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DocuSign Envelope ID: DA8A04AC-8CCD-4098-A780-B36A02F07BA9
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<br /> .4C RIJr CERTIFICATE OF LIABILITY INSURANCE DA-Mvmmm "
<br /> 02/2212019
<br /> THIS CERTIFICATE IS ISSUED AS A!NATTER 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 MY 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 pollcy(ies)must have ADDITIONAL.INSURED provisions or he endorsed.
<br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement an
<br /> this certificate does not confer rights to the certificate holder In lieu of such endorsemen s
<br /> PRODUCER C° AOr Amy H.Paschal
<br /> Lawson Insurance Group,Inc. PHONE 919-846-2090 ext 105 Fej c Na: 919-8462438
<br /> 6512.101 Six Forks Rd. E-WIL
<br /> ADDRESS: ampa
<br /> , schal fawsenins,cem
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<br /> Raleigh,NC 27615 INSURER s AFFORDINOCOVERAGE NAICs
<br /> INSURER A: Nationwide Mutual Insurance Company 23787
<br /> wsuseD INSURER B: HorGUARD Insurance Company 25844
<br /> ProNet Systems,Inc. INSURER c, Al Specialty Insurance Company
<br /> 3200 Glen Royal Read IHSURER0;
<br /> Suite 107 INSURER E;
<br /> Raleigh,NC 27617 1 INSURER F.-
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> IF 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. NOTWffHSTANOING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR 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 /> 2L$R TYPE aFiN$URAHGE DDLSU6R DCYEFF POLICY EKP -
<br /> POLICYNUMBER IM IMUMDArym LIMITS
<br /> x "MMEHCIAL GENERAL UASILITY y ACP2212994383 02122120190212212020 F-ACH OCCURRENCE # 1,000,000
<br /> A CLAIMS-MAt r I OCCUR 108,000
<br /> • Contractual Liability PREMISES Ea o a
<br /> MED E11P ells parson $ rJrtl{IU
<br /> • Contractor's Enhancement PERSONAL&ADV INJURY S 1,000,000
<br /> GEHL AGGREGATE UMITAPPLIESPER: GENERALAWREGATE $ 2,000,000
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<br /> POLICY�PREJECT LOC PRODUCTS-COMPIOPAGO S 2,000,000
<br /> cOTHER:Core Cyber 1000 Master Contract IF1551241 04r28126111 00128120te Aggregate t 1,000,000
<br /> AUTOI OIRJUEL]A$ILTTY corral O SINGLE MIT $
<br /> FL aodde I
<br /> ANYAUTO BODILY INJURY(Par poison) S
<br /> OWNED SCHEDULED BODILY INJURY Per acCidcnl
<br /> AUTOS ONLY AUTOS ( )1 $
<br /> HIRED NO"WNEO PROPERTY GAMAIGE
<br /> AUTOS ONLY AL"OS ONLY Per aocldenl
<br /> x UMBRELLA LIAB ]( OCCUR ACP 22129943113 02f22/2019 02/2212020 EACH OCCURRENCE 3 4,000,000
<br /> A ]( EXCESSLIAB CLAIMS-JADE AGGREGATE $4,000,000 i
<br /> DED I X I RETENTION$ None =
<br /> waBITF_ItS COhTPELrsAT1DN PRWC90055
<br /> AND EMPLOYERS'LLIBILLTY 9 04103/2018 0410?J2019 7C sr Tors R
<br /> £
<br /> B
<br /> AHYPROPRIC10WARTNERIEXECUriVE YIN n N ACCIDENT EgcH AGGIDE $ 1,01,000,000OFFICERI7,IEMeERFJCGLUDED7
<br /> (Mandalory,In NH) E,L,DISEASE-FA EMPLOYEE s 1,000,000
<br /> IDd�l>a under
<br /> ES�RIPrION OFF OPERA71aNS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> Tools and Equipment Installation Floater$75,000.Limit
<br /> A Commercial Inland Marine ACP 2212994383 02127J2019 02/22/2020 Contractors Equip 22,250.Limit j
<br /> All Job Sites of the Insured $500d$1000-Ded r pectively
<br /> DESCR3P70H OF OPERATIONS I LOCATTONS I VEHICLES IACORD 101,AddNonar Remarks Sckeduto,may he efts Chad if more apace is required)
<br /> Orange County Is Included as additional insured(CG 20,33)and Waiver of Subrogation applies per Blanket Contractors Enhancement
<br /> Endorsement CG 72 88 under the general liability policy(please refer to attachments). The UmbrellafExcess Liability policy is"follow E
<br /> form". Blanket Waiver of Subrogation also applies to the workers compensation policy(please refer to attachments). I
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<br /> CERTIFICATE HOLDER CANCELLATION
<br /> Orange County
<br /> P.O.Box 8181 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED OLFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Hillsborough,NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> E-Mail: AIIrROR .D REPR 1FHC1A VE
<br /> E-Mail: anitaj@pronetsysfemsnc.cem
<br /> E-Mail: pAtf@pronetsystemsnc.com
<br /> 0 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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