2018-129-E Solid Waste - The Treeist tree cutting

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DocuSign Envelope ID: 984B3051- CADF- 49CA- B6E3- DDA70FA39480 NISHIA OP ID: SF ,a►coRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 04/16/2018 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 have ADDITIONAL INSURED provisions or 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 336- 232 -0219 Southeastern Agency Grou lnc. 9 d p 1501 Highwoods Blvd., St # 402 CONTACT Shelley L. Feral NAME: PHONE 336 - 232 -0219 (A/C 336 - 218 -7487 (A/c, No, Ext): (A/c, No): Greensboro, NC 27410 E -MAIL sfera @sagnc.com ADDRESS: Jeff Chandler EACH OCCURRENCE INSURERS AFFORDING COVERAGE NAIC # INSURER A: American Interstate Ins. Co. 31895 INSURED Craig Nishimoto, DBA The Treeist INSURER B: PERSONAL & ADV INJURY 1200 Hatch Rd INSURER C: AGGREGATE LIMIT APPLIES PER: POLICY El jE LOC OTHER: INSURER D: $ Chapel Hill, NC 27516 INSURER E: INSURER F: AUTOMOBILE 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 LTR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS 1207 Eubanks Rd COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR Chapel Hill, NC 27516 AUTHORIZED REPRESENTATIVE Jeff Chandler EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY El jE LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY L COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Per person) $ BODILY INJURY Per accident $ PROPERTY DAMAGE Per acciden t) $ $ UMBRELLA LIAB EXCESS LAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR' LIABILITY ER/EXECUTIVE Y❑ OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A AVWCNC2653262017 12/01/2017 12/01/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ SUO,000 E.L. DISEASE - POLICY LIMIT 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) klindley @orangecountync.gov CERTIFICATE HOLDER CANCELLATION ORANGEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange Count Solid Waste THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g Y ACCORDANCE WITH THE POLICY PROVISIONS. Management 1207 Eubanks Rd Chapel Hill, NC 27516 AUTHORIZED REPRESENTATIVE Jeff Chandler ACORD 25 (2016/03) @ 1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD