2016-741-E AMS - Triangle Landscaping Annex brick replacement

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DocuSign Envelope ID:22BODOB5-3527-4BC4-9E8E-DACAEEE3FB76 OP ID:DR CERTIFICATE OF LIABILITY INSURANCE D 04/18120/ YYJ 04118I2016 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. It the certificate holder Is an ADDITIONAL. INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement can this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER Phone:919-682-4814 CONTACT Christine Barnett The Sor i Insurance Agency NAME: 9 9 y PHONE 16 Consultant Place Suite 102 Fax:�1�-682-0906 c a.Exf):915-682-0814 FAX A,e Nal:919-682-0906 Durham,NC 27707 E-MAIL i hrs s - James E.Sorgi,CIC AAOORESS:C @ orgiinsurance.com - PRODUCER - RIA�.AN — C QMER IO#; _ INSURER(S)AFFORDING COVERAGE NAIL# INSURED Triangle Landscaping Inc. INSURER A;Ede Insurance Exchange 26271 Brad Lewis dba - - 3582 Fletchers Way INSURERD: Stern,NC 27581 INSURERC: INSURER D: INSURER E: INSURER F; COVERAGES CERTIFICATE NUMBER: 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. 11 TYPE OF INSURANCE AODL SUB Y POLICY EFF POLICY EJAP - -- — POLICY NUMBER JMM/DDffYYY) (MM1DDTnWJ LIMITS GENERAL LIABILITY EACH OOCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY Q2726204479 0312612016 03/2612017 PREMIsi=S - CLAIMS-MADE I—XI OCCUR MED EXP(Any one person)_ ._ PERSON_AL&ADVINJURY $ 1,000,00 —. GENERALAGGREGATE $ --- 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00 POLICY PRO- LOC — $" AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A ANY AUTO Q032630379 0312612016 0312612017 (Eaaccidstl) 750,00 ALL OWNED AUTOS BODILY INJURY(Per person) $ BODILY INJURY(Per aoddent) $ X SCHEDULED AUTos HIRED AUTOS PROPERTY DAMAGE $ (Per acddeM NON-OWHEDAUTOS $ UMBRELLALIAR N'C PCCUR EACH OCCURRENCE $ _ EXCESSLlAB--H CLAIMS-MADE AGGREGATE __ $ DEDUCTIBLE $ RETENTION S $ WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS'LIABILITY X T X ANY PROPRIETORWARTNERIEXECUTIVE Y I N Q872600569 03/2612016 03/2612017 E.L.EACH ACCIDENT $ 100,00 OFFICERIMEMBER EXCLUDED? NIA .... (MentWoryinNH) E.L.DISEASE-EAEMPLOYEI $ 100,00 Dyes IPTIOe OF E.L.DISEASE-POLICY LIMIT $ 500,00 I]ESG�RIPTION OF OPERATIONS beiuv A Contractor's equip Q272620479 03126/2016 0312612017 Equipment 122,87 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 1e1,Additional Remarks Schedule,if mare space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE OrOrange COunty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Or nge BOXCo 1 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough,NC 27278 AUTHDRFZEDREPRESE}�N.T,}ATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and Logo are registered marks of ACORD