2018-239-E Planning - Carolina Lead Abatement

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DocuSign Envelope ID: 6CCCCAFC -C372- 4560 - ACEB- 744BF96E8287 7 a Ac ©RE) CERTIFICATE OF LIABILITY INSURANCE DATEIMWDDNYYYI TYPE OF INSURANCE 0610612018 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 BETWEE=N THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) musk 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 NAME: Evan J Emrich MSH Insurance PHDNE 252 -446 -7188 Arc o • i366- 454.0305 ADDARESS: eemrich@mshins.com 72 Azimuth Ct INSURERS AFFORDING COVERAGE NAIC# Rocky Mount, NC 27804 INSURERA: Erie insurance Exchange a $ INSURED INSURER B Billy Earp &Son Construction $ Billy Earp INSURER C: $ __..�.._...�._._. $ 7246 Taylor Store Road INSURER D: A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY X AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Nashville, NC 27866 INSURER E: 10/2212017 10/22/2018 INSURER F $ 1,000,000 COVERAGES CERTIFICATE NUMBER: 00000000 -0 REVISION NUMBER: 1 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADDL INSD SUBR POLICY NUMBER PM+ I3NYY (MMMDPCfYYI EXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE � OCCUR EACH OCCURRENCE S DAMAGE TO PREMISES (Ea Eowu artoa ) $ MED EXP (Any one person $ PERSONAL $ ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER. POLICY jECT � 1 LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY X AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Q10.2230382 10/2212017 10/22/2018 EOM6a IN ',I?NGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY {Per accident) _ $ PROPERTY DAMAGE Per acddeN $ $ UMBRELLA LIAR EXCESS LIAR HOCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE S QED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS° LIASILITY Y fN ANY PROPRiETORIPARTNERIEXECUTNE [:] OFFICEWMEMBER EXCLUDED? (Mandatory in NH) 11 yes. desctlba under bESCRIPTION OF OPERATIONS below 11A .PER t7rH- STATUTE E.L. EACH ACCIDENT $ ._.,.... E.L. DISEASE - EA EMPLOYEE$ E.L. DISEASE - POLICY LIMIT $ i DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space le required) William Earp is President of Carolina Lead Abatement with a Commerical Auto Policy Carolina Lead Abatement, INC. 5933 Careylee Road Nashville, NC 27856 LoAIVIiCLLFA 1 IUIM SHOULD ANY OF THE ABOVE. DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE •,r—r�.r fir, r / `O 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Printed by EJE on June 05, 2018 at 03 :15PM