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DocuSign Envelope ID: DA049845-7683-4D7E-83C5-C31 BFEAD7537 <br /> NUR I H UARULINA I-ARM BUREAU MUTUAL INSURANCE COMPANY, INC. <br /> CERTIFICATE OF LIABILITY INSURANCE <br /> THIS CERTIFICATE IS ISSUED AS 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 INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject <br /> to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to <br /> the certificate holder in lieu of such endorsement(s)- <br /> INSURED Austin Cloer CERTIFICATE Orange County Administraion <br /> NAME AND DBA Cloer Landscaping HOLDER 131 W Margaret Ln <br /> ADDRESS 1525 W Front St Hillsborough, NC 27278 <br /> Burlington, NC 27215 <br /> COVERAGES <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 /> C <br /> X TYPEOFINSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICYEXP LIMITS <br /> MMID MIDDN <br /> ® COMMERCIAL GENERAL_LIABILITY GL 0535973 4/18/2019 4/18/2020 GENERAL AGGREGATE $2,000,000 <br /> -OCCURRENCE PRODUCTS-COMP/OPS <br /> AGGREGATE $0 <br /> GEN'L AGGREGATE APPLIES PER POLICY PERSONAL&ADV INJURY $1,000,000 <br /> EACH OCCURRENCE $1,000,000 <br /> DAMAGE TO RENTED $100,000 <br /> PREMISES Ea ccu on >> <br /> MED EXP(Any one person) $55,000 <br /> s <br /> EACH OCCURRENCE <br /> BUSINESSOWNERS <br /> AGGREGATE <br /> COMBINED SINGLE LIMIT <br /> AUTOMOBILE LIABILITY (Each accident) $ <br /> ❑ SCHEDULED AUTOS BODILY INJURY(Per Person) $ <br /> ❑ HIRED AUTOS BODILY INJURY(Per acadent) $ <br /> NON-OWNED AUTOS PROPERTY DAMAGE $ <br /> Per acddenF <br /> GARAGE LIABILITY <br /> ❑ (Other) <br /> EACH OCCURRENCE <br /> ❑ $ <br /> EXCESS LIABILITY— <br /> OCCURRENCE AGGREGATE $ <br /> WC STATUTORY UMITS '' <br /> ❑ WORKERS COMPENSATION NIA E.L.EACH ACCIDENT $ <br /> AND EMPLOYERS`LIABILITY <br /> E.L.DISEASE-EA EMPLOYEE $ . <br /> POLICY APPLIES TO THE WORKERS <br /> COMPENSATION LAW IN THE STATE OF NC E.L.DISEASE-POLICY LIMIT $ <br /> OTHER: <br /> El3 <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES: <br /> CANCELLATION - <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED AUTHORIZED REPRESE TAT. E <br /> BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DATE 1/9/2020 f <br /> COI 0910 <br />