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DocuSign Envelope ID:7CF6OB58-F95B-4FFA-9EO3-OFA429EC47E7
<br /> A�0 0O CERTIFICATE OF LIABILITY INSURANCE 06/05/2019"'
<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 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 1-404-439-8000 CONTACT NAME: Certificates Atlanta
<br /> Integro USA Inc. PHONE FAX
<br /> dba Integro Insurance Brokers AIC No Ext: 404-439-8000 (A/C,
<br /> A/C No: 404-439-8001
<br /> E-MAIL rou CertificatesAtlanta@inte ro
<br /> 200 Glenridge Point Parkway ADDRESS: g g P•com
<br /> Suite 400 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Atlanta, GA 30342 INSURER A: ACE AMER INS CO 22667
<br /> INSURED INSURER B: OLD REPUBLIC INS CO 24147
<br /> SOLITUDE LAKE MANAGEMENT, LLC ACE PROP & CAS INS CO 20699
<br /> RENTOKIL NORTH AMERICA, INC. (REN469) INSURERC:
<br /> 1320 BROOKWOOD DR. STE H INSURER D: ALLIANZ UNDERWRITERS INS CO 36420
<br /> INSURER E:
<br /> LITTLE ROCK, AR 72202-1412 INSURERF:
<br /> COVERAGES CERTIFICATE NUMBER: 56353395 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. 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 EFF POLICY EXP LIMITS
<br /> LTR IN SD WVD POLICYNUMBER MM/DD/YYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY OGLG27240331 10/01/18 10/01/19 EACH OCCURRENCE $ 5,000,000
<br /> CLAIMS-MADE OCCUR PREM SES Ea oNcurrDence $ 5,000,000
<br /> MED EXP(Any one person) $ 5,000
<br /> PERSONAL&ADV INJURY $ 5,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000
<br /> X POLICY� JECT PRO X❑ LOC PRODUCTS-COMP/OPAGG $ 5,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY MWTB314124 10/01/18 10/01/19 COMBINED SINGLE LIMIT $
<br /> Ea accident 2,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> L $
<br /> C X UMBRELLA LIAB X OCCUR XOOG27239420 10/01/18 10/01/19 EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000
<br /> DED RETENTION$ 10,000 $
<br /> B WORKERS COMPENSATION MWC314123 10/01/18 10/01/19 X STATUTE EERH
<br /> AND EMPLOYERS'LIABILITY
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ 2,000,000
<br /> OFFICER/M EMBER EXCLUDED? IN I
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000
<br /> If yes,describe under 2,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> D Contractors Pollution U51,00010318 04/01/18 10/01/19 Each Incident/Agg 5,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Orange County, to the extent required per attached endorsements is an additional insured.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> PO Box 8181 AUTHORIZED REPRESENTATIVE
<br /> Hillsborough, NC 27278 g
<br /> USA L1�CLL �2�
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br /> Tina.Woodard@integrogroup.com ATL
<br /> 56353395
<br />
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