2018-208-E DEAPR - Seven Mile Creek Nature Preserve Restroom Screen

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DocuSign Envelope ID: 1F8A04E7- 3771- 4007- 99E8- 7BF4D81FEEE2 NUK I H CAROLINA FARM! BUREAU MUTUAL INSURANCE COMPANY, INC. CERTIFICATE OF LIABILITY INSURANCE 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 pollcy(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). INSURED MULBERRY BUILDING CO LLC CERTIFICATE DEPARTMENT OF ENVIRONMENT, NAME AND 9501 NC HWY 86 N HOLDER AGRICULTURE, PARKS & RECREATION ADDRESS CEDAR GROVE NC 27231 PO BOX 8181 HILLSBOROUGH NC 27278 MCARR @ORANGECOUNTYNC.GOV r±n►�Iroe rre 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, X TYPE OF INSURANCE I COMMERCIAL GENERAL LIABILITY $1,000 000 -OCCURRENCE $1,000,000 GENT AGGREGATE APPLIES PER POLICY $100,000 $5,000 $ AGGREGATE accheccld nIINGLELIMIT BUSINESSOWNERS BODILY INJURY (Per person) UTOMOBILE LIABILITY ® $ PROPERTYDAMAGE Per accident SCHEDULED AUTOS ® $ AGGREGATE WC STATUTORY UMITS HIRED AUTOS E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE: NON -OWNED AUTOS ❑ GARAGE LIABILITY 7 (Other) ❑ EXCESS LIABILITY — OCCURRENCE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY POLICY APPLIES TO THE WORXERS COMPENSATION LAW IN THE STATE OF NC OTHER: J/A POLICY NUMBER MI MILDDN MPOMILOICL M GL 0519139 8/1/2017 81112018 BAP 2173110 1 21112018 1 811/2018 WC 0251547 18/1/2017 811/2018 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES: S:AI44:I =LL.A 1 IUN - - -�� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED AUTHORIZED REPRESENTA BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DATE 3/20/2018 u010910 LIMITS GENERAL AGGREGATE $2,000000 PRODUCTS - AGGREGATECOMPIOPS $1,000,000 PERSONAL BADVINJURY $1,000 000 EACH OCCURRENCE $1,000,000 DAMAGE TOeRENTED MED EXP (Any one person) EACH OCCURRENCE $100,000 $5,000 $ AGGREGATE accheccld nIINGLELIMIT $ $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident $ EACH OCCURRENCE $ AGGREGATE WC STATUTORY UMITS $ E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE: $100,000 E.L. DISEASE - POLICY LIMIT 1 $5500,000