2012-095 AMS - Brown Brothers Plumbing & Heating Company $6.585

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OP ID: DL 11CG "JVER, _- k• CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 04119/12 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 endorsement(s). PRODUCER 919. 471 -8222 Tyson Insurance Services, Inc. 3814 -A North Duke Street P. O. Box 16734 Durham, NC 27704- Diane S. Long CONTACT PHONE C NO Ext : a/c No); E-MAIL ADDRESS: CUSTOMER u _ ID a: BROWBRO INSURER(S) AFFORDING COVERAGE NAICS INSURED Brown Brothers Plumbing & Heating Company 2820 N. Roxboro Road Durham, NC 27704 INSURER A: Builders Mutual Insurance Co. INSURER B: EACH OCCURRENCE INSURER C: A INSURER D: INSURER E: PCP0000055 03 INSURER F 12/31/12 %IVr THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE RFFN RFnI if r-n RV PAln c1 nlaec INSR LTR TYPE OF INSURANCE AD 4= WVD POLICY NUMBER N - — - LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY PCP0000055 03 12/31/11 12/31/12 PREMISES EKtN occurrence) s 100,00 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,00 X contractual liab. PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,00 POLICY Fxj . x PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00 X A ANY AUTO PCA0006942 01 12/31/11 12/31/12 (Ea dent) BODILY INJURY (Per person) is ALL OWNED AUTOS i BODILY INJURY (Per accident) s SCHEDULED AUTOS X PROPERTY DAMAGE $ HIRED AUTOS (Per accident) X $ NON -OWNED AUTOS r$ UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 6,000,00 AGGREGATE $ 5,000,00 '4 EXCESS UAB CLAIMS -MADE UM$0010121 03 12/31/11 12131112 DEDUCTIBLE $ X RETENTION $ 10,000 $ WORKERS COMPENSATION X I WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ 1,000,00 A ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED ❑N NIA CP0044355 03 12/31111 12131112 E.L DISEASE - EA EMPLOYEE $ 11000100 (Mandatory to un ) if describe under E.L. DISEASE - POLICY I IMIT $ 1,000,00 DESCRIPTION OF OPERATIONS below A Equipment: Leased PCPQD00055 03 12/31/11 12131112 Equipment 250,00 or Rented 1 ded DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space b required) Job: Orange County - 300 W. Tryon Street ?range County, North Carolina (owner) is additional insured per the attached orms. ORANC07 Orange County Attn: County Manager 200 S. Cameron St. P.O. Box 8181 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 Diane S. Long • d. 01983 -2009 ACORD ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD rights reserved.