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ACORD CERTIFICATE OF LIABILITY INSURANCE <br /> <br />TM. <br /> <br />DATE (MM/DD/YY) <br /> DEC 10 02 <br /> <br />PRODUCER <br />GILMORE INSURANCE & ASSOCIATES, INC. <br />P.O. BOX 1069 <br />900 BRANCHVIEW DRIVE NE SUITE 202 <br />CONCORD NC 28026 <br />PHONE: 704-788-1415 ', <br />FAX: 704-788-1421 <br /> <br />INSURED <br />CHAMPION LANDSCAPES, INC. <br />10328 ROBINSON CHURCH ROAD <br />CHARLOTTE NC 28215-7415 <br /> <br />COVERAGES <br /> <br />i INSURER A: <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br /> ERIE INSURANCE EXCHANGE <br /> <br />'INSURER B: <br />INSURER C: <br />{INSURER D: <br />'INSURER E: <br /> <br />NAIC # <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY.HAVE BEEN REDUCED BY PAID CLAIMS. <br />,NSR TYPE OF INSURANCE I POLICY NUMBER I POLICY EFFECTIVE I POLICY EXPIRATIONI LIMITS <br />LTR~ DATE (MMIDD/YY) i DATE (MMIDD/YY) <br />i GENERAL LIABILITY ! Q452250373 SEP 22 02 'i SEP 22 03 i EACH OCCURRENCE $ 1 ,UUU,UUU <br /> ' I ~ DAMAGE TO RENTED <br /> ~MMERCIAL GENE,R.~L LIABILITY ] I PREMISES (E ......... , $ 1,000,000 <br /> I t i CLAIMS MADE [~'~ OCCURI MED. EXP (Any One Person) iS 5,000 <br />  PERSONAL & ADV INJURY I$ 1,000,000 <br />A i GENERAL AGGREGATE !$ 2,000,000 <br /> pRODUCTS-COMP/DP AGG. :$ 2,000,000 <br /> ~-~ POLICY I i PROJECT [~'] LOC <br /> L ~TOMOBILE LIABILITY Q092230309 SEP 22 02 SEP 22 03 JCOMBINED SINGLE LIMIT <br /> {Fa accident) I$ 1,000,000 <br /> !._~ ANY AUTO <br /> ~'~ ALL OWNED AUTOS BODILY INJURY <br /> (Per person) i $ <br /> X I SCHEDULED AUTOS <br /> i HIRED AUTOS ~ BODILY INJURY <br /> -- I ! (Per accident) <br /> NON.OWNED AUTOS <br /> <br /> GARAGE LIABILITY IAUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC <br /> AUTO ONLY: AGG !$ <br /> <br /> I EXC'ESS I UMBERELLA LIABILITY Q332270064 SEP 22 02 SEP 22 03 I EACH OCCURRENCE iS 1,000,000 <br /> X I OCCUR I iCL.AIMS MADE AGGREGATE 15 1,000,000 <br />A <br /> . DEDUCTIBLE <br /> · RETENtiON $ i iS <br /> WORKERS COMPENSATION AND Q932200359 SEP 22 02 SEP 22 03 I IToRyWC STATU-uM~TS j X .IOTHER <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT i$ 500,000 <br />A AN'~ PROPRIETORJPARTNERIEXECUTIVE <br /> OFFICEI;~JMAMBER EXCLUDED? E.L. DISEASE-LA EMPLOYEE iS 500,000 <br /> If yes describe under <br /> SPECIAL PROVISIONS be ow E.L. DISEASE-POLICY LIMIT i $ 500,000 <br /> OTHER: .. <br /> <br />DESCRIPTION OF OPERATIONSILOCATIONNEHICLESlEXCLUSIONS ADDED ENDORSEMENT/SPECIAL PROVISIONS <br /> <br />CERTIFICATE HOLDER i ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> <br />CABARRUS COUNTY FINANCE DEPARTMENT <br />PO BOX 707 <br />CONCORD, NC 28026-0707 <br /> <br />Attention: PURCHASING AGENT <br /> <br />ACORD 25 (2001/08) <br /> <br />SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />INSURER, IT,'S AGENTS OR REPRESENTATIVES. <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br />Certificate # 22595 <br /> <br />Jack D. Gilmore <br /> <br /> <br />