2018-095-E AMS - Pickard Roofing Gutter Repair BOE

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DocuSign Envelope ID: 50EA492A- 260E -483C- 8122- 82BDB8495921 —�� t'IGKKUU -U1 tHtNIC:K ,4 CERTIFICATE OF LIABILITY INSURANCE DATE {M411DD7YYYYI 12129/2017 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 policyties] must have ADDITIONAL INSURED provisions or 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 CDwr N AME: ACT Vi Meadows _ _ Columbia (DG)1 AssuredPartners NIL PHONE FAX PO Box 21627 _(A/C, No, Ext}: ($03y 732 -8443 $543 (AiC, No)_ Columbia, SC 29221 -1627 _Rhm&R1Ess, vikki.meadows@assuredpartners.com INSURER A: Pennsylvania National Mutual Casualty Insurance Co INSURED INSURER B: Carolinas Roofing & Sheet Metal Contractors SIF Pickard Roofing Company, Inc. INSURERC: 825 E Trinity Ave INSURER D: Durham, NC 27704 -INSURER E: CCIVFRAGFS CERTIFICATE NI)IMRFR- Rr- VI!SIf1N NI I11ARIP-R- 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 DDL SUBR POLICY NUMBER POLICY EFF POLICY EXP __._ .. LIMITS • X COMMERCIAL GENERAL L111BIUTY CLAIMS -MADE OCCUR CL90743274 01107/2018 0110112019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREM15E$_ {E ac e j MED EKP An one person PERSONAL & ADV INJURY GENERAL AGGREGATE ;... PRODUCT S- COMPIOPAGG 100,000 $ $ ''000 $ 11000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY ® Pia F-1 LOC J OTHER: $ 2,000,000 2,000,000 $ • AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY _ AU90743274 0110112018 01/01/2019 COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY Per person) BODILY INJURY Per accident 11000,000 $ $ $ PERTY -AMAGE rev acct enI $ • X UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE UL90743274 01101/2018 01/01/2019 EACH OCCURRENCE AGGREGATE $ 6,000,000 $ 6,000,000 OED I X I RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS` LIABILITY ANY PROPRIETORIPARTNERIEXECUIIVE YIN 4�FFICERIMFIM2 EXCLUDED? O SS�p gndatary .n I 9yes, describe under DESCRIPTION OF OPERATIONS below NIA X CR50400057 01101!2018 01101/2079 x PER OTH- AT TE E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE -EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County NC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 y ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE ACORD 26 [2016103] O 1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD