2011-045 Health - Trademasters Services, Inc. - Construction Agreement for Boiler and Pump Replacement

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® A ~ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 02/10/2011 ~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER NAME: Tim Foster The Insurance Pros. Inc. PHONE .919 294-6613 a/c No :866 294-9470 3200 Croasdaile Dr. E~nAIL DR Suite 603 NC 27705 Durham INSURERS AFFORDING COVERAGE NAIC # , INSURERA: Erle Insurance EXChan e INSURED INSURER B : Efle IrISUranCe EXChange Trademasters Services Inc INSURERC: Erie Insurance Exchange 4528 Hillsborough Road INSURER D : Erie Insurance Exchan e Unit 103 NC 27705 Durham INSURER E , INSURER F n~eTl~InwTC SU USOt=D. REVISION NUMBER: VVVCRAbCJ {d Gr~rlrlVfl~ V LV~.~Y~... ---- - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS NOTWITHSTANDING ANY REQUIREMENT D , . INDICATE THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ERTIFICATE MAY BE ISSUED OR MAY PERTAIN , C EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY X Q381150570 2 11 2011 2 11/2012 EACH OCCURRENCE $ 1000000 DAMA R NTED 1000000 MERCIAL GENERAL LIABILITY PREMI ES Ea occurrence $ X COM ADE ~X OCCUR MED EXP (Any one person) $ 5000 CLAIMS-M PERSONAL&ADVINJURY $ 1000000 GENERAL AGGREGATE $ 2000000 ES PER ' PRODUCTS -COMP/OP AGG $ 2000000 : L AGGREGATE LIMIT APPLI GEN X POLICY PRO LOC 2/11/2011 2/11/2012 slN LE LIMIT D E~ a~d $ 1000000 g AUTOMOBILE LIABILITY X Q021130494 t e BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS OWNED NON PROPERTY DAMAGE $ - Pea ident HIRED AUTOS AUTOS $ UMBRELLA LIAB X Q261170113 2/11 /2011 EACH OCCURRENCE $ 5000000 OCCUR EXCESS LIAR MADE IMS C AGGREGATE $ LA - D DED O RETENTION $ WORKERS COMPENSATION Q861100481 2/11/2011 2/11/2012 wCSTATU- orH- $ AND EMPLOYERS' LIABILITY Y / N TNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 OOOOOO © ANY PROPRIETOR/PAR OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYE $ 1000000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1000000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 707, Additional Remarks Schedule, N more space is required) Project: Boiler & Pump Replacement. Orange County is listed as Additional Insured. r Icw Orange County Attn: David Cannell P.O. Box 8181 4528 Hillsborough, NC 27278 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE . ~~ ~ n nI10 o/1~ A TIA\1 All r,..L.4c rnacrvnrl v ~avv-A.v ~v r~vv~~r ~~... ~......~ ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD