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DocuSign Envelope ID:43FC2FFB-67E2-4FBC-A5DF-06C16A5500B6 <br /> ACC} 4JrrC�Mx as ryyY} <br /> ' CERTIFICATE F LIABILITYINSURANCE 031i r2019 <br /> THIS CERTIHCATE IS ISSUE❑ AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CiER71FICATE DOMES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERArE AFFORDED BY THE POLICIES <br /> BELOW- THis CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETywEF!N THE ISSUING INSURERN, AUTHORI.ED <br /> REPRESENTATIVE OR PRODUCED, AND THE CERTIFICATE HOLDER- <br /> IMPORTANT` If the certifloate holder is an ADDITIONAL INSURI=d,the policy(Ies}must be endowed- It SUBROGATION LS WAIVED, subject to the <br /> terms and cbnditlorts of the policy, cerjain Poligies may require a4 Ortdorsemont- A si:atenrerd on this coYdficate dw4 riot confer fights to rhL, <br /> Certificate hald6T In lieu of such endorsr=monl(s)- <br /> PRp[)UCCFr Greg Lopeman, CPCU °r*,a°M - crea Laaan-lan <br /> StMFarm [n6urance Pr14NE <br /> Eet1�919- 33-7T1D {NC NoI:919=9r33-7713 <br /> Lar qIL <br /> 1{134 hd HYw.y 541N AaDo ss-Greg, art-PfYSE Ia Iam.C4m_ _ <br /> aurora, N 27510 IF 11 "WDIIIGCOy�gE weJetl <br /> NS;JRER+4:Sloe FwmFIreapitcasuahvCria ny _ #3 <br /> IH3�IRF,p RILEY SURVEYING PA Iws,3RFR 5: a Farm i�9lrtµ�l 14Ldornohile JrrsurarTna Corrm�rn� r8 <br /> TE 100B IwauR�xc <br /> 3326 DURHAM CHAPEL HILL BLVD 1MSldi[aro <br /> DURHAM NC 27707-2695 IN�LMiERE: <br /> INSURER F <br /> COVEPAGES CERTIFICATE NUMBER: REVISiON NUMBER: <br /> THIS IS TO CERTIFY THAT IHL POLICJE$ OF 11%13Ur"L4NOF LISTED}SELOWV HAVE BEEN FSSUED TO THE INSURED NAMED ABOVE FOR THE POE.I Y PERIOD <br /> INDICATED- NC(rWFFHSTANDIFJG AfkY RFOLIIREMENT, TERM OR CCRUITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VMICH THIS <br /> CERTJFIr,ATF MAY BF ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDF0 BY THE POLICIES DESCRQED NEF.EJN I$ SUBJECT TO ALI, THE TERMS. <br /> EXCLUSIONS AND rONDITIONS OF uUal POLICIES,LIMITS SLIp{I N MAY HAVE BEEN REDUC;I"Q Sy PAID MAIMS, <br /> NSR TYPEDF1NSURAIpE AD6LSU6R Tfr'YEFF POLICY P64eev NUMB S.i11f8 <br /> A EGLNeiznLLIA➢ILITY ,f ❑I 43 t}- � $-$ 0=W241$ 0?.I�UJ'2020 EACHOWA)RRENCE $ 9,Od0•pP4 <br /> CG2WNIF.RL-IAL GENERAL Llp$IUTY TGRENTED <br /> SES iEAmpLimm $ W0,000 <br /> µ CLAIMS-NE,4QE OCCUR _t�RekA+EQIXP(,aycnePevecn�i 5 5,000 <br /> PERSONA{b ADV INJURY _ $ 1'0f 0.000 <br /> �- GENERALAGOR LATE L 2,00 .Wo <br /> G€HL AGGRE$'ATE LN{IT APPLIFfi PER: P#i4�91 1;,CONplOP AG6 .000- <br /> 000 <br /> } POLICY Y F� 66C <br /> B nuOalLtuaelLm i 4719744�f33D-33 iD130J201B 134d19 13sil Leulnrr $ <br /> AHY AtJ7O 60113rY,h7,ILIRY{Per pure $ 500,000 <br /> lJTC)15 E1} ALrr dMJLEd 4GOrt.'r1NARY{Peromedern} <br /> +S.IJTOti ALrf03 S SOIJ,OD4 <br /> HIRED AUTOS rx <br /> NON-Uyb%F.p I — <br /> AUTOS <br /> S f00,0y0 <br /> S <br /> A U115REL I-A r raa ocCMR F+rw OCCI�pPE}1CC S 1.000,044 <br /> 93•Gi4f-1117-1 t]8f70f2b1$ 08t70f2029 <br /> FxGEs3 LUSB ,ClAIxS-HRQE AfiiGREG4TE # 1,000-400 <br /> oFr+ X Q.E IIUNS 10,OOQ - <br /> A I WQRKERSCOMPENSAMN wCSrn,u- oTH <br /> A IQ EMPLUTEMX L"UTY T I Fi <br /> AWY FRpPRTT0RPP4R1NCR+EKEG1UTIVE - E!. 1,0gG,gpO <br /> CFnCFnMEM5EREXCLUOEW I11A 93•CV-R463-3 020200201$ 02170I2020 111114ENr $ <br /> {Man�6ory N wlrF E.L.Qh—#-EA EMPLOYEE S 1,009,t31id <br /> a SBe,deseritg prQgr <br /> E.L QIS€A$f-r1(%_ICw IIdIT S 1,00¢,q(IO <br /> I <br /> 6EWRIPTIGNOFOPERATIONS;LOCATIONs.'VEHICLESIAMn h ACORD 101.AddltaalReim.kaSchedula.itrk)W&Spam ismgWryq <br /> CERTIFICATE BOLDER CANCELLATION <br /> Orange COuTIty 514OULD THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE UPI�4T N DATA THEREOF, NOTICE WILL BE DELIVERED JN <br /> PO Box 8181 ACCORDAI1 1.CE MITH THE POLICY PROVIS IONS_ <br /> Hillsborough, NC 27278 % <br /> ALI I iDm1zED Ewan <br /> 019SO-2010 ACORD CORPCOAT N. All rights reserved. <br /> ACORD 25 (2010ffi5) The AC0FZD name and logo are registered marks of ACORD ]001466 I32849.6 11-1 rs 01p <br />