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ACS CERTIFICATE OF LIABILITY INSURANCE DA 07/27/202 <br /> IIII <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 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 have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> N.C. Farm Bureau Ins.Agency PHONE FAX <br /> (AtC.No.Ext): (A/C,No): I <br /> 5301 Glenwood Avenue (27612) E-MAIL I <br /> ADDRESS: <br /> P.O.BOX 27427 INSURER(S)AFFORDING COVERAGE NAIC N I <br /> Raleigh NC 27611 INSURERA: Capitol Specialty Insurance Corporation I <br /> INSURED I <br /> INSURERB: <br /> Ronald H.Pittman,II DBA INSURER C: I <br /> Pittman Soil Consulting INSURER D: I <br /> 1003 Gregory Fork Rd INSURER E: I <br /> Richlands NC 28574 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CL2272123407 REVISION NUMBER: <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> 3SUERLIMITS <br /> LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER (MMIDO/YYYN1 MMIDD/WYYI <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE OCCUR PREMISES(Ea occurrence $ 50,000 <br /> MED EXP(Any one person) $ 5,000 <br /> A X Professional Liability EV20182381-05 07/19/2022 07/19/2023 PERSONALBADVINJURY $ 1,000,000 I <br /> LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY JECOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER Professional OcciAgg $ 1M/2M I <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> _ (Ea accident) <br /> ANYAUTO BODILY INJURY(Per person) $ <br /> OWNESCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS D ONLY AUTOS <br /> HIRED HNON-OWNED PROPERTY DAMAGE $ ' <br /> AUTOS ONLY AUTOS ONLY (Per accident <br /> $ ' <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ I <br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ I <br /> WORKERS COMPENSATION PER I 1OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE _ ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVEI <br /> OFFICERIMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ I <br /> If yes,desaibe under I <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> Contractors Pollution Liability- <br /> Each Incident $1,000,000 <br /> A Occurence Form EV20182381-05 07/19/2022 07/19/2023 Aggregate Limit $2,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTA <br /> NC 28540 <br /> 01 2015 A O ORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registe marks - A D <br />