2019-001-E DEAPR - Blackwood Farm Park design

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DocuSign Envelope ID: E45930OD-0094-4E66-A944-039543AOE351 Client#:1229721 SUSANHAT DATE(MWOWYYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 11/0612018 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(les)must have ADDITIONAL INSURED provisions or be endorsed. It 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 any rights to the certificate holder In Ilou of such andorsement(s). PRODUCER NAME CT Carla J.Spitler tJ51 insurance Svc,SmCL Savann H°Nv Ac A� No;810-3$2-8547EXI., - . 7 E Congress Street,Suite 1002 ADaRRES , Carla.Spiller@usi.com Savannah,GA 31401 INSURERS AFFORDING COVERAGE NAIC# INSURER A:COnlh OnW C""ty ccmkIny 20443 INSURED INSURER B Susan Hatcheli Landscape INSURER C Architecture,PLLC INSURER D 711 W.North Street INSURER.E' Raleigh,NC 27603 INSURER F COVERAGE$ CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTE❑ BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 CONDITfONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. qRR TYPE OF IN CDLSURR POLICY NUMBER MM;LQD EFF IMAM LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 3 CLAIMS-MADE OCCUR EMISE EaEcecurrencs $ MED EXP one ersorr $ PERSONAL&ADV INJURY $ GFULAGGREGATELIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY❑JEC7 �LOC PRODUCTS-COMPIOP AGG $ _ OTHER $ AUTOMOBILE LIABILITY (r= SINGLE LIMIT Eaa aWdencGt ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED ROPILY INJURY(Perae ddenq $ AUTOS ONLY AUTOS AbR OS ONLY AUTOS ONLDY PROPERTY DAMAGE $ Per 1t1=.IdanII s UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YON ANY PROPREETORIAARTNERIEXECUTIVEF] E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDEEYJ NIA (Mandatory In NHI E.L.DISEASE-EA EMPLOYEE S If yea,descrf be under pESCRI PTO N CF OPERATIONS below E.L DISEASE-POLICY LIMIT $ A Professional LAH591856713 0510112017 0510112019 $1,000,000 Per Claim Liablity $2,000,000 Aggregate $3 000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS 1VENICLES(ACORD 101,Additional Remarks Schedule,may be attached EI more space Is required) Project:Blackwood Farm Park Professional Liability and Pollution Incident Liability Insurance Claims made policy with retroactive date of 511/2013.Defense costs are within limits of insurance. CERTIFICATE HOLDER CANCELLATION Marabeth Carr,ASLA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County ACCORDANCE WITH THE POLICY PROVISIONS. P.D Box 8181 Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE p 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016(03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S24232203IM22978450 CJSzS