2016-745-E AMS - Warren Hay Public Defender HVAC

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DocuSign Envelope ID:AB178758-2088-4100-894B-83E266F244DD .qC 0 DATE(MM1DDNYYY) �f CERTIFICATE OF LIABILITY INSURANCE 6/29a2016 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 policy(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 does not confer rights to the certificate holder in lieu of such on d o mement(s). PRODUCER CONTACT CrySta.1 Ireland NAME: Business Insurers of Carolinas PHONE (919)968-4611 FAX NOV.19191968-8991 800 Eastowne Drive, Suite 208 AE-MAIL...cireland@business-insurers.com PO Box 2536 INSURE S AFFORDING COVERAGE NAIL 9 Chapel Hill NC 27515-2536 iNSURERA:Penn National Ins_ Com anies 14990 INSURED INSURER B f3ri. g efield Casualty Insurance 10335 Warren--Hay Mechanical Contractors Inc INSURER C;Philadel hla Insurance Comp 19058 Sheet Metal Duct Suppliers LLC INSURERD: PO Box 818 INSURERE: Hillsborough NC 27278 INSURERF: COVERAGES CERTIFICATE NUMBER:CL161514307 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. I TR TYPEOF INSURANCE N L SUBR POLICY NUMBER M�pY EFF POLICY LIItlbDDJYYYYY LIMITS X COMMERCtAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED A CLAIMS-MADE 7XI OCCUR PREMISES Ea occurrence $ 100,000 CX90726312 12/31/2015 12/31/2016 MEDEXP(Any one $ 10,000 PERSONAL&ADV I NJU RY $ 1,000,000 GEN'L AGGREGATE LJMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ECl' LOG PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER. S AUTOMOBILE LIABILITY COMBINE.SINGLE L1M0 S 1,000,000 000 Ea accident � _ r A X ANY AUTO BODILY INJURY(Per persona $ ALLOWNED SCHEDULED AX90726312 12/31/2015 12/31/2016 BODILY I NJU RY(Per accident) $ AUTOS AUTOS HIRE.AUTOS NON-OWNED PROPERTY DAMAGE AUTOS accident L I Endorsements $ X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAR CLAIMS-MADE AGGREGATE $ 3,000,000 DED I I RETENTIONS UL90726312 12/31/2015 12/31/2016 $ WORKERS COMPENSATION X PER TE ERH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIEiOR)PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? �NIA B (Mandatory in NH) 0196-40173 12/31/2015 12/31/2016 E.L.DISEASE-EA EMPLOYE. $ 500,000 Ues,describe under SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 C FRSD1106639 12/31/2015 12/31/2016 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101.Additional Remarks SOwlule,may be attached N more space Is required) CERTIFICATE HOLDER 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 8161 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE J Knauff, IV/1REL01 ID 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025 0ntannr