2016-740-E AMS - Pronet Systems auto doors

Browse Search

DocuSign Envelope ID:7D69FBBF-740D-461 F-894A-506C56B8C2AA rn A 021191 CERTIFICATE aF LIABILITY INSURANCE DATE IM M1r016'Yl 2018 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 pallcy(ies)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 doss not canter rights to the certificate holder In lieu of such endorsemont(s). PRODUCER NAME; Array H.Paschal Ken B.Lawson,Jr. F rc°Nr o, g 9-846-2t19Q ext 1 Q5 31 tArC a1P1, 9.846-2438 E-MAIL agChaa tlalir3nwide.CDm ---— dba Lawson insurance Group,Inc. AODREss_p @ dexo 6612-101 Six Forks Road INSURFPIs)AFFORDINGCOVERAGE �i NAIC0 Raleigh,NC 27615 INSURER A. Nationwide Mutual insurance Company I 23787 _. — INSURED INSURERB:AmGUARID Insurance Company. ._._. 2187$ ProN et Systems,Inc. INSURERC: Nationwide Mutual Fire Ins Company 23779 3200 Glen Royal Road INSURERp: Suite 107 IHSU RER E: - Raleigh,NC 27617 11SURERE: COVERAGES CERTIFICATE NUMBER: 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 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 CONDIT(ONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. — ILA .___ Df3L R R PCY EFF POLICY EtIP LIMITS TYPEaF1NSItRANCE POLICYNUMBER MM7DDIY M 1R A x COMMERCIAL GENERAL UABILITY Y Y ACP2272994383 0212212016i021221201T EACHOCCURRENCE s 1,000,000 - — D>;MAa #00,000 CLAIMS-IAADE FX1 OCCUR II ME10E3 tEe oetu[rttnee} S I)L Cantractual Liability ME❑exrtAe,roen�r,1�S Mao X Contractor's Enhancement PERSONALBADVINJURY = 1,000,000 GEHL AGGREGATE LIMIT APPLIES PER. GENERALAGGREGATE S 2,QOQr000 r 2,D00,000 PF;[}- L�L9C PRODl1CT5-ClI1ufPLOP AGG s_ --�POLICY X JECT L ---- '— OTHER (; AUTOMOBILE LIABILITY Y Y ACP3006$21314 12131/2016 21311201$ �Ldge�ml�� IIT s1,000,000 X ANY AUTO I BODILY INJURY(Pgr Pawn) S x�ALL— DSI7 ED -- SCHEDULED 4iII; III1 ' 1 I BPPORaODr aIL CYOR ICdNYaCYJrUHU DlRR.A,RYy.M E(APf_{G eCr E a61%)I S AUTOS AUTO NOE6 X HIRE➢AUTOS 09 g$s ff 4,000,000 A 994383 222120171 EACH OCCUR g4,000,000 EXCESS LIAR LAIMS•MADF AGGREGATE E :TENTHIX 8 nog ... — rte B WOR0 RS C OMPENSATON Y PRWC863376 041D312015 410312016_X �RTATUT.e s — ._ AND EMPLOYERS'L.IAMILITr ANY PROPRI£TORrPARTNERIEXECUTIVE Y'N NIA El EACH ACCIDENT 5 1:000s000 — PFFICERIMfrMBFREXCLLIDED7 ® EL " DISEASE- ,1 1000000 (Mandatory la NH) 1J—Pt .. - — -- ..— ,Ues.dascrlba under E L DISEASE-POLICY LIMIT I s 1,000,000 ;DESCRIPTION OF OREf(A IONS tiatp4r DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES(ACORD 101,Additional Rerr rhz SctKdulg,fray log attachad It mega spate to u`agnlrgd) Orange County is Included as additional Insured and Waiver of Subrogation applies per Blanket Contractors Enhancement Endorsement CG 72 08 under the general liability policy(please refer to attachments). The Umbrella/Excess Liability policy Is"follow form". Blanket Waiver of Subrogation also applies to the workers compensation policy(please refer to attachments). CERTIFICATE HOLDER CANCELLATION Orange County P.fJ.Box 8181 SHOULD ANY OF THEC ABOVE DESRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE MILL BE DELIVERED IN Hillsborough,NC 27278 ACCORDANCE VATHTHE POLICY PROVISIONS. E-Mail: tcornar@orangecountync.gov AUTHG DREPR SENTAJJVE E-Mail: anitaj@pronetsystemsnc.com ,r 7 I E-Mail: patf@ronets stemsnc.com 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD