2018-793-E AMS - Warren Hay Seymour Center RTU8

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DocuSign Envelope ID:575C9B19-7DBA-49F6-9414-63DF13BFDDFD DocuSigrl Envelope ID:9ADC47E5-1DA5-49A9-ADC8-76352A593CBF CERTIFICATE OF LIABILITY INSURANCE DATE 12/5/2017 ) 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 Raider is an ADDITIONAL INSURED,the policy(ies)roust be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain Policies may require an endorsement. A statement an this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER - CONTACT Crystal Ireland NAME: rY _ Business insurers of Carolinas PHONEn (919)EQ: 968-4611 {�C,Nog In9)960-8991 800 Eastowne Drive, Suite 208 F-MAIL ADD Scireland@business-insurers.com — ESs_�. PO Box 2536 INSURER(S)AFFORDING COVERAGE _ NAIC# Chapel Hill NC 27515-2536 INSURERA:Penn National Ina. Companies 14990 INSURED INSURER_e:Bridgefield Casualty insurance 10335 Warren-Hay Mechanical Contractors Inc lNsuRERc; Sheet Metal Duot Suppliers LLC INSURERD: PO Box 818 INSURER E: - - - - - - - --— Hillsborough NC 27278 INSURER F: COVERAGES CERTIFICATE NUMBER-,CL1712520606 REVISION NUMBER: 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 ------ 7(P —— POLICY EFF POLICY E LTR TYPE OF INSURANCEIULtaa POLICY NUMBER -[MMIDDiYYYYLrDD YYI LIMITS .. X COMMERCIAL GENERAL LABILITY EACH C'CURRENCE $ 1,000,000 A CLAIMS-MADE �OCCUR IS CI a occurrence) 100 000 PREMISES Ea occlrrrenca $ � - CX90126312 12/11/2017 12/31/2018 MEG EXP(Arty am person) $ 10,000 _ PERSONALSADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ $ 2,000,000 X POLICY❑jE' LOC PRODUCTS-COMPIOPJAGG $ 2,000,000 OTHER: _ S AUTOMOBILE LIABILITY -OM INED SINGLE LIMIT $ 1,000,000 (Ea.sccldanl) A ANY AUTO BODILY INJURY(Per Pawn) S - ALL OMED SCHEDULEt} AX90726312 12/31/2017 12/31/201-8 800ILYINJURY(Peraccdenl S AUTOS AUTOS } Ix HIRED AUTOS X I NON-OWNED PROPERTY DAMAGE AUTOS Per acrddera _ I Endo[seedents $ X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB X CLAIMS-MADE AGGREGATE $ 3 000 000 DE❑ RETENTIONS UL90726112 12/31/2017 12/31/2010 $ WORKERS COMPENSATION X I SPFATUTE ER ANn EMPLOYERS'LIABILITY YIN " ANY PROPRIETORIPARTNERIEXECUTIVE E.L EACH ACCIDENT $ 500,000 OFFICERMEMBER EXCLUDED? FN-1 N I A B (Mandatory In NH) 0196-40173 12/31/2017 12/31/2019 E.L DISEASE-EA EMPLOYEE $ 500,000 Il yyee,desaebe under --- - - QES[:RIPTION OF OPERATIONS Irelmv E.L.DISEASE-POLICY LIMIT $ 500,000 A Leased/Rented Equzpmnant CX90726312 12/31/2017 12/31/2018 LIMIT $50,000 DEDUCTIBLE $500 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may 6e attached If more space is raqutredl CERTIFICATE HOLDER CANCELLATION abarnes@orangecauntync.gov SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 9181 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough, SIC 2727E AUTHDRIZED REPRESENTATIVE v Knauff, 11V/IREL01 @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401)