2019-136-E AMS - Warren Hay for Link IT closet duct rework

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DocuSign Envelope ID:4659CD86-5C5C-4726-9F10-AA69EA5C98C1 ® DATE(MM/DD/YYYY) Ill 1 CERTIFICATE OF LIABILITY INSURANCE 12/5/2017 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 endorsement(s). PRODUCER CONTACT NAME: Crystal Ireland FAX Business Insurers of Carolinas A/C No Ext: (919)968-4611 A/C No: (919)968-8991 800 Eastowne Drive, Suite 208 E-MAIL cireland@business-insurers.com ADDRESS: PO Box 2536 - INSURER(S)AFFORDING COVERAGE NAIC# Chapel Hill NC 27515-2536 INSURERA Penn National Ins. Companies 14990 INSURED INSURERS Bridgefield Casualty Insurance 10335 Warren-Hay Mechanical Contractors Inc INSURERC: Sheet Metal Duct Suppliers LLC INSURER D: PO Box 818 INSURER E Hillsborough NC 27278 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1712520606 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 - ADDL SUBR -- POLICY EFF POLICY EXP -- LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE 1 OCCUR DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ CX90726312 12/31/2017 12/31/2018 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident _ $ 1,000,000 A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AX90726312 12/31/2017 12/31/2018 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ Endorsements $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 3,000,000 DIED RETENTION$ UL90726312 12/31/2017 12/31/2018 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY `,/N STATUTE ER _ _ _ ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A -------- ----- ---- B (Mandatory in NH) 0196-40173 12/31/2017 12/31/2016 E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under ---- --_-- _----"-"---- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 A Leased/Rented Equipment CX90726312 12/31/2017 12/31/2018 LIMIT $50,000 DEDUCTIBLE $500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if 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 8181 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE J Knauff, IV/IRELOI ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)