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DocuSign Envelope ID:8BEA9913-12A1-4A06-9E5D-4435F48FD2F5 <br /> a CERTIFICATE OF LIABILITY INSURANCE 0211312020 <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 /> FLOW. THIS CERTIRCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR9E0 <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the csrtlfFcate halder is an ADDMNAL INSURED.the policy(Ws)must t*endorsed. If SUBROGATION IS WAIVED,sub*mct to the <br /> torms and corrditions of the Pol;cy,certain policies may require an ondomeownt. A Statement on this certificate dogs not confer rights t0 ft <br /> certificate holdw in lieu of such endorsernerrl(a]. <br /> "00ucen Greg Lopeman,CPCU c- an <br /> State Farm Insurance 1rA sll� <br /> 104-8 PVC Hwy 54 W tss�L _sn t3Y5_ L�SIataTarm-eom <br /> Calrborv, NC 27510 FoRWIFaG01AERAga T--wrcr <br /> _.... A Slate Farm Fire and(ate <br /> RILEY SURVEYING PA e ,Rr,a. s . . Atinopile <br /> STE 1008 srs+gatec <br /> 3326 DURHAM CHAPEL HILL BLVD <br /> DURHAM NC 2T707-2695 <br /> WnK=1t F <br /> COVERAGES CERTIFICATE NUMBER_ RMSION NUMBER. <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE UISTED BELOW RAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERrOD <br /> ROCATED. NOTWITHSTANDING ANY REOUIREMIENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHACH 1HsS <br /> CERTIFICATE AIAY BE ISSUED OR MAY PERTAIN, THE ftSURANCE AFFORDED BY THE POLACtES DESCRIQEO HEREIN IS SUBJECT TO ALL THE TERMS. <br /> ExCLLI.SIONS AND CONDITIONS OF SUCH f}OI,ICiES.LIMFTS SHOWN MAY HAVE BEEN REDUCED BY PAID C1AYdS- <br /> tti#!OF e1e1FlANC!f /QL1CY <br /> t,11ie <br /> A 83� 5-6 C71m102fY 0212CM21 _EACHOCCUFWemoe i 1_.00D.W0 <br /> ?C �ls�m PRE1l �E�ra�rranaal S 300.000 <br /> � <br /> OC 56 FxP lAs�on.p�wcn� t 5.000 <br /> -- -_ PEFASO.NAL l AM NAM_ 6 1.000,000 <br /> Gr HFM,q;AOGIdFGl1i€ f 2,000.0w <br /> AGG$MGATE LOOT APvCrti PER 1..4>K000CTS•COi1P�gP AM S. 4.DOp,p00 <br /> x Pox r+Rp Lac ._ .... <br /> i <br /> B AlrieelD/IL!tLSRrrir 9M 27114D3033 1019 07A 10g01C1p2p _ I6s t <br /> MAY A OAUOWWC <br /> e00Ar YiJllAtr tvrF>.nanY f -- - l�f1,000 <br /> ALrMd x ALIT SCOLYraastrePwa mspo --- <br /> IrFEA Airi 0BNOWOVAM <br /> lti ; <br /> ar.. S 100,000 <br /> A x +Ir�ALM4 x oww : _ <br /> - lS6Y-1117-7 0�l'1�41ti QiftOV207t0 �'Doc'�"'� s t,wo:ow <br /> �sr.AAs CZ,yA4MADE .. <br /> AGtt eATr t 1,000.000 <br /> XNEYENTION s 10 000 _ s <br /> A TSCT {CpTp11 STprli <br /> wry sr,Sxccu.�t r►n Faa1ACraoE] s t.S100.000 OPT WR[xciuoaC' KrA <br /> I�MN 1011 r In Aetl I]�f,A4E-F/1 t+ t.D00.00G_ <br /> if Yes.arwrm VMLW 83-C7-P4W7 0?F2917p40 022002M <br /> El-Glee I -KXCY Lars' s 1,OW.Ow <br /> COL -tl l <br /> $CWrM OF ONWAT1C"1 LaQkn0010+V041CM lAt"ACORO in.ArlMirrrl Reffww"zdwdvw-s m m sww a rwgI.WI <br /> Surveyors <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County Asset Mailagement SH ANY OF THE ABOVE ACSCRMED POLICIES BC CANCELLED BEFORE <br /> TH r*" DATE THEREOF, NOTICE WILL BE DELIVERED I14 <br /> PO Box 8181 ACIORDr WrTH THE POLICY movjSjoms, <br /> Hillsborough,?Crough, NC 27278 <br /> O ItrnrtCst:rnArrvE <br /> �4� ( <br /> 01988-M10 ACORD C RATK)N. All rights reserved. <br /> ACORD 25(2010/051 The ACORD name and logo are registered marks of ACORD 1001486 13280-6 11-15-2010 <br />