2017-140-E AMS - Intellicom, Inc. to install data from IT room to each desk for call center

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DocuSign Envelope ID:96E209C3-C7F9-48B3-9370-71 FDFDA5E135 AC © DATE(MMWDDIYYYY) �,. CERTIFICATE OF LIABILITY INSURANCE 3/30/2017 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 CONTACT Steven Stacy y Pelnik Insurance PHONE (919)459-8000 FAX (866)714-3576 (A/C,No,Ext): (AIC,No): 100 Ridgeview Drive Mss:Steve.Stacy @Pelnik.com Suite 100 INSURER(S)AFFORDING COVERAGE NAIC# Cary • NC 27511 INSURERA:Selective Ins Co of America 12572 INSURED INSURER B Builders Mutual Insurance Co 10844 INTELLICOM INC AND PLC COMMUNICATIONS, INC INSURER C: 2902 S MIAMI BLVD STE C INSURER D: INSURERE: DURHAM NC 27703-9042 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1733014550 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER ,JMMIDDIYYYY)_(MMIDDIYYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $. 1,000,000 A CLAIMS-MADE X OCCUR - DAMAGE RMI S(Ea occED 500,000 PREMISES(Ea occun'enca) $ S 2162397 4/1/2017 4/1/2018 NIED EXP(Any one person) $ 15,000 PERSONAL&ADVINJURY $ 1,000,000 GEI I'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE .$ 3,000,000 POLICY X JECT LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED S 2162397 4/1/2017 4/1/2018 BODILY INJURY(Per accident) :$ AUTOS AUTOS NON-OH/NED X HIRED AUTOS X PROPERTY DAMAGE AUTOS (Per accident) _$ Auto Elite Pan $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 6,000,000 EXCESS LIAR A CLAIMS-MADE AGGREGATE $ 6,000,000 DED X RETENTION'$ 0 S 2162397 4/1/2017 4/1/2018 WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA B (Mandatory in NH) PWC1010380 9/1/2017 4/1/2018 E.L.DISEASE-EAEMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Leased Rented Equipment s 2162397 4/1/2017 4/1/2018 Limit 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION (919)644-3324 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE Steven Stacy/STACY ;. ._u ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025()Nam