2018-758-E DEAPR - S&ME Gas Survey for old Hillsborough landfill

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DocuSign Envelope ID:9D837DE1-58E6-47AF-80AC-29E747EBFFCE DATE(MMJODIYYYYI CERTIFICATE OF LIABILITY INSURANCE 612512018 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(tes)must 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 NANMFEACT Tiffany Davenport HB&T Insurance Services, Inc. PHONE FAX 2108 W. Laburnum Ave Suite 300 •804-678-5027 Arc Na:888-751-3010 PO Box 17370 A 6AI2Ess.. tdaven ort bbandt.com _ Richmond VA 23227 INSURERS AFFORDING COVERAGE _ NAlca INSURER A:Vall2y Fare Insurance Company _ 20608 INSURED 35SMEINC INSURER B:Continental Insurance Company 35289 S&MB Inc. INSURER C:Travelers Pro pert Casualty Cc of Amer 25674 3201 Spring Forest Rd. Raleigh, NC 27616 INSURER D:American Casual Co of Reading PA 20427 INSURER E XL Specialty Insurance Company 37885 INSURER F: COVERAGES CERTIFICATE NUMBER:1573430642 REVISION NUMBER: 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 CONTRACT OR 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 I TYPE OF INSURANCE AOOL SUER POLPOLICY NUMBER MMI�61YYYYY EFF MrMtDONYYPY LIMITS LTR A x COMMERCIAL GENERAL LIABILITY Y Y 8042844344 71112018 71V2019 EACH OCCURRENCE $1,000.000 GE TO RE CLAIMS-MADE �OCCUR PREMISES Ea occurrence $1.000.000 MED EXP(Any aria person) $15,D00 PERSONAL&ACV INJURY $1.000,000 G EVIL AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2.000,000 POLICY�JECT PRO- ®LOG PRODUCTS-COMPIOP AGG $2.000,000 OTHER: I $ B AUTOMOBILE LIABILITY Y Y 6042844313 711I2018 7/112019 COMBINED SINGLE LIMIT $7,000,000 Ea a.dent X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY WIDER C X UMBRELLA LIAS X OCCUR Y Y ZUP51 M6239518 711I2018 7/112019 EACH OCCURRENCE S 5,000.000 EXCESS LIAB CLAIMS MADE AGGREGATE $5,{100,000 DEO I X I RETENTION_$ _ $ D WORKERS COMPENSATION Y VVC642647966 71112018 7/1/2019 X, I S7ATUT€IN ERH- AND EMPLOYERS'LIABILITY - ANYPROPREETORIPARTNERIEXECUTIVE Y� NIA E,L EACH ACCIDENT $1,000.000 OFFICERIMEMBER EXCLUDE07 (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $1;000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $'I'Mo,000 E Professional Liability DPR9927327 711/2018 7/1/2010 5,000,000 Par Clalm rncluding Pollution ! 5,000.000 Aggregate DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES IACORD 101,Additional Remarks Schedule,may be attached If more space is required) Umbrella policy extends over General Liability,Automobile Liability and Employers'Liability coverages. In the event that the Company cancels the General Liability,Automobile Liability or Employers'Liability policies for any statutorily permitted reason tither than non-payment of premium,the Company agrees to provide ninety(90)days notice of cancellation of the Policy to any entity with Whom the NAMED INSURED agreed in a written contract or agreement would be provided with notice of cancellation of the policy. In the event that the Company cancels the Professional Liability policy for any statutorily permitted reason other than non-payment of premium,the Company agrees to provide thirty(30)days notice of cancellation of the Policy to any entity with Whom the NAMED INSURED agreed in a written contract or agreement See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Dept.Of Environment,Agriculture, Parks and Recre ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Thomas Davis 306 A Revere Read AUTHORIZED REPRESENTATIVE PO Box 8181 ugh Hillsborough NC 27278 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD(name and logo are registered marks of ACORD