2018-577-E AMS - Harris Bros Electric Controls Inc convert ceiling censors to wall sensors

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DocuSign Envelope ID: B8B4A9A9-A8A4-4A76-A40C-6244476A93EE '`��:C)R" CERTIFICATE OF LIABILITY INSURANCE DAT05/20/DIYYYYy o5/zarznla 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 Gr 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 endarsement s. PRODUCER �.Mi cT CLIENT CONTACT FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O.BOX 328 AICNNo Ex!:8B8-333-4349 (A/C,No):507-446-4664 OWATONNA,MN 55060 ADDRIESS:CLIENTCONTACTCENTER FEDINS.COM INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 252-856-0 INSURER B:FEDERATED SERVICE INSURANCE COMPANY 28304 HARRIS BROTHERS ELECTRIC AND CONTROLS,INC. INSURER c: 2712 HILLSBOROUGH RD DURHAM',NC 27705-4044 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:36 REVISION NUMBER:0 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR MMfDDIYYYY MMVDDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR DAMAGE RE 5 ERENTED cur nce $100,000 MED EXP WY one person) $5,000 A N N 6048918 07/14/2018 07/14/2019 PERSONAL a ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO- ❑LOC PRODUCTS-COMPfOP AGG $2,000,000 NOTHER: JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 Ea accidenil X ANY AUTO BODILY INJURY(Per person) OWNED AUTOS ONLY AUTOS LEG A Auros N N 604891$ 07/1412018 07/14/2019 BODILY INJURY(Per accident) HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY Per acdden X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $5,000,000 A EXCESS LIAR CLAIMS-MADE N N 6048919 07/14/2018 07/14/2019 AGGREGATE $5,00o'loDD DEO I I RETENTION WORKERS COMPENSATION X PER STATUTE O e�- A N D EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNEWEXECUTIVE E.L.EACH ACCIDENT $1,000,000 B OFFICERIMEMBER EXCLUDED? ❑NIA N 6046920 07/14/2018 07/14/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE•POLICY LIMIT $1,000,000 DESCRIPTION OF OPE=RATIONS d LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule.,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 252-856-0 36 0 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, NC 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