2017-625-E AMS - EA Studio Architecture + Interior, PLLC - Space planning for Agricultural Center and Park Operations Base

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DocuSign Envelope ID: F2DB1674-AA6D-453A-B70D-6DCB03165838 Client#: 1642721 80EASTU DATE(MM/DD/YYYY) TM, 1°I I T LI ILI if INSURANCE 2/17/2017 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 NCONTACT Paul H.Smits,CPCU,CIC,AIM AME: BB&T Insurance Services,Inc PHONE 336 547-2020 F'^'t 8888318409 (A/C,No,Ext): (A/C,No): 3318 West Friendly Ave., E-MDRAIESS: p L smits bbandt.com AD Ste.400 INSURER(S)AFFORDING COVERAGE NAIC# Greensboro,NC 27410 INSURERA:Sentinel Insurance Company Ltd 11000 INSURED INSURER B;XL Specialty Insurance Company 37885 EA Studio Architecture+Interiors PLLC INSURER C: 4601 Lake Boone Trail,Ste 2H INSURER D: Raleigh, NC 27607 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. INSR TYPE OF INSURANCE NSRL WVD POLICY NUMBER (MMIDDY/YYYY) (MMIDDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 22SBAUR1430 08/12/2016 08/12/2017 EACH OCCURRENCE $2,000,000 CLAIMS-MADE X OCCUR PREMISESO(Es occur ence) $100,000 MED EXP(Any one person) $1 0,000 PERSONAL&ADV INJURY $2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 PRO- POLICY JECT LOC PRODUCTS-COMP/OPAGG $4,000,000 OTHER: $ A AUTOMOBILE LIABILITY 22SBAUR1430 08/12/2016 08/12/2017(E°a8cideDtj INGLE LIMIT _$2,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE _AUTOS (Per accident) _ $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT _$ B Professional DPS9803731 05/06/2016 05/06/2017 $500,000 Per Claim Liability $1,000,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Orange County is additional insured for the General Liability coverage if required by written contract, Blanket Additional Insured End attached. CERTIFICATE HOLDER CANCELLATION a County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Oran g y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P 0 Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S17664173/M16696243 JCD