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DocuSign Envelope ID:9FOOF44B-9FA3-483C-8632-7EE916691078 <br /> DocuSign Envelope ID:58DC2589-AO06-4332-8C3F-E231B2FO3501 <br /> 1 Erie CERTIFICATE OF INSURANCE <br /> insurance° -THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY- <br /> 100 Erie Ins.PI. , Erie,PA 15530 CERTIFICATE HOLDER COPY <br /> NAME AND NUMBER OF AGENCY DATE ISSUED 0 211 9120 1 8 <br /> THE SORGI INSURANCE AGENCY INC J.11095 <br /> IE CONSULTANT PL STE 102 NAME AND ADDRESS OF CERTIFICATE HOLDER <br /> OUHHAM, INC 27707-6313 919-682-4814 <br /> NAME AND ADDRESS OF NAMED INSURED — —--- <br /> ORANGE COUNTY <br /> TRIANGLE LANDSCAPING INC as PO BOX 8181 <br /> PO 13OX 144 HILLSBOROUGH NC 27278- <br /> STEfVI 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. <br /> RO I 6 i T l f, fi �--hQ"[ . 0 $i e9I41f4iA�n[tt t�k ' `f�----- J9�x£A g <br /> a z .<e..cao- f ..# <br /> GENERAL LIABILITY 0272620479y 03/26/2018 03/26/2019 EACH OCCURRENCE FM1^s ` 100D000 " � <br /> GOMMERCIALG Ell ERAI_UABItI Y 00 COG <br /> OCCURRENCE FORM FIRE DAMAGEg , <br /> G E N'L AG G REGAT E U M IT APPLI ES (Any onepremtaes) 8 1000000 s a:ygu.: <br /> PER.POLICY K_r ? _ !g3: <br /> VOLUNTARY PROPERTY DAMAGE Mb D>JfP(Any one person) S 5000 . Z< <br /> PERSfTNAL&AQVINJURY $ 10000U0 =N�= �'�'�'��' :�a:.,_' <br /> GENERAL AGGREGATE S 2000000 �-';•' ';°`a:?3;3;_>;;c;": <br /> 3ii=Thii £siSc <br /> PRODUCT"OMPIOP Au^ S <br /> AUTOMOBILE LIABILITY 0032630379 03/26/2018 0312612019 RACILY INJURY <br /> (EACH PERSON) <br /> ANY AUTO(OWNED,HIRED, BODILY INJURY b <br /> NON-OWNED) EACHACCIOEN <br /> PROPERTY QAhfAGE S '>�f=$>�?•;9%�;;�'t$;'k:,%&s..�,'sb <br /> BODILY INJURY AND ` T <br /> PROPERTY DAMAGE $ 150000is >iy-k3'<g,;, . <br /> COMBINED <br /> EACH OCCURRENCE - -; ,--.,`; ::°8i. .,:._ ..`.jam,:M.=:M;::?S•k:: . <br /> AGGREGATEav° ? +* .; <br /> WORKERS COMPENSATION Q872600559 03/28/2018 03/2612019 STATUTORY <br /> AND BODILY ACCIDENT S EACH ACCIDENT <br /> EMPLOYERS LIABILITY INJURY DISEASE S 500000 POLICY LIMIT <br /> BY DISEASE $ 500000 500000 EACH EMPLOYEE <br /> DESCRIPTION OF OPERATIONS/LOCATIONS[VEHICLESJEXCLUSIONS 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:If the certificate holder is an ADDITIONAL INSURED,the poiicy(ies)must be endorsed.It SUBROGATION IS WAIVED,subject to the terms and f <br /> conditions of the policy,certain policies may require an endorsement.A statement On this cerlificate does not confer rights to the certilicate holder in lieu of such <br /> endorsement(s). <br /> THIS CERTIFICATE IS ISSUED FOR INFORMATION PURPOSES ONLY AND ERIE INSURANCE <br /> CONFERS NO RIGHTS ON THE CERTIFICATE HOLDER.IT DOES NOT <br /> AFFIRMATIVELY OR NEGATIVELY LIST,AMEND,EXTEND OR OTHERWISE <br /> ALTER THE TERMS,EXCLUSIONS AND CONDITIONS OF INSURANCE <br /> COVERAGE CONTAINED IN THE POLICY(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 /> UE-1566 09112 CIF REPRESENTATTVIE <br />