2019-737-E Planning - NCDEQ hydrilla control

Browse Search

DocuSign Envelope ID:5COB7860-9C32-47EC-829F-BCA5B8OE52B3 MAST002 OP ID: BA ACORO® F DATE(MM/DD/YYYY) `16*�� CERTIFICATE OF LIABILITY INSURANCE 06/19/2019 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 policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms 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 endorsement(s). PRODUCER 919-828-4371 CONTACT Barbra Abrahams NC Assoc. of Ins.Agents, Inc. PHONE 919-828-4371 FAX 919-821-3172 P. O. Box 1165 (MC, No Ext: A/C No): Cary, NC 27512 E-MAIL .babrahams@iianc.com Barbra M.Abrahams INSURERS AFFORDING COVERAGE NAIC# INSURER A:Travelers Property&Casualty INSURED State of North Carolina INSURERB: Attn: Margie Boyd/NC DOI 1202 Mail Service Center INSURERC: Raleigh, NC 27699-1202 INSURERD: INSURER E: INSURER 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 TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXPLTR MCI!)- (MM/DD80000 LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ MOTHER: L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $POLICY jE LOC PRODUCTS-COMP/OP AGG $ $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ X ANYAUTO TRJCAP104T6800TIL 07/01/2019 07/01/2020 BODILY INJURY Perperson) $ 1,000,000 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED OS ONLY AUUTOS ONLY Per OaccltlenDAMAGE $ INCL ABOVE BI/PD PER ACC $ 10,000,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PERTUTE OTH- AND EMPLOYERS'LIABILITY Y/N R ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT A HIRED PHYSICAL TRJCAP449J9525TIL 07/01/2019 07/01/2020 DAMAGE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Hired Physical Damage Limits: ACV, cost of repair or$40,000 ($60,000 if GVW exceeds 10,000 Ibs.),whichever is less. Comp/ Collision coverage only applies for 30 days from the date the rental contract becomes valid. If the value of the vehicle is higher than the Hired Physical Damage Limits and/or days of rental >30 days than the vehicle must be scheduled in the Auto Web. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NC Dept of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Margie Boyd 1202 Mail Service Center Raleigh, NC 27699-1202 AUTHORIZED REPRESENTATIVE &AbrO- ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD