br /> CONFERS NO RIGHTS ON THE CERTIFICATE HOLDER.IT DOES NOT
<br /> AFFIRMATIVELY OR NEGATIVELY LIST,AMEND,EXTEND OR OTHERWISE
<br /> ALTER THE TERMS,EXCLUSIONS AND CONDITIONS OF INSURANCE
<br /> COVERAGE CONTAINED IN THE POLICY(IES)INDICATED ABOVE.THE TERMS SEE REVERSE S IDE
<br /> AND CONDITIONS OF THE POLICY(IES)GOVERN THE INSURANCE COVERAGE
<br /> AS APPLIED TO ANY GIVEN SITUATION.LIMITS SHOWN MAY HAVE BEEN
<br /> REDUCED BY CLAIMS PAID.THIS CERTIFICATE OF INSURANCE DOES NOT
<br /> CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER AND CERTIFICATE HOLDER. AUTHORIZED ////g/t ee
<br /> OF-156B 08/12 CIF REPRESENTATIVE
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