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DocuSign Envelope ID:C1E6582F-3OE7-4FFE-8A42-B792ACDE7CD4 <br /> CERTIFICATE OF LIABILITY INSURANCE FDATE`M820119"' <br /> nsrnarzal s <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 palicAiesy must be endorsed. If SUBROGATION IS WAIVED,subject to the <br /> terms and conditions of the Policy, certain Policies may require all endorsement. A statement on this cortificate dons not confer rights to the <br /> certificate holder In lieu of such undorsoniviAls]- <br /> PrrDOUCER Greg Lopeman, CPCU Nn�I!iIACr G r6'9 L an <br /> - <br /> State Farm Insurance PHONE <br /> LAC <br /> Na,ea1 Q$ 'J3 T77f� FAX*9j--9i9 933 7713 <br /> C J1AIL <br /> 104-B NC Hwy 54 W +wDRES � eg•Lgpeeman.NYSL@S1alefarm.opni <br /> Carrboro, NC 27510 I BUMEN91AFFORDINGCOVERAGt _ "co° <br /> 4VSURER A_StOte Ftvm Fit[+and Cr+suaN Compan 41 3 <br /> REO RILEY SURVEYING AA INSWRFR a.:stare Farm Mutual Autorno6rle Insurance Comp" xstTB <br /> STE 100B INaurrETec: <br /> 3326 DURHAM CHAPEL HILL BLVD N$U1tE1tO� — <br /> DURHAM NC 2f707-2695 tNSUNkR E: <br /> WSUREN F <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> I HIS IS TO CERTIFY THAT IkIL POLICIES OF INSURANCI:LISTED BELOW IMVE BEEN ISSUED Td THE INSURED NAM LD ABOVE FOR THE POLICY PLRIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTEiER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BF ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBFO HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHQNN MAY HAVE BEEN REDt1CFD BY PAID CLAIMS. <br /> IISR TYPE OF INSURANCE L SUER '1 PCILICY t:FF 1CY NUMEER I POLICY EI(P - - <br /> LttRE <br /> A GEl-COOERAL L1AB11ITY EIH 93-CG-ZOOS-8 0212=0t$ 0 212 0/2 0 2 0 �1+aCCUNRENCE 3 t.Do0,D0a <br /> K COMMERCIAL GENERAL LIABILITY7�TEif`^ "- <br /> I'H¢Aw7SE$ <br /> cLAln,s MAnE accuse a 51wo <br /> - PERSONAL s ADv 1WURY_ $ 1,000,000 <br /> GENERALAGGIWCAtE S 2.0001000 <br /> ce�AGGREGATE LIMIT APPIIFS r+ER: PIWOUCTS-COMWOPAGG a 2,000,000 <br /> n7X POLICY M toe s _. <br /> s AUTON091LE L°A 071 sr14 I]3a-1'3 1013ETl2D18 i013012019 I LE LMT s <br /> ALL Atrro OOaILY IN-suer tvu P.r.vnl a _ wo.ow <br /> ALL C17W11 SCkEOOtE 0 <br /> AUTt72i x AtRoS OOOItY INJIrRY spar aoor)nm] S 5 0fl0 <br /> $41RED AUTOS XAUTOS F5 Od��-��DAMAGE � S 100.OD0 <br /> i <br /> /L UMBRELLA LIAY LrA X_ OCCUR <br /> ExcEssa 93•GIN-111i-1 0BJi0fx018 0d11OdT019 EACH❑CCURRCr10E a 1.000.000 <br /> _r CLAIMS•uADE AGGREGATE S 1.000.000 <br /> -OtD !X RE11_N1N1Na 10000 <br /> a <br /> A WORKERS COMPERSATsON YIN 1WCSIAIU Qpl- <br /> AND EMPLOYERS'41ARILITY <br /> ANY Vkr?PN iE TMPAR T N E Ho'EXECUTIYL <br /> OF;tGE1.,II,ntREXCLUDCD7 Y❑ NIA 93-CV-RA63-3 02►200119 02120IZ020 EL.EACHACCR)tNT S 1,000.000 <br /> tMandmary so NM E- OIStASF-E A ETR f i, <br /> Pr you,d0%C"b 1 uMee L _ 000,000 <br /> EL_DISEASE-POLICY UNIT a IAM.000 <br /> I <br /> DE seRIPTION OF OFERAT*NS 1 LOCATIONS 1 VCHICLES{AUaeh ACORD 101.Admnonal FNma J4'SEhedul*.A mp/n•paev is tvquiraefl <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County SHOULD AJ6 OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE IEXPIPt TIdN DATE: PIEREOF. NOTICE WILL BE DELIVERED IN <br /> PO Box 8181 ACCORDANCE Y ATH THE POLICY PROVIStONS- <br /> Hillsberough, NC 27278 <br /> AUTNbRLYED n[ ENTA C ' <br /> CJ 1988.2010 ACORD CORPOI4AT ON. All rights resQrved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD I0014H6 137.849.6 11-15-2010 <br />