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DocuSign Envelope ID:43CD11387-35613-4300-KAB-76CC945A71CO BRYANI3
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<br /> ACORDTM CERTIFICATE OF LIABILITY INSURANCE FATE
<br /> 8
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on
<br /> this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT NAME: Jennifer Gordon
<br /> Morrow Insurance Agency, Inc. PHONE 828-694-5156 FAX 8286935496
<br /> A/C,No,Ext: A/C,No
<br /> 800 Beverly Hanks Centre E-MAIL jgordonmorrowinsurance.com
<br /> Hendersonville, INC 28792 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> 828 693-5396 The Phoenix Insurance Company 25623
<br /> INSURER A: P Y
<br /> INSURED INSURER B:Auto-Owners Insurance Company 18988
<br /> Bryant-Durham Electric Co., Inc. INSURER COwners Insurance Co 32700
<br /> PO Drawer 2597 INSURER D: PropertyTravelers &Casual Co of Ame 25674
<br /> Casualty
<br /> Durham, NC 27715 INSURER E:Travelers Casualty Tl Insurance Co of Amer 19046
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY X X DTC03G369324PHX18 10/01/2018 10/01/2019 EACH OCCURRENCE $1 000000
<br /> CLAIMS-MADE � OCCUR PREMISES ERENTED
<br /> ccr nce $300,000
<br /> MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY JECTPRO- LOC PRODUCTS-COMP/OPAGG $2,000,000
<br /> OTHER: $
<br /> C AUTOMOBILE LIABILITY X X 4999968800 10/01/2018 10/01/201 COEaMBINED ccidentS INGLE LIMIT $1, ,OOO OOO
<br /> a
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> X AUTOS ONLY X AUTOS ONLY Per accident $
<br /> X Drive Oth Car $
<br /> B X UMBRELLA LIAB X OCCUR X X 4999968801 10/01/2018 10/01/2019 EACH OCCURRENCE s15,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,000
<br /> DED X RETENTION$10000 $
<br /> E WORKERS COMPENSATION X UB9K8020041826G 10/01/2018 10/01/2019 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> D LEASED/RENTED EQ QT6305C518476 10/01/2018 10/01/2019 $200,000/$1,000 DED
<br /> D INSTALLATION FLOA QT6305C518476 10/01/2018 10/01/2019 $2,000,000/$1,000 DED
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> **Supplemental Name**
<br /> First Supplemental Name applies to all policies-Name Printed on DEC Page: Bryant-Durham Electric Co.,
<br /> Inc.
<br /> First Supplemental Name applies to all policies-Bryant Durham Alarm Co, Inc.
<br /> First Supplemental Name applies to all policies-Bryant Durham Services, Inc.
<br /> (See Attached Descriptions)
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> Orange Count SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> g y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Attn: Risk Management ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 200 South Cameron Street
<br /> PO BOX 8181 AUTHORIZED REPRESENTATIVE
<br /> Hillsborough, NC 27278
<br /> ©1988-2015 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD
<br /> #S204087/M197755 JLG
<br />
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