2018-796-E AMS - Trademaster Seymour Center controller repair

Browse Search

DocuSign Envelope ID:94EOF6DC-D4D5-4011-992D-8A89BE5B69C9 ACpRJ©� DATE iMMimff YY) CERTIFICATE OF LIABILITY INSURANCE D4/17I2018 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: It the certificate holder is an ADDITIONAL INSURED, the pollcy(iss) must have ADDITIONAL INSURED provisions or 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 endorsements. PRODUCER CONTACT FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER HOME OFFICE.P.D.13OX 328 PRO Exl:888-333-4949 arc No:507-446�664 OWATONNA,MN 55060 E-MAIL CLIENTCONTACTCENTER FEQINS.COM INSURERS AFFORDING COVERAGE NAIL INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 _ INSURED 348-705-5 INSURER B: TRADE;MASTERS SERVICES INCORPORATED INSURER C, 5012 NEAL RD DURHAM,NC 27705-2362 INSURER D: INSURER E; INSURER Ft COVERAGES CERTIFICATE NUMBER:34 REVISION NUMBER:2 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 DL SUBR POLICY NUMBER POLnY EFF POLICY EXP LIMITS LTR INSR WVRS MMIDDIYYYY MMfDDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE X�OCCUR D�IS IST Ea oc urrre ce $100,000 ME EXP I"one person) EXCLUDED A Y N 9337203 02/11/2018 02/11/2019 PERSONAL&ADVINJURY $1,ODO,000 OEN'L AOOREOATE LIMIT APPLIES PER., GENERAL AGGREGATE $2,000 0Q0 X POLICY ❑JECCT LGC PRODUCTS-COMPIOP AGO $2,00 000 OEHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 Ea acslden X ANY AUTO BODILY INJURY IPer person) - A OWNED AUTOS ONLY SCHEDULEDAUTOS Y N 9237203 02/11/2018 02/11/2019 BODILY INJURY IPer accidenQ HIRED AUTOS OtiLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY Per aaida x UMBRELLA LIAR X OCCUR EACH OCCURRENCE $5,000,000 A EXCESS LIAR CLAIMS-MADE N N 93372D4 02/11/2018 02/1112019 AGGREGATE $S,DQQ,DDD DED RETENTION WORKERS COMPENSATION H OT - AND EMPLOYERS'LIABILITY X PER STATUTE ER. ANY PROPRIETORIPARTNERIEXECUTIVE Y❑ E,L,EACH ACCIDENT 31,000,000 A OFFICERIMEMBER EXCLUI NIA N 9337205 02/11/2018 02/1112019 E L DISEASE-EA EMPLOYEE IMandalvey in NH) $11000,000 11 yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,000,0DO I. DESCRIPTION OF OPERATIONS i LOCATIONS f VEHICLES(ACORD 101,Additional Remarks Schedule,may be aSlached IF mono spaee Is required) SEE ATTACHED PAGE CERTIFICATE HOLDER CANCELLATION 348-705-5 342 ORANGE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN H I LLSBOROUGH,NC 2 7278-8 1 81 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD