2019-120-E AMS - Warren Hay historic courthouse compressor replacement

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DocuSign Envelope ID: D87E10A1-498E-47C9-9A5C-831DF80D8FF1 DATE[MMIPDIYYYY) ,4co►ra® CERTIFICATE OF LIABILITY INSURANCE 1 121281201 8 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 INSURERS),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the poiicy(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 Ifeu of such endorsement(s). PRODUCER NAME:CT Crystal Ireland Business Insurers of Carolinas pHONra Ext: (910)968-4611 FAX(AIC NO: (919)968-89g1 800 Eastowne Drive,Suite 208 E-MAIL cireland@business-insurers.00m ADDRESS: PO Box 2536 INSURER[SI AFFORDING COVERAGE NAM 0 Chapel Hill NC 27515-2536 INSURER A: Acadia Insurance Company 31325 INSURED INSURER B: Bridgefeld 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 SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI00 INDiCATEO. 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. LTR TYPE OF INSURANCE INSU wVD POLICY NUMBER 712J3112018 MMIDDIYLICY JEFF POLICY EXP YYY LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE �OCCUR I�REMISES Ea occurrence 5 100,000 MED EXP(Any ono person) $ 10,000 A CPA4429328 12/31/2019 PERSONAL 9 ACV INJURY 5 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 2.000,000 M POLICY �PET LOC. PRODUCTS-COMPIOP AGG $ 2,000.000 OTHER; 5 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s 1.000,000 Ea aocidant X ANY AUTO BODILY INJURY(Per person) S A OWNED SCHEDULED CPA4429328 IV3112018 12/31/2019 BODILY I NJU RY(Per acddenty S AUTOS ONLY AUTOS HIRED NON4DWNED PROPERTY DAMAGE x AUTOS ONLY AUTOS ONLY Per actidenl 5 Endorsements s X UMBRELLA[JAB X OCCUR EACH OCCURRENCE 5 3,000,000 A EXCESS LIAB CLAIMS-MADE CPA4429328 12/31/2018 12/3112019 AGGREGATE 5 3.000,000 DED RETENTION 5 S WORKERS COMPENSATION f'ER OTH- AND EMPLOYERS'LIABILITY YIN X` STATUTE ER ANY PRQPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT 5 500,000 B OFFICFRIMEMBER EXCLUDED? N 1 A 01960173 12/31/2018 12/31/2019 [Mandatory in NHI E.L.DISEASE-EA EMPLOYEE S 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT 5 Leased/Rented Equipment LIMIT $50.000 A Installation Floater CPA4429328 12/31/2018 12/3112019 LIMIT $500.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be ahached if more space is required) DEC 3 1 2013 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 AUTHORITEO REPRESENTATIVE HILLSBOROUGH NC 27278 4 CE]1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD i