2018-596-E AMS - RPS Environmental Courthouse sediment control

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DocuSign Envelope ID:21062O9O-01C4-4767-8741-B555A48854EF Client#:1745716 21 RETENPON ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDl1NYYY) 212812018 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 CONT CT Sylvia Bertz BB&T-Woodbury PHONE -- FAX $77-297-1096 {APB No,Ext): ____ (AIC No 1111 Military Cutoff Road E-MAIL FAX sbertz @6bandt.com Suite 221 Wilmington, NC 2$405 INSURERS)AFFORDING COVERAGE NAIC# - INSURER A:Clulnnell In-ranee Campnny 10677 INSURED INSURER B•clnclnnall Ind a..nycompany 23280 Retention Pond Services Inc. P.O.Box 12121 INSURER C Wilmington,NC 28405 INSURER D: INsuRER E.- INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 13ELOW 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 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 IN ADDL SUBR POLICY EFF POLICY EkP LIMITS LTR S WV_Q_ ____POLICYNUMBER MMIODNYYY MMfDDlYYYY .__ • X COMMERCIAL GENERAL LIABILITY CPP0869233 ----- 10/3112017 101311201 EACH OCCURRENCE $1,000,()00 DAMAGET RENTE7 CLAIMS-MADE F OCCUR PREMISES Ea o[xtq{ertce) $500,000 MED EXP(Any one person) $10,000 PERSONAL a AOV INJURY S 1 000 000 OWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 _ POLICY✓=.I JET LOC PRODUCTS-COMPIOPAGG $2y{IQ 00,0�I�} OTHER: $ - • AUTOMOBILE LIABILITY CPA0869233 - - 10/31/2017 101311201 (EM'tl$DSINGLE LIMIT 1,000,000 IX ANY AUTO BODILY INJURY(Per Person) $ ALL OWNED SCHEDULED 80DILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS }( NON-OWNED PROPERTY DAMAGE S AUTOS Per acadent $ A X UMBRELLA LIAR �( OCCUR CPP0869233 10/3112017 10131/201 EACH OCCURRENCE $10000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $10,000,000 OED x RETENTION so $ B WORKERS COMPENSATION EWC0461964 10131/2017 10131/201 X PER OTH- AND EMPLOYERS'LIABILITY A ER ANY PROPRIETOFJPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $1,000,000 OFFICEWMEMBEREXCLUDED? L N NIA (Mandatory In NH) E,L,DISEASE-EA EMPLOYEE $1,000,000 It yes,describe under DESCRIPTION OF OPERATIONS below - ._ _ _.-- ._ E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Addllional Remarks Schedule,maybe attached If more space Is required) CERTIFICATE HOLDER CANCELLATION Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 S.Cameron Street ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough,INC 27278 AUTHORIZED REPRESENTATIVE hsfw '��', yArr�t'afsL f�31988.2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) 1 of 1 The ACORD name and logo are registered.marks of ACORD #S795909421M18961701 SYSE