2014-200 AMS - Mark Hall Electric Inc. for West Campus Bldg. for electrical work $3,560

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CERTIFICATE OF LIABILITY INSURANCE DATE 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 CON A T Am Carl NA E: y Jennings Bryan-Chappell Insurance Services PHONE 336)227-7458 (FAX.No:(336)343-1000 PO Box 1118 MAIL ADDRESS:amy @jbcins.com INSURER(S) AFFORDING COVERAGE NAIC# Burlington NC 27216 INSURERA:Harford Mutual 14141 INSURED INSURER B 13uilder's Mutual 10844 Mark Hall Electric, Inc. INSURERC: P. 0. BOX 218 INSURER D: INSURER E: Alamance NC 27201 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1411400490 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 SUBR POLICY EFF POLICY EXP LTR TYPEOF INSURANCE WVD POLICY NUMBER M/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occu ence $ 1,000,000 A CLAIMS-MADE r_X_1 OCCUR 8149261 1/1/2014 1/1/2015 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOO $ AUTOMOBILE LIABILITY OMBI accident)D SINGLE LIMIT 11000,000 A X ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED 6050689 1/1/2014 1/1/2015 BODILY INJURY Per accident $ AUTOS AUTOS ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ Underinsured motorist $ 11000,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LAS CLAIMS-MADE AGGREGATE $ DED RETENTION$ 7962838 1/1/2014 1/1/2015 $ B WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1 000 000 OFFICER/MEMBER EXCLUDED? ❑ NIA (MandatoryinNH) C100998400 1/1/2014 1/1/2015 E.L.DISEASE-EA EMPLOYE $ 1,000,0()o If es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00o DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION nfinnell@ orangecountync.go SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County Government ACCORDANCE WITH THE POLICY PROVISIONS. N. Finnell Asset Management Services AUTHORIZED REPRESENTATIVE 131 West Margaret Lane Hillsborough, NC 27278 Amy Carl/AC ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 r9Mnns n+ The Arnpn nnmo and Inn^nro rcnieforarl marks of Ar.np 1 -`-tea