2016-746-E AMS - Warren Hay OPT HVAC

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DocuSign Envelope ID:A22190DO-ODA3-4B29-84D9-C921C5871121 ACC7RD� DATE(MMIDDIYYYY) CERTIFICATE (]F LIABILITY INSURANCE 6/29/2016 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(€es)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 C stal Ireland NAME: ry _ Business insurers of Carolinas PHONES (919)968-4611 { C.No$:(91W968-8991 800 Eastowne Drive, Suite 208 ADRE ADDRE_5_5;cireland@business-insurers.com PO Box 2536 INSURE S AFFORDING COVERAGE NAIL fi Chapel Hill NC 27515-2536 INSURERA:Penn National Ins. Companies 14990 INSURED INSURERS Brid efield Casualty Insurance 10335 _--_ Warren-Bay Mechanical Contractors Inc INSURER c Philadelphia Insurance Comp 18058 Sheet Metal Duct Suppliers LLC INSURER D: PO Box 818 INSURER E; -- 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. POLICY EFF POLICY EXP 1LTR TYPE OF INSURANCE OOL SUER POLICY NUMBER MMIDD/YYYY MMIDDlYYfY LIMITS JC,0MMERC1,AL EACH OCCURRENCE $ 1,000,000 A M -MADE u OCCUR GENERAL UABILTY DAMAGE TO RENTED 100,000 RREMISE E —_ frence) $ CX90726312 12/31/2015 12/31/2016 MEDEXP(Anyone person) $ 10,000 PERSONAL a ADV INJURY $ 1,909,000 _GE_NI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLZY u PRO- ❑LOC PRODUCTS-COMPtt7PAGG $ 2,000,000 JECT - — --- OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 -(Ea acclderut) A X ANY AUTO BODILY INJURY(Per person) $ --ALL OWNED SCHEDULED AX90726312 12/31/2015 12/31/2016 BODILY INJURY(Per accident) 3 AUTOS AUTOS NON-OWNED 'PROPERTY-DAMAGE HIREDAUTOS AUTOS Pr accident_ Endorsements X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $- 3,000,DG0 A EXCESS LIAR CLA,,,-,AD, AGGREGATE $ 3,000,000 OEO RETENTION$ UL90726312 12/31/2015 12/31/2016 $ WORKERS COMPENSATION - - PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER — ANYPROPRIETOWPARTNEWEXECUTIVE r E.L EACH ACCIDENT _ $ 500,000 OFFICERIMEMBER EXCLUDED? N N I A B .(Mandatory in NH) 0196-40173 12/31/2015 12/31/2016 E.L.DISEASE-EA EMPLOYE $ 500 000 0 es,demiha under -- D SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 C PMSDII08639 12/31/2015 12/31/2016 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks8chedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION abarnes@orangecountyne.gsov SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough, IBC 27278 AUTHORIZED REPRESENTATIVE yi f 7 Knauff, IV/1REL01 ,-�} -•, CCU 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 0514011