2018-708-E AMS - Phoenix Fire Protection parking deck sprinkler repair

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DocuSign Envelope ID:22EC411D-EAE3-4084-B1F7-CB9D1D897D55 I DATE(MMIDD/YYYY) AC"Rf>, CERTIFICATE OF LIABILITY INSURANCE I1201$ 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, It 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 andorsement s, PRODUCER COM �E1CCNTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY NN FAX, .4664 HOME OFFICE:P.O.BOX 328 AiC 4 a No:507446 OWATONNA,MN 56060 Eoo IESS:CL l TCONTAC CE E FEIDINS.CC] INSURERIS}AFFORDING.COVERAOE NAIC# INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 357_0755-3 INSURER B: PHOENIX FIRE PROTECTION INC INSURER o: 2863 LEE AVE SANFORD,NC 27332-6205 INSURER D: INSURER E: INSURER F; w COVERAGES CERTIFICATE NUMBER:80 REVISION NUMBER:0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 114SURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM 09 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 CONDITION'S OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR TYPE OF INSUANICE DOL SUER POLICY NUMBER M MIPtifYY Y hM1D'1DPVYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE T9 RENTED $100,000 CLAIMS-MADE Fx-]OCCUR occurrence) MED EXP(Any one person} EXCLUDED A N N 6057280 04/22/2018 04/22/2019 PERSONAL&ADV INJURY $1,000,000 oc 'L AGOR O TE LIMIT APPLIES PER: GENERAL AGGREGATE $2,IJ00,000 X POLICY JE T ❑LOC PRODUCTS•COMPIOP AGO $2,000,000 OTHER: AUTOMOBILE LIABILITY CEa aeOMBc do' ED SINGLE LIMIT $1,000,D00 X ANY AUTO BODILY INJURY(Per persual OYMEO AUTOS ONLY SCHEDULED A AUTOS N N 6057280 0412212018 04/22/2019 BODILY INJURY(Par eccidenf HIRED AUTOS ONLY NON OWNED ROPERTY AUTOS bAI,MAGE ONLY e X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $'5,0D0,00D A A EXCESS LIAR CLAIMS-MADE N N 6057281 04/2212018 04/22/2019 AGGREOATE $5,000,000 DED I I RETENTION WORMERS COMPENSATION X PER STATUTE I GER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECVTIVE E.L.EACH ACCIDENT $1,OD0,00D A OFFICERIMEMSER EXCLUDED? ❑NIA N 6DS7284 04/2212018 04122/2019 (Mabdalory InNH) E.L.DISEASE-EAEMPLOYEE $1,000,000 II yes,describe under DESCRIPTION OF OPERATIONS below F1 DISEASE•POLICY LIMIT 53,4001000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORO 101,Addliionel Ramarks Schedwta,may be allarhod II more space Is required) POLICY COVERAGE AS OF 04/29/2018 MAY f C L3 ?J IS 151.. - --- --- --- CERTIFICATE HOLDER CANCELLATION 157-075-3 800 ORANGE COUNTY ASSET MANGEMENT SERVICES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 131 W MARGARET LN THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN HILLSBORCOUGH,NC 27278-2547 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE S 0 1988-2015 ACORD CORPORATION,All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD