2019-046-E AMS - Warren Hay replace Eno Mountain communications tower unit

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DocuSign Envelope ID: FA55FBDC-C890-4EED-8747-40540A9E5CB1 DATE(MMIDDIYYYY) ,acoRlfl® CERTIFICATE OF LIABILITY INSURANCE 1 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 Ireland Business Insurers of Carolinas PHONE (919)968-4611 {919)988-8991 AIC No. o Ext: AIO No 800 Eastowne Drive,Suite 208 L-MAILs5: cireland@business-insurers.com ADDRr PO Box 2536 INSURER(SI AFFORDING COVERAGE NAIC# Chapel Hill NC 27515-2536 INSURER A: Acadia Insurance Company 31325 INSURED INSURER B: Bridgeffeid 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: CLIS122824327 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. iL7R TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDrYYYYJ IMMDDNYYYILIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000.000 CLAIMS-MADE OCCUR PREMISES '.occurrence S 100,000 MED EXP(Any one person) $ 10.000 A CPA4429328 12/31/2018 12J3112019 PERSONAL a ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000.000 POLICY JET LOC PRODUCTS-COMPIOPAGG S 2,000,000 OTHER: $ AUTOMOBILE UABILITY MB N N LE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) S A OWNEO SCHEDULED CPA4429328 12/31/2018 12131/2019 BODILY INJURY I Per acddenl] S AUTOS ONLY AUTOS x HIRED IX NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Par aaideni Endorsements $ X UMBRELLA LIAB x OCCUR EACH OCCURRENCE S 3,000,ODD A EXCESS LIAR CLAIMS-MADE CPA4429328 12/31/2018 12/31/2019 AGGREGATE S 3,000,000 OED I I RETENTION S $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN x STATUTE —1 ER 500,000 B ANY PRDPRIETORIPARTNER/EXECOTIVE INIA 0196-40173 12/3112018 12J31l2019 E.L EACH ACCIDENT 5 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E L.DfS EASE-EA EMPLOYEE S 540,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ LeasedlRented Equipment LIMIT $50,DDO A Installation Floater CPA4429328 12/31/2018 12131/2019 LIMIT $500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES IACORD 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 ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 AUTHORIZED REPRESENTATIVE Hillsborough NC 27276 ®1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD