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DocuSign Envelope ID: BCD73544-6839-4F10-91D7-06F26CCC9FO2 <br /> . ►rr (MlmaWwyyy[E TiFf TE = LI4BILIT II JR V EFi�DATE- <br /> 03l!)Z019 THIS CERTIFICATE IS ISSUED AS A IVAT7ER OF INFORMATION ONLY ANO CONFERS NO RrGHTS UPON THE CERTIFFCATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMAT)VELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AF'FORI]EI} BY THE POLICIES <br /> BELOIM_ THIS CERTTFICATE OF INSURANCE DOES NOT CONS-"TUTE A CONTRACT BETWEFN THE ISSUING INSURER(S), AUTHORILED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICA HOLDER_ <br /> IMPORTANT- IF ttva certlt3oafe holder is an ADDITIONAL.INSURED,the P64Y(ies)must be endorsed_ 4i S USRDGATION IS WAIVED, subject to the <br /> terms and condltlarxs of the Policy, certaln polFpies may require an andorsernent A statement an this certificate flocs not confer rights to the, <br /> certificate holder In lieu of Such end!Wsan erd(s}. <br /> f-RCOUGER Greg Loperman, CPGU cw°r. - area LooEmlan <br /> tM Farm Insurance I14ME 91 -T7 Nr,r:919-9s3- t <br /> €MAIL <br /> -w 104-B NC Hwy 54 W � C�10[emari-WSL talefafm,corn <br /> arrboro. NC 27510 nruolt <br /> RISURER+4:S4ie Farm Fire and GaSua Com rn _ 43 <br /> IH3�IRF,p RILEY SURVEYING PA hlsulz�lx B: e Farm t<auhrsl Autornabile lnsurar�ca co!,m�rny � <br /> TE 10OB Iaaulm7c <br /> 3326 DURHAM CHAPEL HILL BLVD ,rlsulx�xo <br /> DURHAM NC 27707- 695 IMSUY�E <br /> M19LIREk F: - <br /> COVERAGES CUMFICATE NUMBER: REWSION NIJMBER: <br /> THIS IS TO CERTIFY THAT �HfE POLICIES [;IF 1N5URANIGE LISTED SELOW HAVE BEIEN ISSIJEO TO THE INSURED N MED ABOVE FOR THE POLICY PIERrOD <br /> INOICATEp_ NCTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY MISITRACT OR OTHER OCM-.UMETIT WITH RESPECT TO "ICH THIS <br /> CERTIFICATE MAY BE I$uED OR MAy PERTAIN, THE IN60RANCE AFFCFU)F p BY THE POLICIES IDESCREEO HEREIN I$ SU113JECT TO ALL THE TERMS, <br /> EXCLIU$IOHS ANq CONOFTIONS QF$UCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED Sy PAID CLAIMS, <br /> ! <br /> NSR TYPEflFtliSlR2A{NCE L5U6i# QORICTEFF 2POB-yP NL9S92 1�FA6BIFAAL L1ABrAY ,� g3 R_ � - 471u 020 E+ MOW-�RENCE $ 1,Od0,ppl;l <br /> + COMMERCIALGE➢IERALLIA�$ILITY <br /> Ih4$Ig5E3 ooagrm # G40,040 <br /> CLAIMS-WDE F OCC{R2 MEdE3f15(rvycnePer�ar�i _5 ffS <br /> 5.000 <br /> FER90Fw{b ADV INJURY <br /> T QETJERhL}X3GRF,GATE 5 '�,¢QQ,� <br /> GEr1L AGGREGATE LIk1FT APPiIEfi PER! FROUMM_0OMPY01"AGG S 2.1)00.000 <br /> rx{ POLkly Y 6 <br /> .AUTISMpgIL><LL4&LISY 0719714-C#3 33 1DJ3p 018 10130,1'20tg C h1 ti I -LE LIMIT $ <br /> AHYAUTO BODLYIH,IL1Ry(Ref pur p 3 5GO.OQ4 <br /> �LTOa a AUTtM Eo r3QM'YW.R.Rr;P�Ma:2dwTo S 541J,OD4 <br /> HIRED AUTOS }( NON-U%%F.4 <br /> ALTOS <br /> S 100,0w <br /> f >; <br /> f{ Us1BRELLA UAR x OCCUR Fif`.w OCCURP.E7ICC <br /> EAQE5SLIAB B3�GM-1911-1 U819p 0118 OIVIO12019 S 1,004,440 <br /> .. <br /> CLAIMS-1I4�E AGGREGATE S 1,000.000 <br /> oFn X gCM"I1UN5 10,00Q I <br /> A 1WORKERSCOMFENSATION WCSYn7u OTH <br /> AND EMF-LUTE"L�fsBILFTy T N <br /> Mr <br /> AWY FRVPRMT0RPPRTn01 {ECUTIVE EL.EhCH,+ OI4ENT OFnCknWEMBEREXCLUDED1 114 93-CV-FZ463-3 0202012011 02r�t202e - <br /> IMenaatory b MHt <br /> If 5'Be,descriGta E.L.DI' ASE-Ea EMPLOYE <br /> 4M9f S 1,009,4dd <br /> E.LOIS€ASC-POLICY LIMIT <br /> I <br /> tx3CRwTION OF OPGRATIgrIS+LOCATIONS f VEHICLES Oetbdfi ACOND 101.AA*09 #q R4rri* a S[hcdula.it mofo toam is mquirwdp <br /> CERTIFICATE BOLDER CANCELLATION <br /> Orange County SHOULD AI 4{TH A13OV'E DESCRIBED POLICIES SE CANCELLED BEFORE <br /> THE EXPI <br /> Tp�H f7A'E THEREOF, N#ti7CE VWLL BE DIWV'ER D IN <br /> PO BOX 8181 ACCORDA E 4 H THE POLDGY PROVISIONS_ <br /> HillsborOugh, NC 27278 <br /> AUTHOMMn EHTA <br /> 01988-2010 ACORO COR? N. All rights reserved. <br /> ACORD 25 (21MOM5) The AC0FZD name and iogo are registered marks of#CORD T661486 132849.E 11-15 Ot4 <br />