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DocuSign Envelope ID: F9821DFE-F4E9-4621-95F5-24331AF61671 <br /> CERTIFICATE ATE F LIABILITY INSURANCE �""1'� ' <br /> �'� 1(;141 r'2'C1 fi 8 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF IN.FORMATIOM ONLY AND CONFER NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br /> CERTIFICATE DOES KOT AFFIRMATIVELY OR NEGATWELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED ELY THE POL-ICIES <br /> BELOW. TH15 CERTIFICATE OF dNSURANCE DOE$ NOT C 1STMITE A CONTRACT BETWEEN THE ISSUING INStURER{S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE Kou)ER. <br /> IMPICRTANT: If the certificate holder Is an ADDITIONAL INSURED,tho PWIcy(bes)mmut be en[t med, If SUBROGATION IS WAIVED,subject to the <br /> trarrns and tonditions of the policy, certain policIAS may require an endorsement A &Wernaffl 0f1 this certificate does not confer rights to tiIa <br /> certificate hollow in lieu of such endarsement(s). <br /> Pk"ER Greg Lopecrrran. PCU Gre _Lr raarL►arn <br /> Pw <br /> State Farm Insurance M-N ,01940;3.7770 <br /> arc.rr" w y3a9 <br /> 114-B NC Hwy 4 VV A :{iL ,L 2peman.l�t'r<sL ,Stat f rn_OM <br /> Carrboro, NC 27510 wwef <br /> ,HI 11][ReR A.%ale Fanm Fire aN Cps"Ihr gor p*r-rSr <br /> �+surs€Li RILEY SURVEYING PA u�L_F_t-State FamL Mutue[AulOmrnq Fi Insurance CLNrinany <br /> STE 1008 MURER C: <br /> 3326 DURHAM CHAPEL HILL BLVD '".SUa a: <br /> DURHAM NC 27707-2695 wsuRERE: <br /> ,l4t0RE1d� <br /> COVERAGES CERTIFICATE NI.mBEit_ <br /> REVISION NIIIAEEFi: <br /> THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED Ell-LOW HAVE EaEEN ISSLAEID TO THE IMSURED NAMIEL)ABOVE FOR THE POL" PERIOD <br /> INOICATEJ). NOTWITHSTANDING ANY REQU!'RIEMENT, TERM OR CONDMON OF ANY OONTRACT OR OTHER DOCUMENT WITH RESPECT TO W"I I THIS <br /> CERTiFICA7'E MAY I3E ISSUED OR MAY PERTAIN, THE iNSURAw_'E AFFOFMED I Y THE POOCIES DE$CR*ED HEREW IS SUBJECT TO ALL THE TERNI!$, <br /> EXCLUSIONS AINID CONDITIONS[1F SUCH_A POLICIES_LINTS SHOWN MAY HAVE BEEN REDUCED BY F_A!D C4AIM5. <br /> 1"R _ _ <br /> TR Tt'PC 4FIN SLfR14NCE A�t�.... POLlC9'7tl7YrElEat P4L[Cl'Er � � <br /> LRAWS <br /> r.B1ERAL LL4efLiTY *I+ 10712=M3 Q2f2W2019 EACy0CGLrRkr.NGE _ 3 1.QW,1360 <br /> x COMMEROIAL GENERAL LIABILFFY <br /> PREMISESf[A- <br /> €�ra3ur�raco- '� 7 .{L04 <br /> 4--1-cLaun, naaraE o LIR HED Eiu-iArn F!E11801111i$AL)4f INJURY t,0W.000 <br /> {EHElROLLAl iyATE F 2,D00,000 <br /> GtdL AGEEATE LIMIT A,r:PL,t PEA - <br /> PRO PROrwCTS-C*MPfW AGG S <br /> + (PfJL1Y Lr <br /> S <br /> H AUTDNf }qE LL B R1r {171 $714-D30 04PM2018 0�Q19 ��NC�E JpMrr S <br /> ALL OWTF. BODILY INJURY(PxPm ) ; SM.0co <br /> ALL S3M1VNF,1� � SCHEL}LILE� <br /> ,auras AUTOS 1300 7LY INJURY fi7w wx:w anti S 500.000 <br /> HIRE-DALUCS L#}f�-••OWNED <br /> ALJTLS �.., °FEI LT E S 1oo:rrlo <br /> A LlfalaFTELLALLAg X ooeua <br /> EXCESS IA= CLAIM-MADE 93GM 08`1 =018 = @f3019 OCCURA NCE S 1.000,0[Ifa <br /> AC43REGATE # 1,1700_oOL <br /> oE� eLEr WWNS 1 0017 - -. <br /> kIQRKrRS COMPENSATION 8 <br /> AND EMPLOYEAS'LMOFLnY YIN 4MCSTATLl, i7TFF <br /> ANY HH Last TCR PAATNETa[EtiCfMrryE <br /> OFF,CLr,F Mc,=R EXCA-UDEDI? � NOA 93-CV4AS7-5 02f2012078 02'(2"19 -F-L. HALIGMENT <br /> J'andararyaiNMJ _. <br /> t!y�rs,deschhp-apd�' C.L.pI5EA5E-EA E.MPU4 � <br /> L.MEASE POt.lCy UFKr S 1.ppp.000 <br /> 13E5CR,PT1t aNOFOFEFrAT"SJLOGATLaw50VUHHICLE9 IALrwh.keo"101,AddldanalRi�'qr rkbSmodura.if mom zpuorlin!gUlrltfj <br /> CERTIFICATE HOLDER <br /> -CANCELLATION <br /> Orange CaunL}F 8KOULD ANY of THE AaoYE DESCRIRFD POLICIES BE CANCELLED BEFORE <br /> THE EXPq TION DATE THEREOF, NOTICE WILL RF DELFVERCO IN <br /> PO R4X 818'1 ACCA FRDANCE W[Tta THE POLICY PRovISI€KS. <br /> Hillsborough, NC 27278 <br /> A4FTH0fi f 'RFU�'RE3EI4TATJ <br /> V <br /> 1 s II ArG0RD C-0RPORATION- Al rights reserved_' <br /> ACOR13 25(20il0l05) The ACORD name and kVo are registe marks of A ORD 1001486 137aAa.6 11-a�2 110 <br />