2018-762-E AMS - BIRS Inc. BOE roof

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DocuSign Envelope ID: D896B050-02E5-4528-A544-F66B5FF05BE0 DocuSign Envelope ID:3E240EC7-E4F0-4989-8D50-D6C95F8F9E28 CERTIFICATE OF LIABILITY INSURANCE r ATE1A1M1°DIYYYY, t o1112D16 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 pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions or the policy,certain policies may require an endorsement. A statement on this cerlIfIcaie does not confer rights to the certificate holder In lieu of such andorsernent(s). PRODUCER CONTACT NAME: Lynne Meyer,CIC CPIW AINS _ Marsh$McLennan Agency LLC PHONE 336-34B-1302 PAx ko:33B-34B-1397 3625 North Elm St E-MAIL --�` - Greensboro NC 27455 ADDRESS: Lynna.Meye marShmma.com INSURERS)AFFORDING COVERAGE NAIC N — -. - INSURERA:Bullders Premier Insurance company 13036 INSURED BIRSI-2 - INsuRERa:Columbia Casualty Company 31127 Inc.Mr. INSURERC:Builders Mutual Insurance Company 10844 Mr.Raven Broeker PO Box 36197 INSURER D: Greensboro NC 27416-6197 INSURERS: INSURER r: COVERAGES CERTIFICATE NUMBER.1625434416 REVISION NUMBER: THIS 13 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 WHIM THIS CERTIFICATE MAY DE 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. ILTR TYPE OF INSURANCE DOL S BR POLICY EFF POLICY EXP POLICYHUMBER IMUIDDNYM JMM0D/YYY)1LIMITS A X COMMERCIAL GENERAL LIABILITY PCPOW3652 511I2018 51112019 EACH OCCURRENCE _ $1,D00,000 � D G TORE TEO L^I CLAIMS-MADE OCCUR REMgES Ea occurrence $too Sao MED FXP An one arson) 55000 -. ... PERSONAL 3AOV INJURY $1 WD 00O GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 WD,000 I PRO POLICY I JECT El Lao PRODUCTS-COMPIOPAGG $2i 0%)000 OTHER: $ A AUTOMOBILE LIABILITY FICAODIS123 51112.018 5H2019 COMBINED—SINGLE LIMIT 8I,Dw.001) E accident_ x ANY AUTO BODILY INJURY(Pet person) $ - OWNED SCHEOULEO AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X rx HIRED NO"WNEb PROPERTYCAMAGE - AUTOS ONLY AUTOS ONLY -(Par ArAdertt $ Cam Cull Dad S 1,DOOIF,DDO C X UMBRELLA LIAR X OCCUR MUBODD1286 6/112018 5111N019 EACHOCCURRENCE:_ $fi 00000D EXCESS LIAS CLAIMS-MADE AGGREGATE DEO I X I RETENTION S A WORMERS COMPENSATION PWC10O02a00a 5191t018 Si112019 )( PER AND EMPLOYE LIABILITY YIN .. ANYP ROPRIUOWPARTNEREEXECUTWE 0 E,L.EACH ACCIDENT $1.000.000 OF NIA (MandatarylnNH) E.L-DISEASE-EA EMPLOYEE SIM000a0 If vas,describe under DESCRIPTION OF OPERATfDNS balmy _ E.L.DISEASE-POLICY LVAIT S 1 Ot1D A Rental Eqq pIcpment FCP0003632 611/2018 61112019 lee.Do0 D E 6 OlPWIull0n CE05WS559se 51112018 511/2,019 I,DaD,DaD DESCRIPTION OF OPERArIUNS I LOCATtoN51 VEHICLES(ACORD 101,Addidonal Remarks Schedule,may be attached Kmora spat"Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL HE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Orange County PO Box 85181 AUT oRIZEDRVPRIFSENTATIV Hillsborough NC 27278 D 1980.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD