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DocuSign Envelope ID:6C305CDD-0658-4BAA-BD53-5ADFDA071D77
<br /> DATE(MMIDDIYI'YY)
<br /> CERTIFICATE 4F LIABILITY INSURANCE 712,2419
<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. 1
<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 CONTACT
<br /> NAME- Mitzi Hines
<br /> NFP Corporate Services(SE), Inc. PHONE FAX
<br /> 1901 Roxborough Rd, Ste 300 S_Q •704-200-9399 (AIC,No:704-973-9501
<br /> Charlotte INC 28211 -MA IESS: mitzi.hines of .com
<br /> INSURERS AFFORDING COVERAGE NAIC0
<br /> INSUR1A.Accident.Fund General Insurance Com an 12304
<br /> INSURED etrrsaa INSURford Casual Insurance Com an 29424
<br /> Buy Sod, Inc,; Buy Sod USA, LLC. iEIsuRford Fire Insurance Com an 19682
<br /> Old Church Sod, LLC.; Sandhiff Turf, Inc.
<br /> 130 Applecross Road INSURER D,
<br /> Pinehurst NC 28374 INSURER E
<br /> INSURER F
<br /> COVERAGES CERTIFICATE NUMBER:972148298 REVISION NUMBER:
<br /> r
<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, f
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE ADDL SUER POLICY NU MWDD
<br /> LTR rfYYY MOWLN.MYY LIMITS
<br /> C X COMMERCIALGENERALLIADILITY Y 22 UUN BH2461 7/1/2019 7/1/2020 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE M.00CUR PREM SES Ea occu erwe $300,000
<br /> MED EXP(Any one person) $10,000
<br /> PERSONAL&ACV INJURY $1,OOD,000
<br /> GEN'L AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE $3,000,000
<br /> POLICY E]JET LOC PRODUCTS-COMPIOP AGG $3,OOD,D00
<br /> 11
<br /> OTHER: $
<br /> C AUTOMOBILE LIABILITY 22LENBH5282 7/112019 7/1/2020 COMBINEDSINGLELIMIT $1,OOD,000
<br /> Es accldenl
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED Ix
<br /> NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accldenl
<br /> Cam &Cell Ded $1,ODD
<br /> a X UMBRELLA LIAR LXIC11LAIMSCCUR 22 RHU BH3380 7/1/2019 7/1/2020 EACH OCCURRENCE $10,000,000
<br /> EXCESS LIAB -MADE AGGREGATE $10,000,000
<br /> DEO I x I RETENTION $
<br /> OTH-
<br /> A WORKERS COMPENSATION WCV616944700 711/2019 7/1/2020 X
<br /> AND EMPLOYERS'LIABILITY Y 1 N ISM TUTE ER
<br /> ANYPROPRIETORIPARTNERfEXECUTIVE NIA E.L.EACH ACCIDENT $1,000,000
<br /> OFFICERIMEMB£R EXCLUDED?
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> IF yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-
<br /> POLICY LIMIT $1,000,000
<br /> C Inland Marine 22MSBH3534 711/2019 7/1/2020 LaeselRented Equip 300,000
<br /> ScheduledEqulpment 8,331,646
<br /> UnducliNA 2,500
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.AddiIIonal Remarks Schedule,may he attached if more spacD is raquired)
<br /> Orange County is included as an Additional Insured under General Liability for the operations of the named insured performed for such Additional Insureds
<br /> when required by a written agreement.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Orange County; Department of Environment,Agriculture, ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Parks&Recreation
<br /> P O Box 8181 AUTHORIZED REPRESENTATIVE
<br /> Hillsborough NC 27278
<br /> 9)1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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