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DocuSign Envelope ID:9E76CCCF-2564-4499-A1CA-43EC4ECE13EB <br /> Ac"R" <br /> CERTIFICATE OF LIABILITY INSURANCE 01/2112021 <br /> C E HOLDE <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGKM UPON THE CERTIFIAT79.�4 <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW THIS CERTIFICATE OF INSURANCE <br /> -R,AND THE CERTIFICATE HOLUER. aRtS <br /> REPRESENTATrVE OR PRODUCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE tssLnNr, INSURER(S), AUTHORLMO <br /> ItwrIPORT kNT: Of the cortificate hotdor is an ADDITIONAL INSURED,the policy(jes)must be end � If SUOR <br /> 10"'ns a" conditions of the ed OGATION IS WAIVED,subjeci to the <br /> cartiff Policy, certain POhOM3 may retIture an endorsement.A statetnoent on th <br /> Cate hQWr in ItOu of such endorsoment(s), Is catificate does not confer rights to the <br /> ca Greg Lopeman, CPCU <br /> State Farm Insurance PHONE *wk. ....... <br /> 941AAL <br /> rrt,--= 104-8 NC Hwy 54 W <br /> LAJ,4-1 :4 _Lwj1an NY4%§Lw1*MC0M <br /> Calftro,NC 27510 <br /> RILEY SURVEYING PA <br /> A�twq Jx*err ,arr <br /> STE 1008 <br /> 3326 DURHAM CHAPEL HILL BLVD wpm 0 <br /> DURHAM NC 27707-2695 <br /> COVERAGES CERTIFICATE NUMBEW <br /> AWO ABOVE FO HL POL <br /> HAT rHi-.,PoLict"Di:INSURANCE LISTED BFLOVV;;�VLBEEN BEEN IiZ7RED—N , R T <br /> THIS IS TO CERTIFY I REVISION NUMBER. <br /> INDICATED. NOTWITHSrANDINr4 ANY REQU,REMENT, TEAk4 OR CONDITION OK ANY CONTRACT OR OTHER DOGUWN T WITH RESPECT TO WWII THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE, INSURANCE AFkORQED By THF, POUCIES DESCRN*D HERE WIS SUBJECT TO ALL THE. TENS, <br /> E-X`CLUSf0NS-A'4D—COW-11ONS OF SUCH POLICIES,UMtTS SHOWN MAY HAVE SEEN, REDUCED BY PAID CLAWS. <br /> L TYKI OF WIIVRAM" ICY ...... <br /> A 04pdwtAis try <br /> 22 <br /> 7x-JL)Aww�t-y <br /> 93-CG-=54 OWW2024 QM 22 <br /> GAIIA <br /> COMMERCOL GFNERAL LLWjTy <br /> WUR 'WTIA04 <br /> PERSONAL A ADV IWWY s 1,I=.000 <br /> -.j <br /> �XNIL AOOWGATC LIMIT AM"Pen, <br /> W1 POLICY <br /> rya Loc <br /> ^UTONOWE LIAONJTY <br /> 0719714-030-33 1003 2020 110440M UQIIT <br /> AW AUTO <br /> ALL OWNED X (NA*V folw pwww$ <br /> AMID$ AUTOS <br /> BODILY INJIMY fpor scodwv <br /> HIRED AUTO$ "-OV#W 0 <br /> AUTOS <br /> P W, <br /> A UIARMLA UAS OCCUR <br /> IX I wurwjcm to ow <br /> A WMKM COINIENUrso" <br /> AND 9WILOYOW UABMW <br /> MY PROPat-rciWAR NtRrracCftJt Ott <br /> OgFt=� MIA 3 Cl-U486-0 9 - <br /> Ptavida—y W" �4=012021 10212012022 <br /> -d rew 11,013EASE 6A- 11000,000 <br /> 920=20 0=0142t <br /> oVsC*w`now of OPERATXMS d kocA;; I�VV-1-�(A—.A�COWIl mom sp"Is <br /> Surorfm <br /> CERTIFICATE HOLDER r CANCELLATION <br /> Orange County Asset Management SHOM ANY TOFN HE,A4OVE DEscRW,0 pOUCIES BE CANCF$0 LLEO 8CFORE <br /> THE DATE THCREOF, NOTICE WILL BE 0ELfVE1tED IN <br /> PO Box 8181 ACqOR*NCe WITH THE POLICY PROVISIONS, <br /> Hillsborough,NC 27278 <br /> ACORD 25(2010t(IS) 1988-2010 ACORD CO, T*K, All rights reserved. <br /> The ACORD name and 1090 sere regostered marks of ACORD 1001486 132849,6 11-15.2010 <br />