2020-053-E DEAPR - Fortress Fencing playground fence change order

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DocuSign Envelope ID: DDC9EDCE-5745-4DO4-A2A9-DE138EA63EOA � N DATE LMM?DD?YYYY] ,aco�o® CERTIFICATE OF LIABILITY INSURANCEF��. 01/09120 2 0 THIS CERTIFICATE IS ISSUED AS A NIATTER OF INFORIr1A71ON ONLY AND CONFERS NO RIGHTS UPON THE CERTEFICATE 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 CONTACT NAME; Charie Dickerson The Insurance Pros. Inc. nr1C'N (919)294-6613 aic No: (866)294.9470 1210 Cole Mill Road EMAIL if I rosonline.com no nsurance ADDRESS: � p Suite 101 INSURERS AFFORDING COVERAGE NAIC# Durham NC 27705 IN$URER A: Erie Ins Exch 26271 INSURED INSURER 13, Erie Ins Exch 26271 Fortress Fencing, LLC :NSURERC: Erie Ins Exch 26271 PO Box 1377 INSURER D: Erie Insurance Company 35585 INSURER E Carrboro NC 27510-3377 INSURER IF 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. NSR ACOLSUBR POLICY E LTR TYPE OF INSURANCE INSD WVQ POLICY NUMBER MWDDIYYYY) fMM1DDfYYYYl LIMITS X coMMERCIALGENERALLIABILITY EACH OCCURRENCE $ 1000000 DAMAGE TO RENT EIT- CLAIMS-MADE 17X OCCUR PREMISES a occurrence $ 1000000 MED EXP(Any orre person) $ 5000 A Y Q38-2250720 0212212019 02/22/2020 PERSONAL&ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2000000 POLICY JECT LOC PRODUCTS-COMPIOPAGG $ 2000000 OTHER $ AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT $ 1000000 Ea accident X ANYAUTO BODILYINJURY(Per Person) $ OWNED SCHEDUILEP AUTOS AUTOS ONLY AUTOS Q02-2240032 02/22/2019 02/22/2020 BODILYINJURY(Per accident) $ HIRED NON-OWNED PROPERTY D AGE AUTOS ONLY AUTOS ONLY (Per acc!deni X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 4000000 C 7 EXCESS LIAB CLAIMS-MADE Q26-2270226 0212212019 02IM2020 AGGREGATE $ DIED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY ANY PROPRIETORPARTNEWEXECLITIVE Y r N E.L.EACH ACCIDENT $ 1000000 D OFFICER:MEMBER EXCLUDED? NIA Q87-5900217 0310912019 03/09/2020 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1000000 Iryes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1000000 ❑ESCRiPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule.may be attached if more space Is requiredl Orange County is listed as additional insured. CERTIFICATE HOLDER CANCELLATION 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 8181 AUTHORIZED REPRESENTATIVE Hillsborough NC 27278 Fax: Email, Q 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACOR❑