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DocuSign Envelope ID:55159D6E-AB02-4A21-AE01-F9384E7BFD4D <br /> CERTIFICATE OF LIABILITY INSURANCE GATE(MMfDDlYYYY) <br /> 1110512018 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S)„ AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder In lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> PHONE FAX <br /> W AIC No): <br /> Andrew F.Jones E-MAIL <br /> ADDREss- <br /> 729 W NC HIGHWAY 54 INSURER(S)AFFORDING COVERAGE I NAIC# <br /> DURHAM NC 27713 INSURERA: NATIONWIDE PROPERTY AND CASUALTY INSUF 37877 <br /> INSURED INSURERS: <br /> INSURER C: <br /> CIVIL CONSULTANTS,INC INSURERD: <br /> 3708 LYCKAN PKWY STE 201 INSURERE: <br /> DURHAM NC 27707-2586 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. <br /> ILT R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MWDDIYYY MMID POLICYLICYEFF E%P <br /> LT LIMITS <br /> R i <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE Is 1,000,000 <br /> CLAIMS-MADE �OCCUR PREMISES Ee=urrence $ 300,000 <br /> MED EXP(Any one person) $ 5,000 <br /> A ACP BPOK 3046630836 04/24/2018 04/24/2019 PERSONAL Ir ADv INJURY s 1,000,000 <br /> GEN'LAGGREGATE J MIT APPLIES PER: GENERALAGGREGATE s 2,000,000 <br /> POLICY I-1 JECT *LOC PRODUCTS-COMPIOPAGG s 2,000,000 <br /> OTHER: 5 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s <br /> (Ea acciden#L_ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS NON-OWNED PROPER7YDAMAGE $ <br /> HIRED AUTOAUTOS <br /> S AUTOS Per aCGldanl <br /> $ <br /> UMBRELLA UAB OCCUR EACH OCCURRENCE S <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANYPROPRiETOSUPARTNERIExEW.IVE NIA E.L.EACH ACCIDENT <br /> OFFICEWMEMBER EXCLUDED? <br /> (Mandatory in NH) E,L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES (ACORD 101,Addkional Remarks Schedule,may be attached if moro space is requirad) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Orange County <br /> AUTHORIZED REPRESENTATIVE <br /> PO Box 8181 Diane Burgess <br /> Hillsborough NC 27278 ,, <br /> O 1988.2014 ACORD CORPORATION, All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />