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DocuSign Envelope ID: E0645F9B-3427-4AEC-BOD4-FF7860FOF502 <br /> BORDCON-02 MAIRINGTON <br /> '4C0/Za CERTIFICATEOF LIABILITY INSURANCE DATE(M1201YYY) <br /> 2l21 2019 <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 INSUREII AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Melanie A.Airington <br /> NAME: <br /> TriSure Corporation-HS PHONE FAX <br /> 4325 Lake Boone Trail,Suite 200 (ArC,No,Ext):(919)469-2473 (Arc,No):(919)4674987 <br /> IL <br /> Raleigh, NC 27607 AI DARESS:mairington@trisure.com <br /> INSURER(S)AFFORDING COVERAGE NAIC* <br /> INSURERA:Phoenix Insurance Company The 25623 <br /> INSURED INSURER B:Travelers Property Casualty Company of America 25674 <br /> Bordeaux Construction Company, Inc. INSURERC:Standard Fire Insurance Company The 19070 <br /> 4101 <br /> 135 E Martin St INSURERD:Tokio Marine Specialty <br /> 23850 <br /> Raleigh, NC 27601 INSURERE:Hanover American Ins Co 36064 <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE 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 BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD MMIDDNYYY MMIDDNYYY <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE X OCCUR CO2F979366 12/31/2018 12/31/2019 DAMAGE TO RENTED 300�000 <br /> X PREMISES Ea occurrence $ <br /> X Contractual Liab MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PEP GENERAL AGGREGATE $ 2,000,000 <br /> POLICY T JjECT LOC PRODUCTS-COMPIOPAGO $ 2,000,000 <br /> OTHER $ <br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> Ea accident $ <br /> X ANY AUTO 81021-173833 12/31/2018 12/31/2019 BODILY INJURY(Per person) $ <br /> OWNED X SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> X HIRED X NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY (Peraccident) $ <br /> X Comp$500 X coil$500 <br /> B X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 10,000,000 <br /> EXCESS LIAB <br /> CLAIMS-MADE CUP41<009166 12/31/2018 12/31/2019 AGGREGATE $ 1010001000 <br /> DED I X I RETENTION$ 10,000 $ <br /> C WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> YIN U B8J493303 12/31/2018 12131I2019 1,000,000 <br /> ANYPROPRIRf NIA RfEXECUTIVE ❑ E.L.EACH ACCIDENT $ <br /> OFFICERfMEMBMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> D Profession Pollution PPK1791615 3/12/20111 3/12/2019 Limit 5,000,000 <br /> E Builders Risk- MR IH6A501061 12/31/2018 12/31/2019 Limit 15,000,000 <br /> DESCRIPTION OF OPERATIONS r LOCATIONS r VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Leased/Rented Equipment QT6607F242185COF17(The Charter Oak Fire Insurance Co.)NAIC#25615 12/31/18-12/31/19 Leased/Rented Equipment Limit <br /> $150,000 <br /> Operations of the Named Insured covered by the above referenced policies. <br /> Orange County is listed as additonal insured with respect to General Liability. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange Count THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 9 y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO BOX 8181 <br /> Hillsborough, NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />