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DocuSign Envelope ID:3E38OE16-OEE4-4809-9C60-91EC84F8B4C8 <br /> AC��►gL7�' CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) <br /> 02/25/2021 <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 BELOW. <br /> THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE <br /> OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> PRODUCER CONTACT <br /> AOn Risk Insurance Services west, Inc. PHONE FA% <br /> Denver CO Office ('VC No E.) (303) 758-7688 (aC No( (303) 758-9458 <br /> 1900 16th Street, Suite 1000 E-MAIL L <br /> Denver CO 80202 USA PRODUCER <br /> PROD CS <br /> 570000075824 +' <br /> CUSTOMER too p <br /> aJ <br /> INSURER(S)AFFORDING COVERAGE NAIC N 9 <br /> L <br /> INSURED INSURER A: Continental Casualty Company 20443 <br /> RES Carolinas, LLC INSURER B: o <br /> DBA Carolina Environmental Contracting INSURER C: <br /> PO BOX 1905 INSURER D: <br /> Mount Airy NC 27030 USA INSURER E: <br /> INSURER F: <br /> COVERAGES VER0.GES CERTIFICATE NUMBER: 570086143671 REVISION NUMBER? <br /> LOCATION OF PREMISES/DESCRIPTION OF PROPERTY(Albch ACORD 101,Additional Remarks Schedule,if more space is required) <br /> Re: Bid No. 367-005306: Orange County Twin Creeks Park Driveway Culvert Replacement Project. Evidence of Insurance <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 n <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> lD <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. m <br /> INSR POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR TYPE OF INSURANCE POLICY NUMBER D1.0 <br /> ATE(MMIDDIYYYY) DATE(MMIDD/YYYY) COVERED PROPERTY LIMITS W <br /> O <br /> PROPERTY BUILDING O <br /> n <br /> CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY <br /> BASIC BUILDING BUSINESS INCOME <br /> BROAD EXTRAEXPENSE <br /> CONTENTS D! <br /> SPECIAL RENTAL VALUE w to <br /> BLANKET BUILDING j <br /> EARTHQUAKE <br /> Z <br /> BLANKET PERS PROP w <br /> WIND Q <br /> FLOOD BLANKET BLDG 8 PP U <br /> UL <br /> F <br /> w <br /> U <br /> X INLAND MARINE TYPE OF POLICY X Leased or Rerried Equ $1,000,000 <br /> Contractors Eqp <br /> CAUSES OF LOSS <br /> POLICY NUMBER <br /> A NAMED PERILS 6076182910 12/31/2020 10/01/2021 <br /> CRIME <br /> TYPE OF POLICY <br /> BOILER 3 MACHINERY/ _ <br /> EQUIPMENT BREAKDOWN aall. <br /> w� <br /> SPECIAL CONDITIONS I OTHER COVERAGES(ACORD 101,AddRional Remarks Schedule,may be attached if more space is required) <br /> L— <br /> CERTIFICATE HOLDER CANCELLATION <br /> .a <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Orange County Fry <br /> PO BOX 8181, N5 405 Meadowlands Drive, REPRESENTATIVE <br /> Hillsborough NC 27278 USA n ndri�a�ta r�t�era <br /> ©1995-2015 ACORD CORPORATION.All rights reserved <br /> ACORD 24(2016/03) The ACORD name and logo are registered marks of ACORD <br />