2018-798-E AMS - Warren Hay WCOB boiler 2 repair

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DocuSign Envelope ID: F441C8C3-BED1-4D1C-AF08-B3OClEODA701 DocuSign Envelope ID:9ADC47E5-1 DA5-49A9-ADC8.76352A593CBF CERTIFICATE OF LIABILITY INSURANCE DATE(MA1fpDf"6YYY)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 INSURE'R(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the poiicy(les)must 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 endorsement(s). PRODUCER CONTACT Crystal Ireland NAME' rY Business Insurers of Carolinas �ncNnoExt). (919)qu-4611 (exc,No}_;919}9sa-B9s1 800 Eastowne Drive, Suite 20B E-MAIL cireland@business-insurers.com ADDR_ESS_.' PO Hex 2536 INSURERS AFFORDING COVERAGE NAIC M Chapel Hill NC 27515--2536 INSURERA'Penn National Ins. Companies 14990 INSURED INSURERB.B_rid_gefield Casualty Insurance 10335 Warren-Hay Mechanical Contractors Inc INSURER C: Sheen Metal Duct 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 SEEN 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 DESCR#BED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 7ADD11055 ... _-. - ..... POLICY EFF POLICY FXP - LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MIAiDI)NYYYI (MM(DDfYYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE l$ 1,000,000 A CLAIMS-MADE T OCCUR DAMAGE tN]ED --a 100�000 PREMISES acxumertce $ CX90726312 12/31/2017 12/31/201.8 MED EXP(Any o.Person) S 10,000 PERSONAL&MV INJURY $ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY L-1 PROJECT- ❑LOG PRODUGTS-COMPIOPAGG S 2,000,000 OTHER: S AUTOMOBILE LIABILITYOAS$BI�NdED SINGLE LIMIT $ 1 QflD 000 A Ix so ANY AUTO BODILY INJURY(Per parson) S ALL OWNED SCHEDULED AX90726312 22/31/2017 12/31./2018 BODILY INJURY(Paraocidenl) $ AUTOS AUTOS X NON-OWNED PROPERTY DAMAGE $ ..-._ HIRED AUTOS AUTOS (Per ie[1SL__-- Endarsements S X UMBRELLA LIAe X OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAR CLAIMS-MADE AGGREGATE $.-31090 000 DELI I RETENTION$ UL90726312 12/31/2017 12/31/2018 S WORKERS COMPENSATION XK I PER OH- T AND EMPLOYERS'LIABILITY YIN N STATUTE I I ER ANY PROPRIETOR(PARTNERI£XECUTiVE E,L EACH ACCIDENT $OizFICERWEM 500,000 13 lMandaloryInBER EXCLUDED? N7A 0199-40173 12/31/2017 12/31/2018 IMandalory In NH) E.L DISEASE•EA EMPLOYE S 500,000 Nyes,dazabe under _.--- _-.--. DESCRIPTION OF OPERATIONS belowE.L DISEASE-POLICY LIMIT S 500,000 A Leased/Rented Equipment CX90726312 12/31/2017 12/31/2010 LIMIT $50,000 DEDUCTIBLE $500 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORO 101,Additional Remarks Schedule,may be attached if mare spaca la required} CERTIFICATE BOLDER CANCELLATION abarnes@orangecountync,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. Hillsbozoughr NC 2727E AUTHORIZED REPRESENTATIVE J Knauff, TV/TREL01 �� 91988-2014 ACORD CORPORATION. All rights reserved. AGORD 25(2014101) The ACORD name and logo are registered marks of ACORD ; INS025(2G1401)