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DocuSign Envelope ID: 1 C70F9FE-526C-4CE4-94BA-7079005l l B9B
<br /> ECSSOUT-01 MLEE
<br /> AcvRU CERTIFICATE OF LIABILITY INSURANCE P�91
<br /> IMM�1019
<br /> 2�rzo1 s
<br /> THIS CERTIFICATE 1S ISSUED A$ 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 INSURERS),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> It 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 endorsemen s.
<br /> PRODUCER ❑ CT Meg S.Lee,CIC
<br /> The Andersen Insurance Group PHONE PAx
<br /> 14026 Thunderbolt Place Suite 200 JAFC,No,Extl:(703)98M900102 (AX.No:
<br /> Chantilly,VA 20161 $" ,meg@theandersengrp.eom
<br /> INSURE S AFFORDING COVERAGE NAIL#
<br /> INSURER A:Cincinnati Insurance Company 10677
<br /> INSURED INSURER R,Federal Insurance Company 20281
<br /> ECS Southeast,LLP INSURER C,Hartford Underwriters Insurance Company 30104
<br /> 14026 Thunderbolt Place,Suite 500 INSURER D:
<br /> Chantilly,VA 20151
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 SU19R POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000
<br /> CLAIMS-MADE X OCCUR X X EN P0219991 1211/2018 12/1/2019 DAMAGE TO REoNTE° S 500,000
<br /> X Contractual Liab MED EXP(Arry oneperson) S 10,000
<br /> x x C U PERSONAL&ADV INJURY S 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000
<br /> POLICY lil j LOC PRODUCTS-COMP/OP AGG S 2,000,000
<br /> OTHER'
<br /> A AUTOMOBILE LIABILITY CpMBINf fl SINGLE LIMIT 11000.
<br /> 7I ANY AUTO X X CPA1097785 1211/2018 12J112019 BODILY INJURY Per rson $
<br /> OWNED SCHEDULED
<br /> A�U��T��OS ONLY AUTOS
<br /> y Ep BODILY INJURY Peracddent S
<br /> AlI[OS ONLY x A[]TIOS ONLY PROa,Rr, MAGE S
<br /> B X UMBRELLA UAR x OCCUR EACH OCCURRENCE 4 6,000,000
<br /> EXCESS LIAB CLAIMS-MADE x x 79891344 1211/2018 12f112019 AGGREGATE 60000,000
<br /> DE❑ I )I I RETENTIONS
<br /> C WORKERS COMPENSATION x PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> ANY PROPRIETORlPARTNERIEXECi1TIVE Y/N X 42WNS49520 12/112018 12/112019 1,000,000
<br /> pFFICERINIEMBFaR EXCLUDED? NIA E.L.EACH ACGDENT
<br /> [[�Mand�tory in tJ E.L.DISEASE-EA EMPLOYEE 1,000,000
<br /> f l yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE»POLICY UMI7
<br /> A Excess Liability X x EXS0220000 1211/2018 1211/2019 Aggregate Limit 10,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS;VEHICLES IACORD 401 Additional Remarks Schedule,may be attached if more space is required)
<br /> Re:River Park Phase II Improvements,228 Church St.,Hillsborough(Orange Cnty),NC
<br /> Certificate Holder is included as an Additional Insured on a I I policies except Worker's Compensation.A waiver of subrogation is granted in favor
<br /> of the Certificate Holder where required by written contract.
<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 /> g y ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Department of Environment,
<br /> Agriculture,Parks and Recreation
<br /> P.O.Box 8181 AUTHORIZED REPRESENTATIVE
<br /> Hillsborough,NC 27278 [ f
<br /> ACORD 26(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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