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DocuSign Envelope ID: FCE3B12B-34AF-485D-9888-6CADC04FD9D6 <br /> _ 7 ® DATE(MMIODIYYM <br /> ACRID CERTIFICATE OF LIABILITY INSURANCE <br /> 03107/2019 <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 INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE.CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poticy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement an this certificate does not confer rights to the <br /> certificate holder in Ileu of such endorsements . <br /> PRODUCER CONYACT <br /> NAME: <br /> PHONE FAX <br /> 14"Q.FJW_ -- — -- -- - --- - .-. ..1AIC,Hal; <br /> Andrew F.Jones DDDRIESS: <br /> 729 W NC HIGHWAY 54 INSURER($)AFFORDING COVERAGE NAICa <br /> DURHAM NC 27713 INSURER A: NATIONWIDE PROPERTY AND CASUALTY INSUF 37877 <br /> INSURED INSURER B: NATIONWIDE PROPERTY AND CASUALTY INSUF: 37877 <br /> INSURER C: <br /> CIVIL CONSULTANTS,INC INSURER 0: <br /> 3708 LYCKAN PKWY STE 201 INSURER E: <br /> DURHAM NC 27707-2586 INSURER F <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTW#THSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR� TYPE 'ADOLSUBR' POLICYEFF POLICYEXP LIMITS <br /> LTR. POLICY NUMBER MWO MMIDDIY <br /> COMMERCIAL RENERAL LFA$ILITY EACH OCCURRENCE S 1,000,000 <br /> } DAMAGE TO RENTED <br /> CLAIMS-MADE X,OCCUR PREMISES(Ea occurrence) s 300,000 <br /> ME E X P(Any one person) .S 5,000 <br /> A ACP BPOK 3046630836 04/24/2018 04/24/2019 PERSONAL BADVtNJURY S 1,000.000 <br /> GEWL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s 2,000.000 <br /> POLICY .PRO X LOC PRODUCTS-COMPIOP AGO .S 2,000.000 <br /> OTHER. S <br /> COMB AUTOMOBILE LIABILITY JEaacc enll LE LIMIT S 1,000.000 <br /> . �{Ea aCCidC+11J t <br /> ANV AUTO{ BODILY INJURY(Pei person) S <br /> ALL OWNED V SCHEDULED ACP BAK 3046634707 04/24/2018 04/24/2019 BODILY INJURY tPer miden l s <br /> AUTOS J1 NON AUTOWNED PROPERTY DAMAGE S <br /> IIIRCDAUTOS AUTOS (Per acliJriil) <br /> UMBRELLA LJAB OCCUR EACH OCCURRENCE S <br /> EXCESS LIAR CLAIMS•MADE� AGGREGATE F S <br /> DIED RETENTIONS s <br /> WORMERS COMPENSA'nQN <br /> PER I OTH- <br /> AND EMPLOYERS'LIAOILITY YIN _STATUTE.- FR <br /> ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT �S <br /> OFFICERIMEMSEREXCLUOFD7 ;NIA <br /> (Mandas(ly In NH} _E_L DISEASf_EA EMPLOYEEfl S _ __ -_ <br /> If yyes,describe under <br /> DESCRIPTION OF OPERATiONS below E.L.DISEASE-POLICY LIMIT;s <br /> I <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD Set,Additional Remarks Snhadu*,may be■Maehad B mow apam is rsqulwd) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County-Department al Envlronment.A ricuiture, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 99 THE EXPIRATION DATE 'THEREOF, NOTICE WILL BE DELIVERED IN <br /> Parks and Recreaton ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> Hillsborough,NC 27278 <br /> AUTHORIIEO REPRESENTATIVE <br /> Olane Burgess <br /> 9198E-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />