2019-333-E DEAPR - JB Tree Service SHSC

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DocuSign Envelope ID:CAF7FF95-90BD-4B8F-A15B-0046D8AD9AA9 Ac R�EP CERTIFICATE OF LIABILITY INSURANCE °ATE;MMIbDmYv) 05/31/2019 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 s BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE BOLDER. ; IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policyiies)must be endorsed. If 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 rights to the certificate holder In lieu of such endorsement(s). [i PRODUCER CONTACTi NAME: Knight Insurance P"ONE •919-245-1020 WC No]:919-245-1014 ' 110 Boone Square Street,Suite 7 E-MAIL ADDRESS: kni htinsurance ralei h.twcbc.com Hillsborough,NC 27278 INS DRER S AFFORDING COVERAGE HAIL# INSURERA:Travelers INSURED INSURERS: Northfield Insurance Company _ Bracken,Jeffrey DBA INSURER c: Inte on National Insurance JB Tree.Service INSURER D: USLI 7410 NC Hwy$8 N INSURER E Hillsborough, NC 27278 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR 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 CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR Y EFF POLICY EXP LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MWDDNYYY MMIODfYYYY ^LIMITS GENERAL LIABILITY WS317090 712612018 7126/2019 EACH OCCURRENCE S1 00,000 B X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $100 000 I CLAIMS-MADE FX-I OCCUR MED EXP(Arty me person) $5 000 PERSONAL&ADV I NJURY $1000000 GENERAL AGGREGATE s2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-comwoAAar, s2,000,000PRO I X POLICY JEC LOC $ AUTOMOBILE LIABILITY COMBIN""6INGLE LIMIT 1 000 000 Ea sodden x ANY AUTO BODILY INJURY{Per person] $1 000 000 ALL OWNED SCHEDULEb BODILY INJURY{per accident] $ C AUTOS AUTOS 2006316394 03129/19 03129120 1 000 000 NON-OHIREDAUTOS AUTOSNRJED PerOacEciRdenIDAMAGE $1 000 000 f 5 i UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTIONS S WORKERS COMPENSATION VVC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS A ANY PROPRIETOWARTNER+EXECUTIVE❑ NIA WI.IB 7H94031 1 19 2/28119 2128/20 E.L.EACH ACCIDENT S100 000 orriCrRIMEMBER (Mandatory in NH)EXCLUDED? 1E.L.DISEASE-EA EMPLOYEd$100 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$500 000 D Inland Marine CIISS0383F 11/10/18 11110/19 DESCRIPTION OF OPERATIONS I LOCATIONS 7 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Vermeer Mid Atlantic,LLC is listed as loss payee on a VMA SC352 Stump Cutter,serial number 1VRF112Y21C1002559 CERTIFICATE HOLDER CANCELLATION Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Dept.of Environment,Agriculture, Parks and Recreation ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE ©1988-2010 AC014D CORPORATION. All rights reserved. ACORID 25(2010105) The ACORD name and logo are registered marks of ACORD