2018-152-E AMS - Intellicom Link Lower Level Fit Up

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DocuSign Envelope ID: CB3ADD77- FF09 -4AA8- 9021- DFB1280A0396 / AC"R " CERTIFICATE OF LIABILITY INSURANCE FDAATE (MM /DD /YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 03/28/2018 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 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 CONTACT Steven Stacy NAME: Pelnik Insurance PHONE (919)459 -8000 FAX (866)714 -3576 A/C No Ext : A /C, No): E -MAIL Steve.Stacy @Pelnik.com 100 Ridgeview Drive ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Suite 100 INSURERA: Selective Ins Cc of America 12572 Cary NC 27511 INSURED INSURER B! Builders Mutual Insurance CO 10844 INSURER C: $ 500,000 INTELLICOM INC AND PLC COMMUNICATIONS, INC INSURER D! $ 15,000 2902 S MIAMI BLVD STE C INSURER E: 1 INSURER F : DURHAM NC 27703 -9042 COVERAGES CERTIFICATE NUMBER: CL1832816358 REVISION NUMBER: THIS IS TO CERTIFYTHAT 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM /DD /YYYY POLICY EXP MM /DD /YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR PREM SESOEa occur RENTED $ 500,000 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 A S 2162397 04/01/2018 04/01/2019 GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE $ 3,000,000 JECT PRO - POLICY � PRO ❑ LOC PRODUCTS - COMP /OPAGG $ 3'000'000 $ OTHER, AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO A OOS WNED ONLY SCHEDULED AUT AUTOS S 2162397 04/01/2018 04/01/2019 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED �/ NON -OWNED AUTOS ONLY /� AUTOS ONLY Auto Elite Pac $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6,000,000 AGGREGATE $ 6,000,000 A EXCESS LIAB CLAIMS -MADE S 2162397 04/01/2018 04/01/2019 DED I X1 RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER /EXECUTIVE ❑ OFFICER /MEMBER EXCLUDED? (Mandatory in NH) N /A PWC1010380 03 04/01/2018 04/01/2019 X1 STATUTE EORH E.L. EACH ACCIDENT 1'000'000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000'000 If Ves, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1,000,000 $ A Leased Rented Equipment S 2162397 04/01/2018 04/01/2019 Limit 100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION @ 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 AUTHORIZED REPRESENTATIVE Hillsborough NC 27278 @ 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD