2013-402 AMS - Carolina Commercial Systems for HVAC Repair at Hillsborough Commons $4,880

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CAROCOS. OP ID: DBB ACORN DATE(MWDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 0713112013 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 Phone:910-323-3045 CONTACT INSURANCE SERVICE CENTER PO BOX 40736 Fax:910-323-3796 PHONE Ext: Fa No FAYETTEVILLE,NC 28309 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:ALLIED INSURANCE INSURED K.R.NIVISON INC DBA CAROLINA INSURER B:FIRST BENEFITS INSURANCE 13098 COMMERICAL SYSTEMS 3420 TARHEEL DR STE 300 INSURER C: RALEIGH,NC 27609 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 BEEN REDUCED BY PAID CLAIMS. INSR U POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY) (MM/DDffYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE _ $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X X ACP 5906161062 07117/2013 07117/2014 PREMISES Ea occurrence $ 100,000 CLAIMS-MADE FxI OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 [GEMLAG REGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,00 Ea accident _ A JX AN Y AUTO X X ACP 5906161062 07/17/2013 07/17/2014 BODILYINJURY(Perperson) $ ALL OWNED SCHEDULED BODILY INJURY Peraccident) $ AUTOS AUTOS (HIRED AUTOS Ix NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,00 A EXCESS LIAB CLAIMS-MADE CP 5906161062 07/17/2013 07/1712014 AGGREGATE $ DED X RETENTION$ 0 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY X T RY LIMITS X R B ANY PROPRIETOR/PARTNER/EXECUTIVEYfN X 5333 07/17/2013 07117/2014 E.L.EACH ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDED? FN—] N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY AND AUTO LIABILITY, AS REQUIRED WRITTEN CONTRACT. WAIVER OF SUBROGATION APPLIES. CERTIFICATE HOLDER CANCELLATION ORANCAS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ORANGE COUNTY ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 8181 HILLSBOROUGH,NC 27278 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD