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DocuSign Envelope ID: CCB5CCD8-1AB9-4C00-B1 F6-AO7CF92FB7AD <br /> A CERTIFICATE OF LIABILITY' INSURANCE D08/17/201 YY► <br /> 08/1712015 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: N the cartifcate holder is an ADDITIONAL INSURED,the Pollcy(ias)must be endorsed.If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the Policy,Certain Policies may require an endorsement.A statement on this carocate does not corder rights to the <br /> certificate holder in lieu of such endorsomen a. <br /> 7R UCM NAME Sharon English <br /> ASHBY INSURANCE AGENCY ENE .919-732-1052 Aa 919-732-1574 <br /> StateFarrn 206 Millstone Drive sh919-73 id5hby.net <br /> owl Hillsborough, NC 27278 INSUR 6 AFFORDING COVERAGE <br /> NAIC M <br /> _ INSURERA�e Farm Fire and Casualty Canpany 26143 <br /> INSURED MECHANICAL SOLUTIONS,INC. <br /> INSURER B; <br /> 503 Cornerstone Ct. mSURERC: <br /> Hillsborough, NC 27278 INSURER q; <br /> INSURER E: <br /> NSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> L SR TYPE OF INSURANCE Y NUMBER Y F M Y <br /> (� X COMMERCIALGENERALLU&LITY Y LIM1T8 <br /> ��y--�� EACHOOCURRENCE ; 2,000,000 <br /> CLAIMS-MADE L"1 OCCUR 93-BR-U760-6 12/0112014 12MI12015 PREMISES Ea oa�rrrenoa $ <br /> MEO EXP(Arty one person) f 5,D00 <br /> PERSONAL&ADVINJURY ; 2,000,000 <br /> GEN'L AQ(#tEGATE UMIT APPLIES PER; GENERAL AGGREGATE y 4,000,000 <br /> POLICY PRI- LOC JECT PRODUCTS-COMPIOPAGG ; 4,000,ODD <br /> OTHER: <br /> S <br /> AUTOMOeILEL1AeRJTY B! ED SING U R S <br /> a <br /> ANY AUTO BODILY INJURY(Per person) ; <br /> ALL AUTOS AUTOS AUTOSLEb <br /> NON-OWNED <br /> BODILY INJURY(Per al <br /> adeM) S <br /> AUTOS � S <br /> DAMAG S <br /> UNBRFiLALIAa OCCUR <br /> FXCESSUAS EACHOCCURRENCE $ <br /> AGGREGATE ; <br /> DED RETENTIONS <br /> WORKERS COMPENSATION $ <br /> AND EMPLOYERS'LIASiLITY YIN SAT E ER <br /> ANY PROPRIETORIPARTNERIEXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? ED NIA E-L.EACH ACCIDENT g <br /> (Mandatory In NH) <br /> II yyeaa,,de""u under E.L DISEASE-EA EMPLOYE S <br /> DESCRIPTION OF OPERATIONS below <br /> t L - <br /> E DISEASE-POLICY LIMIT S <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEIIKl ES iACORD 101,AddM.d Ramada fte",may be aka(rlad K,non spay Is hrqulrad) <br /> ADDITIONAL INSURED:ORANGE COUNTY <br /> PO BOX 8181 <br /> Hillsborough,NC 27278 <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANGE COUNTY <br /> PO BOX 8181 SHOULD ANY OF THE ABOVE DESCRIBED POUCIE$BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, <br /> HILLSBOROUGH,NC 27278 ACCORDANCE WITH THE POLICY PROViB ON$NOTICE WILL BE DELIVERED IN, <br /> A EOREPRE7E <br /> ®9988-2014 ACO RPOfiATION.All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 132849.9 02-04-2014 <br />