2016-725-E AMS - Hillsborough Plumbing Link break room

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DocuSign Envelope ID:81EOFOE8-A4CA-4B45-8186-1AE31842OD66 DocuSign Envelope ID:031EE8CF-25484833-814C-DACDBOOCF50B A� CERTIFICATE OF LIABILITY INSURANCE ��; �Q��Y"'' 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,tho policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an andomemonL A statement on this certificate does not confer rights to tho certificate holder In lieu of Such endorsements). PRODUCER CONTACT NAME. _ Colonial Insurance Agency Hillsborough PHONE (919)732-2191 FAQ a.S9191732-2192 EMAIL I7O ESS; PO Box 490 INSURE S AFFORDING COVERAGE HAIC ab HILLSBOROUGH NC 27278 INSURERA:OWners 32700 INSURED INSURER a AUTO OWNERS INSURANCE COMPANY Hillsborough Plumbing Company Inc INSURER C. ---- 1020 tic highway 57 INSURER 0* INSURER E: Hillsborough NC 27278--8987 INSURER€: COVERAGES CERTIFICATE NUMBER-,CLI45700548 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 POLL LIES.LIMITS SHOWN MAY HAVE BEEN REDU CEO BY PAID CLAIMS. rA EXP TY'PEOFINSURAHCE M POUCYNUMBER MIOAPO(YYYY MOMWOYYYY LIMITS LICY GENERAL LIABILITY EACH OCCURRENCE $ 1,006,00o X COMMERCIAI GENERAL LMILITY PREMISE, Fa n $ 300,000 C[ArMS•MADE l X I WCIIR 35256947 5/14/2014 /14/2015 MEDEXP(Any ompersun) S 10,000 PERSONALS ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENTAGGREGATE LIMIT APPLIES PER. PRODUCTS•COMPMAGO S 2,000,000 POLICY ]{ PR4 11 Lor $ AU MOBILE LIABILITY f gAIHEOM5IN LE LI IT _ 1,000,000 '. A ANY AUTO BODILY INJURY IPer pers7nl $ AALL UTOS JED A�OSULED 7256947D1 /14/2014 /14/2015 BODILY INJURY(Pefu4denz 5 HIRED AUTOS MON-O ED PROPERTY DAMAGEAUT $ 5 X UMSRELLA LEAS X OCCUR EACH OCCURRENCE S 5,000,000 B EXCESSUAB CLAWS MADE AGGREGATE S 5,000,000 DE❑ I I RETENTIONS 725694700 /14/2014 /1412015 S ,A WORKERS COMPENSATION X W'C STATU• OTH- AND EMPLOYER$°LIABILITY ANY PROPMETOMPARTNER(MCUTIVE❑ NIA El.EACH ACCIDENT S �-0,000 OFFICEWIAEMBER EXCWOEiY7 114/2oi4 /14/2015 I Mandatary 10 NH) 5441871 Et.DiSFA$E-EA EMPLOYE $ _ 1 D00 000 II S6describe LTgW DIkSCRIPTrON OF OPERATIONS below I r I E.I.OISEASE-POLrI Y LIMIT $ I 000 000 A Teased or Rented 5256947 /14/2014 /14/2015 Lint 50,000 Equipment DedX11bte 1,000 DESCRIPTION OF OPJ:RATEONS I LOCA-DONS I V E19CLES IAttich ACORO lei,Additional nairaex s5chedule,d mare space Is requlredl Project: 150320 Orange County-Gray Water Revisions-Phase I Certificate Holder is additional insured with respects to General Liability by written contract. i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE � 7 CARL,A WWRE/CARLA ACORD 25(2010105) C 1988-2010 ACORD CORPORATION. All rights reserved. INISn25 ooinnsi ns T'ho Ar-r)Pn na o and Innn ara ran c#Ar.M nrarke nF dr'.npn