2014-135 AMS - Penta Engineering Group, Inc. for Survey for asbestos containing materials at Whitted Building

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I PENTA-3 OP ID:AC CERTIFICATE OF LIABILITY INSURANCE DA 01/2 212 0 1 4Y) 01/2212014 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(les)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 CONTACT Angle Cooper Lloyd Pro Group nc.-Duluth NAME: 2675 Breckinridge Blvd Ste 100 PHONE 678-812-8589 Aic No):770-814-7187 Duluth,GA 30096 E-MAIL Angie Cooper ADDREss•certificates@lloydprogroup.com INSURERS AFFORDING COVERAGE NAIC A INSURERA:Nationwide Mutual Insurance Co 23787 INSURED PENTA Engineering Group,Inc. INSURER B:Nationwide Mutual Fire Ins Co 23779 PENTA Facilities Group,Inc 4000 Miller Court West INSURERC:Hartford Casualty Insurance Co Norcross,GA 30071 INSURER D:Lloyds Of London INSURER E:Hanover Insurance Co 22292 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 CY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER M D LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED D X COMMERCIAL GENERAL LIABILITY PGIARK02534.01 12/31/2013 12/31/2014 PREMISE Es occurrence $ 300,00 't CLAIMS-MADE FX_1 OCCUR MED EXP(Any one arson $ 1,00 A ACPBPOM2316940183-OFFICE 12/31/2013 12/31/2014 PERSONAL B ACV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,00 X 2.0i POLICY LOC $ 1 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT l Ea ecddent 1,000,00 D ANY AUTO PGIARK02634-01 12/31/2013 12/31/2014 BODILY INJURY(Per person) $ AUTOOSNEO AUTOSULED BODILY INJURY(Per aoddenq $ X MIRED AUTOS X NON-OWNED DAMAGE ` AUTOS PER ACC D $ S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,00 I B EXCESS LIAB CLAIMS-MADE ACPCAF2315940183 12/31/2013 12/31/2014 AGGREGATE $ DIED I X I RETENTION O 1 1 1 $ s WORKERS COMPENSATION X VoC STATU- 0TH- AND EMPLOYERS'LIABILITY YIN 11 C ANY PROPRIETOR/PARTNER/EXECUTIVE 20WEC5478KU 12131/2013 12/3112014 E.L.EACH ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDED? NIA LOYE G (Mandatory lnNH) E.L.DISEASE-EA EMP $ 1,000,00 I H yes,descdbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 1,000,00 i D Professional Lla. PGIAKRK02534-01 12/31/2013 12/31/2014 EachClalm 2,000,00 Aggregate 2,000,00 i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) I i l CERTIFICATE HOLDER CANCELLATION ORANGEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE F THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE �deA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD