2018-166-E Emergency Svc - CommSys Inc. ASAP project

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DocuSign Envelope ID: 69D86187- DEOC -4BBD- 9424- B7236F3D282B ACORD.... CERTIFICATE OF LIABILITY INSURANCE Doi /20/20 s' PRODUCER Thompson Insurance Associates, Inc. Technology Risk Solutions PO Box 546 Dublin, Ohio 43017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Commsys, Inc. 3033 Kettering Blvd Ste 300 Dayton, OH 45439 INSURERA: The Hartford POLICYEFFECTIVE DATE MMIDD/YY INSURER B: LIMITS INSURER C: ✓ INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE DATE MMIDD/YY POLICY EXPIRATION DATE MM /DD/YY LIMITS AUTHORIZED REPRESENTATIVE PAT THOMPSON, CPCU ✓ GENERAL LIABILITY EACH OCCURRENCE $ 2000000 A V( COMMERCIAL GENERAL LIABILITY PREM SESOEa occurence $ 2000000 CLAIMS MADE IV] OCCUR MED EXP (Any one person) $ 5000 PERSONAL &ADV INJURY $ 1000000 PAS03934579 02/01/18 02/01/19 GENERALAGGREGATE $ 4000000 GEN'LAGGREG ATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $4000000 POLICY PRO JECT LOC A AUTOMOBILE LIABILITY ANY AUTO PAS03934579 02/01/18 02/01 /19 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS V/ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EAACC $ ANY AUTO $ AUTOONLY: AGG EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ 3,000,000 A OCCUR CLAIMS MADE AGGREGATE $ 3,000,000 $ PAS03934579 02/01/18 02/01/19 $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND TORY LIMIT S ST / O TO MIT �/ ER R A EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? PAS03934579 02/01/18 02/01/19 E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE- EA EMPLOYEE $1000000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $1000000 OTHER $1,000,000 A Technology Professional PAS03934579 02/01/18 02/01/19 Liability DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER NAMED AS ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY CERTIFICATE HOLDER CANCELLATION Orange County, NC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION PO Box 8181 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Hillsborough, NC 27278 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE PAT THOMPSON, CPCU ACORD 25 (2001/08) © ACORD CORPORATION 1988