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DocuSign Envelope ID: 08748A51- 1EAE -4B4E- 8838- 31BB89500F78 <br />AC"RDr CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM(DDlYYYY) <br />l TYPE OF INSURANCE <br />] <br />06/1912018 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Ken B. Lawson, Jr.�N'N <br />Lawson Insurance Group, Inc. <br />NAMEA r Amy H. Paschal <br />E�rk 919 - 846 -2090 ext 105 ! �G No: 919 -846 -2438 <br />E-MAIL ss: amy.paschal @Iawsonins.com <br />6512 -101 Six Forks Rd. <br />Raleigh, NC 27615 <br />INSURERS AFFORDING COVERAGE <br />NAIL# <br />INSURERA: Nationwide Mutual Insurance Company <br />23787 <br />INSURED <br />INSURER B: NorGUARD Insurance Company <br />25844 <br />ProNet Systems, Inc. <br />3200 Glen Royal Road <br />Suite 107 <br />Raleigh, NC 27617 <br />INSURERC : <br />MED EX? (Any one person) <br />INSURERD: <br />Contractor's Enhancement <br />INSURER E : <br />i <br />INSURER F: <br />GEN'L AGGREGATE L€ IT APPLIES PER: <br />POLYCY I1 SCOT LOCI <br />E <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTW €THSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />l TYPE OF INSURANCE <br />] <br />ADDL <br />SUBR <br />POLICYNUMBER <br />{ POLICY EFF <br />€ MMIDDNYYY <br />POLICY EXP <br />MM(DDlYYYY <br />1 LIMITS <br />p' <br />�COMMERCIALGENERALUABILITY <br />3 CLAIMS -MADE I_, j OCCUR <br />X Contractual Liability <br />ACP 22028943$3 <br />02122120180212212019' <br />EACH OCCURRENCE <br />$ 1,000,000 <br />A A N <br />PREMISES Ea occurrence <br />$ 100,000 <br />MED EX? (Any one person) <br />$ 5,000 <br />Contractor's Enhancement <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L AGGREGATE L€ IT APPLIES PER: <br />POLYCY I1 SCOT LOCI <br />E <br />Ali <br />s <br />I <br />GENERAL AGGREGATE <br />S 2,000,000 <br />PRODUCTS - COMPIOPAGG <br />S 2,000,000 <br />OTHER; <br />I <br />S <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED AUTOS ONLY NON-OWNED <br />AUTOS ONLY AUTOS <br />i <br />' <br />i <br />s <br />COMBINED SINGLE LIMIT <br />Ea accident <br />€ S <br />BODILY INJURY (Per person) <br />5 <br />I BODILY INJURY (Per accident) <br />5 <br />I PROPERTY DAMAGE <br />€ 1Per accident} <br />5 <br />T <br />5 <br />I <br />I <br />A <br />]WORKERS <br />B I �ANYPROPRiETORIPARTNER <br />I.OFFICERIMEMBER <br />iOESORIPT <br />X! <br />UMBRELL4LIA6 X 1 OCCUR <br />EXCESS LIAB CLAIMS -MADE <br />Y <br />I <br />N 1 A <br />Y <br />ACP 2202994383 <br />I <br />PRWC838165 !04l0312018I)410 <br />j02/2212018E02122120191 <br />212 0 1 9 <br />I <br />EACHOCCURRENCE <br />5 4,000,000 <br />AGGREGATE GATE <br />5 4,000,000 <br />DED X 1, RETENTIONS None <br />COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />!EXECUTIVE YIN <br />EXCLUDED? Y <br />(Mandatory in under <br />Ef yes, describe under € <br />€ON OF OPERATIONS below <br />]( PER OTH- <br />STATUTE ER <br />S <br />E. L. EACH ACCIDENT <br />5 1,000 OO <br />s 0 <br />L. DISEASE - EA EMPLOYEE <br />S 1,000 000 <br />s <br />E. L. DISEASE - POLICY LIMIT <br />5 1,000,000 <br />A <br />Tools and Equipment j <br />Commercial Inland <br />and Marine <br />All Job Sites of the Insured <br />� <br />ACP 2202994383 <br />021221201$02122(2019 <br />Installation Floater <br />j <br />Contractors Equip - <br />$500.1$1000. Ded respectively <br />$75,000. Limit <br />$22,250. Limit <br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required} <br />Orange County is included as additional insured and waiver of subrogation applies per Blanket Contractors Enhancement <br />Endorsement CG 72 88 under the general liability policy (please refer to attachments). The umbrella /excess liability policy is "follow <br />form ". Blanket waiver of subrogation also applies to the workers compensation policy (see attached). <br />Orange County <br />P. O. Box 8181 <br />Hillsborough, INC 27278 <br />Email: abarnes@orangecountync.gov <br />Email: anitaj @pronetsystemsnc.com <br />Email: patfapronetsystemsnc.com <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />W IzsoO -cutO Ay-;JMLJ t,UYCYVKAI IUN. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />