2018-127-E AMS - Warren Hay replace roof top air handling units at 501 w franklin st

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DocuSign Envelope ID: ACF53DOB- DE31- 493C- AC79- 4B38761278A7 g DATE {MMIDDlYYYYI CERTIFICATE OF LIABILITY INSURANCE 12/5/2017 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 NAME Crystal Ireland Business Insurers of Carolinas PHONE, Ell: 968 -4611 FAX, NQI_ (919)968 -8991 WC, No 800 Eastowne Drive, Suite 208 EMAIL ADDRESS: ciseland @ business -insurers _cvm PO Boys 2536 INSURER(SI AFFORDING COVERAGE NAIC # Chapel Hill NC 27515 -2536 INSUPFRA:Penn National Ins. Companies 14990 INSURED INSURER- B :Bridgefield Casualty Insurance 10335 Warren -Hay Mechanical Contractors Inc INSURERC: Sheet Metal Duct Suppliers LLC INSURER D PO Box 818 twsuo�o c . 4 Hil1sborough NC 27278 I INSURER F: . „_.,.._ COVERAGES CERTIFICATE NUMBER.CL1712520606 REVISION NUMIRFR: 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 CONTRACTOR 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 ADDLjSUBRi POLICY EFF POLICY EXP LTR POLICY NUMBER (MM/DDffYYY1 IMMJDDIYYYY$ LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Ea occurrence) $ 100,000 CX90726312 12/31/2017 12/31/2018 MED EXP (_Any one Person) $ 10,000 PERSONAL s AOV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO - I�IJECT J LOC PRODUCTS _COMPIOPAGG _ - $ 2,000,000 OTHER: $ AUTOMOBILELIABILITY OMBINdEDISINGLELIMIT $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ A ALL OWNED SCHEDULED AUTOS AUTOS AX90726312 12131/2017 12/31/201.8 $ BODILY INJURY (Per accident) X PerOaacident AMAGE $ NON-OWNED X HIRED AUTOS AUTOS _ Endorsements $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 3 000 000 r__.r A EXCESS LIAB CLAIMS -MADE AGGREGATE .,_.._ 1.$ 3,000,000 QED I I RETENTION$ UL90726312 12/31/2017112/31/2018 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER ._- E EACH ACCIDENT ANY PROPRIETORIPARTNEWEAECUTIVE $ 500, 000 OFFICERIMEMBER EXCLUDED? FN -- B (Mandatary in NH) 0196 -40173 12/31/2017 12/31/2018 E.L_ DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under — DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I $ 500,000 A Leased /Rented Equipment CX90726312 12/31/2017 12/31/2018 LIMIT $50,000 DEDUCTIBLE $500 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION a.barnes @orangecountync.gov Orange County PO Box 5181 Hillsborough, NC 27278 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE J Knauff, IV /IREL01 cQ 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (20140 )