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DocuSignEnelope ID:9B6CACBA-8529-4CD1-8472-04DA56FA4A98 CAROS01
<br /> 1
<br /> '4coRc� CERTIFICATE OF LIABILITY INSURANCE DATE(MMWDDNYYY)
<br /> �--� O'W22r2018
<br /> TF%S 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 ANpEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THIS POLICIES
<br /> BELOW. THIS CBRTI1I OF INSURANC€ DOES NOT CONSTITUTE A CONTRACT EETW€EN THE i°SSUING INSUREII AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLQ+r=R.
<br /> IMIPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policylles) must have A=TPONAL INSURED provisions or be endorsed.
<br /> If SUBROGATIION i:S WAIVED, subject to the terms and con&!ons of the policy, certain policies mar require an endorsement. A statement on
<br /> this certificate dens not confw rights to the certificate holder in Ileu of such endomement(s).
<br /> rKIDDUCUft 910-762-2489 CONTACT Gecorge H. Chadwick III
<br /> George Chadwick-insurance rHnN1f- 910-762-2489 PAX 910-763-8006
<br /> 3301 WrightsvilGe Avenue (Arc,No,F xt): µvc,No):
<br /> Wilrniergton, N°C 28403-4195 F-MAIL. bhalos@chadWckinsurar�ce.com
<br /> AIDEV.George H.Chadwuck Ilt
<br /> INSLPI AFPORDINf CO'rtr.AGK NAIC#
<br /> INSL,RERA:National Fire Irrs Of Hartford 20478
<br /> INSURPID Carolina SooftwareInc INs,JRERB:Continental Casualty Company 20443
<br /> PO Box WG7
<br /> Wilmington, NC 28405 INSLUIEN C:
<br /> INSL,RER D:
<br /> INS+JR-.RE:
<br /> IN.9'JFt.R F:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES CIF INSURANCE LISTED BELO`VV HAVE BEEN ISSUED TO TF'IE 'INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDCATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT C+R OTHER DOCUMENT VmTH RESPECT TO W'VFACH THIS
<br /> CERTIFICATE MAY BE ISSUED 0R MAY PERTAIN, THE INSURANCE AFFORDED BY TF:IE POLICES DESCRIBED HEREIN IS S03JECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND COND,TIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR 7ypE OF i1V`URANC!< AUUL SUB POLICY EFF POLICY EXP
<br /> POLICY NUTVtwr'%R LIMITS
<br /> LTr. INSD W'e'D MM1DD MM1DD
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE � OCCUR 6021495255 04/39/2018 04/30/2019 DREM E TO RENTED 300,000
<br /> PREMISES Ea occurrence
<br /> MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY PRO- 2,000,000 LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> Ea accident $
<br /> X ANY AUTO 6021463812 04I30112018 04I3QI2019 BODILY INJURY(Per person)
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
<br /> X HIRED �( NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> B X UMtl'R@LLALIAE3 X OCCUR EACH OCCURRENCE $ 1,000,00©
<br /> EXCESS LIAB
<br /> CLAIMS-MADE 6021495272 04/3af2018 04/3012019 AGGREGATE 1,000,0Ofl
<br /> DED X RETENTION $ 10000 $
<br /> B WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> ANY PROPRIETORfPARTNERfEXECUTIVE
<br /> YIN 6021495269 04/30/2018 04I30I2019 E L.EACH ACCIDENT $ 1,000,000
<br /> OFFICERfMEMBER EXCLUDED? N 1 A
<br /> (Mandatory in NM E L DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT
<br /> B Professional Lib 6020066120 04I30112018 04I3Q12019 E&O 1,000,000
<br /> DESCRIPTION OF OPERATIONS r LOCATIONS 1 VEHICLES (ACORD 901,Addit:onal Remarks Schedule,may be attached if more space is required)
<br /> CERTIFICATE H•QLQER CANCELLATIQN1
<br /> ORANC01
<br /> SKOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTSCE tMILL BE DELIv'ERED IN
<br /> ACCORDANCE VIYITH THE PWCY PROVISIONS.
<br /> Orange County Solid Waste
<br /> 6:lanage'mQnt
<br /> Po Box 17177 AUTHORIZED REPRESENTATIVE
<br /> Chapol Hill, NC 27516 ls'
<br /> ACORD 25(20%6 313) Q 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> Tho ACORD name and logo are registared marks of ACORD
<br />
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