DocuSign Envelope ID: EED1436F-A6DD-4OE9-BE68-FFBF6AF84800
<br /> AGRIW-1
<br /> ,4Cv�o CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDCIYYYY}
<br /> 01/0412019
<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 INSURER(S), 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 endorsements.
<br /> PRODUCER 919-556-3698 CD TACT Dan Stroud,GIG,AAI
<br /> Hartstield&Nash Agency,Inc. PHONE 919-666-3698 FAX 919�15B-8T58
<br /> Post Office Box 1109 IAIC,No,Ext: ArC,No
<br /> Wake Forest,INC 27588 EMI an art'$ 0 -naS .Com
<br /> Don Stroud,CiC,AAI
<br /> INSURERISI AFFORDING COVERAGE NA1C4
<br /> INSURERA:SGIOCtiVe Insurance Company 39926
<br /> INSURED Agri-Waste Technology Inc INSURER B:Accident Fund Insurance Co 10166
<br /> 501 N.Salem St Ste 203
<br /> Apex, NC 27502 INSURERC: p Endurance American Specialty 41778
<br /> INSURER D
<br /> INSURER E
<br /> INSURER F
<br /> COVERAGES CERTIFICATE NUMBER; VISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 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 SU8 POLICY NUMBER POLICY EFF POLICY EXPLTR bbrfyyyt LIMITS
<br /> A COMMERCIAL GENERAL LMILITY EACH OCCURRENCE 2,000,000
<br /> CLAIMS-MADE �OCCUR S 2253659 01M812019 01118/2020 DAMA1'SESM ocw 50,000
<br /> X Business Owners MED EXP(Any oneperson) 10,OOD
<br /> PERSONAL&ADV INJURY 2,000,000
<br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 4,000,DOD
<br /> POLICY j LCC PRODUCTS•OOMPIOP AGG 4,000,000
<br /> OTHER'
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 11000,000
<br /> X ANY AUTO S 2253659 01/18/2019 0111812020 BODILY INJURY Perperson)
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILYBO�DILY INJURY Per accident
<br /> AUTOS ONLY AUTOS ONLY PeOen MACE
<br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 2,000,000
<br /> EXCESS LIAB CLAIMS-MADE S 2253659 01118/2019 01118/2020 AGGREGATE $ 2,000,600
<br /> DED X RETENTIONS 0
<br /> B WORKERS COMPENSATION X PER OTH-
<br /> STATUTE ER
<br /> AND EMPLOYERS'LIABILITY Y I N
<br /> ANY PROPRIETORIPARTNERIEXECUMVE CV6138339 01/18/2079 01/18/2020 E.L.EACH ACCIDENT 1,000,000
<br /> EXCLUDED? NppaFnICERd1 M M IA
<br /> atYN E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> IT rs,describe under 1,000,000
<br /> CRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT
<br /> C Professional Llab ECC10101303500 08/2212018 08/22/2018 per claim 4,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES{ACORD 101,Additlonal Remarks Schedule,may be attached IF more space Is(equlredl
<br /> The general liability policy includes a blanket automatic additional
<br /> insured endorsement that provides additional insured statLIS to the
<br /> certificate holder only when there is a written contract in place between
<br /> the named insured and the certificate holder that requires such status
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> COLD761
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Caldwell Banker Advantage ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 7610-100 Six Forks Rd
<br /> Raleigh, NC 27616 AUTHO RIZED RE P RES EN TATIV E
<br /> ACORD 25 t2016I03) CQ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACOR❑
<br />
|