2018-299-E AMS - Harris Bros Electric Lower Level Link

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DocuSign Envelope ID: BE25E2F2- 7F33 -4D20- 9908 -D7BA1 E4984C5 ACQR. JDr CERTIFICATE OF LIABILITY INSURANCE DATE (M1N/D0IYYYY) I 07114124117 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 ri hts to the certificate holder in lieu of such endorsement(s). PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 CONTACT NAME: CLIENT CONTACT CENTER A G,Na Ext : 888 -333 -4949 FAX No): 507- 446 -4664 E -MAIL ADDRESS: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURER(Sl AFFORDING COVERAGE NAIC 11 07114/2018 INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 DAMAGE TO RENTED P 1SE5 Ea occurrence INSURED T�252 -856 -0 INSURER B: EXCLUDED HARRIS BROTHERS ELECTRIC AND CONTROLS, INC. 2712 HILLSBOROUGH RD INSURER C- PERSONAL & ADV INJURY INSURER D: AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC OTHER: DURHAM, NC 27705 -41344 INSURER E: PRODUCTS - COMPIOP AGG $2,000,000 INSURER r- COVERAGES CERTIFICATE NUMBER: 36 REVISION NUMBER: 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ft ua _ (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 LTR TYPE OF INSURANCE OL INSR SUER WV4 POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDtYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE x-1 OCCUR N N 6048918 I 0711412017 07114/2018 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED P 1SE5 Ea occurrence $100,000 M €D EXP (Any one person) EXCLUDED N GEN'L PERSONAL & ADV INJURY $11,000,000) AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC OTHER: GENERAL AGGREGATE $2,0130,00® PRODUCTS - COMPIOP AGG $2,000,000 A AUTOMOBILE X LIABILITY ANY AUTO SCHEDULED OWNED AUTOS ONLY AUTOS NON -OWNED HIRED AUTOS ONLY AUTOS ONLY N N 6048918 07/14/2017 07/14/2018 COMBINED SINGLE LIMIT a a. dent $1,000,000 BODILY INJURY IPer person) BODILY INJURY IPer accident) PROPERTY DAMAGE Per a. 'dais A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MAO€ N N 6048919 07/14/2017 07/1412018 EACH OCCURRENCE $5,000.,000 AGGREGATE $5,0013,000 DED I I RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRI €TORIPARTNERIEXECUTIVE OFFiCERIMEMBER EXCLUDED? (Mandatory in NH> If yes, describe under DESCRIPTION OF OPERATIONS below NIA N 6048920 0711412017 071141201.8 X PER STATUTE OTH- ER € -L. EACH ACCIDENT $1,000,000 E.L, DISEASE - EA. EMPLOYEE 1,000,000 E.L DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Additional Remarks Schedule, may be attached It more space is required) CERTIFICATE HOLDER CANCELLATION 252- 856 -0 361 ORANGE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN HILLSBOROUGH, INC 27278 -8181 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD