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DocuSign Envelope ID:05BA2CC8-DCB1-4581-96FD-2C19044271D7
<br /> DocuSign Envelope ID:6C87C690-9415.46C1-A92C-B299BAEBD893
<br /> (Erie CERTIFICATE OF INSURANCE
<br /> lnsurance -THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY-
<br /> IOD Erie Ins.PI. � Erle,PA 16530 CERTIFICATE HOLDER COPY
<br /> NAME AND NUMBER OF AGENCY [?ATE ISSUED
<br /> -
<br /> THE SOAGI INSURANCE AGENCY INC 3J1Q95 02/20/2017
<br /> 15 CONsuLTANT PL STE 102 NAME AND ADDRESS OF CERTIFICATE HOLDER -
<br /> IJURHAM, NC 27707-5313 _ 919-682-4814
<br /> NAME AND ADDRESS OF NAMED INSURED
<br /> ORANGE COUNTY
<br /> TRIANGLE LANDSCAPING INC PO BOX 8181
<br /> PO BOX 144 HILLSBOROUGH NC 27278-
<br /> STEM NC 27581-0144
<br /> This is to certify that policies,as indicated by Policy Number below,are in force for the Named Insured at the time that the certificate is being issued.
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<br /> ..•w...,....,,n..--`--.�a'�;. ,. ..ts. .. .....................��s. ..,. ,.,,..,_:,,:::.,..�t �7lYE:[t ---. .II�.L7tttlHrtr, ,..> ���ws:- -:rs1.•;. .•:;#r"'#ifii`:;«.,;:.,i
<br /> .;•_. .:w..x..:..:_......__::v:,,h�.x.r.,zs„n,,.x................. .. ....Ax. :• -.-::::: ,71. „�4-;>?:"::;:- --
<br /> GENERAL LIABILITY Q272620479 03/26/2017 03/26/2018 EACH OCCURRENCE $
<br /> COMMERCIAL GENERALLIAMLITY 10Q00Q0 _ f-�� r ;t•�f:
<br /> OCCURRENCE FC}RAn FIRE DAMAGE :'�_::--:: �s
<br /> GEN'LAGGRERATELIMITAPPLIES $ 1000000(Arty one premises) ;, M
<br /> PER:POLICY -- 'r':_:?:s»'-:
<br /> VOLUNTARY PROPERTY DAMAGE MED EXP(Anyone Person) $ 5000
<br /> PERSONAL&ADV INJURY S 1000()00
<br /> ';','"-," '=�'-;'-''�;�`:=' ss '�r
<br /> GENERAL AGGREGATE $ z'2000000
<br /> <,'
<br /> PRODUCTS-COMPIOPA $ 2000000 c r
<br /> €ax ,�s
<br /> BODILY INJURY th zx
<br /> ANYAlFft7{OWNEDI H®RED,AUTOMOBILE LAILITY G032630379 03/26/2017 03/26/2018 (EACH PERSON) s �� � y
<br /> IioDILY INJURY 4
<br /> NON-OWNED} (EACH ACCIDENT) $ � >
<br /> PROPERTY DAMAGE $
<br /> BODILY INJURY AND j PROPERTY DAMAGE $ 750000 ..' zJ: z
<br /> COMBINED
<br /> EACH OCCURRENCE t:gy $z ............
<br /> AGGREGATE
<br /> WORKERS COMPENSATION Q872600559 03126/2017 03/26/2018 STATUTORYg € 31j rg 3
<br /> AND BODILY ACCIDENT $ n EACH ACCIDENT
<br /> EMPLOYERS LIABILITY INJURY DISEASE $ 600000 POBOY LIMIT
<br /> BY DISEASE s 100000 EACH EMPLOYEE
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
<br /> CANCELLATION:SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE
<br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> IMPORTANT:It the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.It SUBROGATION IS WAIVED,subject to the terms and
<br /> 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
<br /> endorsement(s).
<br /> THIS CERTIFICATE IS ISSUED FOR INFORMATION PURPOSES ONLY AND
<br /> CONFERS NO RIGHTS ON'THE CERTIFICATE HOLDER.FT DOES NOT ERIE INSURANCE
<br /> AFFIRMATIVELY OR NEGATIVELY LIST,AMEND,EXTEND OR OTHERWISE
<br /> ALTER THE TERMS,EXCLUSIONS AND CONDITIONS OF INSURANCE
<br /> COVERAGE CONTAINED IN THE POLIGY(IES)INDICATED ABOVE.THE TERMS SEE REVERSE SIDE
<br /> AND CONDITIONS OF THE POLICY(iES)GOVERN THE INSURANCE COVERAGE
<br /> AS APPLIED TO ANY GIVEN SITUATION.LIMITS SHOWN MAY HAVE BEEN
<br /> REDUCED BY CLAIMS PAID.THIS CERTIFICATE OF INSURANCE DOES NOT
<br /> CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER AND CERTIFICATE HOLDER. AUTHORIZED
<br /> OF-1500 09112 CIF REPRESENTATIVE ,�, ,,,,,,•
<br />
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