2019-023-E AMS - Warren Hay Hillsborough Commons HVAC

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DocuSign Envelope ID:6391BOAE-362A-4C3C-9EO2-718ABE34457B ® DATE(MM/DD/YYYY) CERTIFICATE LIABILITY INSURANCE 12/28/2018 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 policy(ies)must have ADDITIONAL INSURED provisions or 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 lreland NAME: Business Insurers of Carolinas HONE N Ext: (919)968-4611 FAX No): (919)968-8991 800 Eastowne Drive,Suite 208 E-MAIL ADDRESS: cireland@business-insurers.com PO BOX 2536 INSURER(S)AFFORDING COVERAGE NAIC# Chapel Hill NC 27515-2536 INSURERA: Acadia Insurance Company 31325 INSURED INSURER B: Bridgefield Casualty 10335 Warren-Hay Mechanical Contractors Inc INSURER C: Sheet Metal Duct Suppliers LLC INSURER D: PO BOX 818 INSURER E Hillsborough NC 27278 INSURER F: COVERAGES CERTIFICATE NUMBER: CL18122824327 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. INSR ADUL bUbK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY) (MMIDDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ®OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 10,000 A CPA4429328 12/31/2018 12/31/2019 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ®jE 0. LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Par person) $ A OWNED SCHEDULED CPA4429328 12/31/2018 12/31/2019 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY IX AUTOS ONLY Per accident $ Endorsements $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A :4 EXCESS LIAB I CLAIMS-MADE CPA4429328 12/31/2018 12/31/2019 AGGREGATE $ 3,000,000 DED I I RETENTION$ 1 $ WORKERS COMPENSATION X PER X OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER B ANY PROPRIETOR/ RIEXECUTIVE N/A 0196-40173 12/31/2018 12/31/2019 E.L.EACH ACCIDENT $ 500,000 EXCLUDE[ OFFICER/MEMBER EXCLUDED? El (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Leased/Rented Equipment LIMIT $50,000 A Installation Floater CPA4429328 12/31/2018 12/31/2019 LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ORANGE COUNTY PUBLIC WORKS ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 8181 AUTHORIZED REPRESENTATIVE HILLSBOROUGH NC 27278 a ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD I',