2018-517-E AMS - Tommy Lawrence Electrical Contractors Inc Sportsplex ballfield lighting

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DocuSign Envelope ID: 6CE24FAF -8D90- 4258- 85B3- D222ECDCB125 LAWRE -1 OP ID: MG CERTIFICATE OF LIABILITY INSURANCE COVERAGES CERTIFICATE NUMBER: R1= VISlntu T!I IIIa 6t 61?• 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 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. DATE 08 /15120/ YYj 08/15/2018 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 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 Thompson - Allen, Inc. P. 0. Box 100 CONTACT P14ONE PhIIII Allen FAX AIC No Et): 336 -599 -2175 AIC Ne : 336-599-6932 Roxboro, NC 27573 Marcia D. Green E-MAIL COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FYI OCCUR INSURER (S) AFFORDING COVERAGE NAIC # INSURERA : Cincinnati Insurance Company 10677 08/16/2418 INSURED Tommy Lawrence Electrical Contractor's Inc. _ INSURERS: Cincinnati Casualty Company 28665 DAMAGE TO RENTED PREMISES Ea occurrence P.O. Box 641 INSURER C: MED EXP (Any one person) INSURER D: Roxboro, NC 27573 INSURER E: $ 500,000 GENT AGGREGATE LIMIT APPLIES PER', POLICY � JEn r7 LGC OTHER: INSURER F $ 2,000,000 PRODUCTS - COMPIOPAGG COVERAGES CERTIFICATE NUMBER: R1= VISlntu T!I IIIa 6t 61?• 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 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. INSRpE LTR OF INSURANCE ADDL IN . SUB WVO POLICY NUMBER POLICY EFF MmODIYY POLICY XP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FYI OCCUR EPP 0096783 08/16/2418 0811612019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 500,000 GENT AGGREGATE LIMIT APPLIES PER', POLICY � JEn r7 LGC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOPAGG $ 1,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS EBA 0096783 0811612018 08/1612019 COM�BINdEeDISINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY Per accident { I $ X PROPERTY DAMAGE Per accideni $ $ A �[ UMBRELLA LIA'S EXCESS LIAB X OCCUR CLAIMS -MADE EPP 0096783 08116/2018 08116/2019 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,00 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA EWC 0368238 -02 01/0112018 01/01/2019 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE -POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Orange County PO Box 8181 Hillsborough, NC 27278 ORANCAM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE Green O 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101 ) The ACORD name and logo are registered marks of ACORD