2019-565-E DEAPR - Triangle Landscaping River Park construction

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DocuSign Envelope ID:75037285-B337-4501-9103-53BE44A69DA2 OP ID: NJE IF Af R�' CERTIFICATE OF LIABILITY INSURANCE DATE 0810 R12019Y) as►os►zols 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 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the polfcy[les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 endorsemen s. CONTACT PRODUCER Phone: 919-682-4814 NAME: Natalie En ekhart The Sorgi Insurance Agency Fax: 919-682.49Dt3 PHONE 919�82-4$14 FAXNn,919-682-4908 16 Consultant Place Suite 102 Durham,INC 27707 E-MAIL natalie so iinsurance.com James E.Sorgi,CIC PRODDER .TRIALAN INSURER IS)AFFORDING COVERAGE NAIC N INSURED Triangle Landscaping Inc. INSURER A:Erle Insurance Exchange 26271 Brad Lewis dba INSURER B P0 Box 144 Stem, NC 27581 INSURERC. INSURER D: INSURER E: ENSURER 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 JZL TYPE OF INSURANCE POLICY NUMBER POLICY r POLICY Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A x COMMERCIAL GENERAL LNIBILITY x Q2726204479 03/26/2019 0312ti12020 PREMISES Ea occurrence $ 1,000.00 CLAIMS-MADE Fx_]OCCUR MED EXP(Anyone person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO $ 2,000,00 x POLICY PRO- LOC $ AUTOMOBILE LIABILITY (Ea BINEDD!]SINGLE LIMIT $ 750,00 A ANY AUTO Q032630379 03126f2019 03/26/2020 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY{Per accident) $ x SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS [Per accident] NON-OWNED AUTOS $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LUIB HCLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ !}!WORKERS COMPENSATION x WC$ R TATV OTH- AND EMPLOYERS'LIABILITY I ER A ANYPROPIETORIPARTNEMEXECUTIVE YIN N Q872600559 03128 2019 0312$12a20 E.L.EACH ACCIDENT $ 600100 OFFICERIMEMBER EXCLUDED? � N f A (Mandatory In NH) E.L.DISEASE-EAEMPLOYE S 500100 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,0 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES fAttach ACORD 1D1,Additional Remarks Schedule,If more space is requlred} Orange County is an additional insured as respects general liability arising from the insured's operations, as required by written contract, per form ULRH. CERTIFICATE HOLDER CANCELLATION ORANGEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, !NOTICE WILL BE DELIVERED IN Orange County ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 17177 Chapel Hill, NC 27516 AUTHORIZED REPRESENTATIVE ©1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD