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DocuSign Envelope ID: 1152D302-3E2A-4168-95EB-7031BEAF5629 <br /> ----"N OP ID:OL <br /> '4#%. ` CERTIFICATE 4F LIABILITY INSURANCE DATE 12 M7120 8 <br /> 12r17�xa1� <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 certificata holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditlorls of the policy,certain policies may require an endorsement. A statement on this certificate does not ranter rights to the <br /> certificate holder in lieu of such endorsements. <br /> PRODUCER N CONDI'verTACT <br /> HAMS: Kirk Brown <br /> Solutions <br /> Insurance PHONE 919-471-6222 FAIL <br /> Solutionnss t-LC ...- _ O;999-474-61347 <br /> P.O.Box 15734 E-N1A <br /> Durham,NC$i'7 04- ADARLES$'kbrnWn�dlYBrSeInS.CalT1 <br /> Diane S-Long �u°sroMe�ID a:13 )WBRO <br /> INSUA_EFa[5}-AFFOROING COVERAGE-...,.._•_ NAIC9 _ <br /> INSURED Brawn Brothers Plumbing and INsuReRA:Builders Premier Insurance Co. 10844 <br /> Heating Company,Inc. IUsuRERB:Builders Mutual insurance Co. 108" f <br /> 2820 N. Roxboro Road INSURERc-Admiral Insurance Co. — 44318 <br /> Durham, NC 27704 INSURER D:Travelers P a /Casual 36161 <br /> INSURER E' <br /> INSU RER F' <br /> COVERAGES CERTIFICATE NUMBER- REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 13ELOW HAVE BEEN ISSUED TO THE INSUREC NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING 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 SUCK POLICIES.LIMITS SHOWN MAY HAVE BEEN Rf_-DUCED BY PAID CLAIMS. _ <br /> ILTR TYPE OF INSURANCE i19 _ fK UCY NUMBER MIW b YYY MM1DD11'V Y m LIMITS <br /> GENERAL LABILITY E1CI I OCCURRENCE _ S 1,000,00 <br /> A X COMMERCIAL GENERAL LIABILITY PCP00005510 12134/2018 1213112018 PREMfSES(Ea vcc $ _ 300,00 j' <br /> CLAIMSdNAOE OCCUR W1ED F�tP[Any One person) $ ---_.. 10,00 k <br /> x contractual Nab. PERSONAL&A13V INJURY S 1,000,IIU <br /> X Deductible$500. GENERALAGGREGATE $ 2,000,00 <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00 <br /> POLICY X P LOC $ <br /> AUTOMC391LE LIABILITY - COMBINED SINGLE LIMIT $ 1,000,00 <br /> (Ea acdde[A) <br /> A X ANY AUTO PCA000694208 12131/2018 12131/2019 BODILY INJURY(Per psrson) $ <br /> Xf ALL OWNED AUTOS BODILY INJURY(Per accident) $ <br /> SCHEOU LED AVrO3 <br /> PRbPERTY°AIYIAt3E $ <br /> X HIRED AUTOS (PER ACCIDENT) <br /> X NON-OWNFDAUTOS $ <br /> X Deductible -0- <br /> X UMBRELt.ADAS X •OCCUR EACH OCCURRENCE $ '3,000rQ0 <br /> occess LUAa ��rMS-MADE AGGREGATE $ S,QQp,00 <br /> $ MU1300 34308 01 12/31/2018 12131/2019 - <br /> DEDUCTIBLE r $ <br /> X RETENTION $ 10,000 $ <br /> WORKERS COMPENSATION x 1NC STATU- OTH- <br /> AND EMPLOYERS'LIA8IIJTY <br /> S ANY PROPRIETOWARTNERIEXLCUTIVE YfN CP004435510 1213112818 12131120191 EL.EACH ACCIDENT $ 1200Qr00 <br /> OFFICERIMEMBER EXCLUDED? N I A <br /> (ReandatarylnNH) EA EMPLOYEE $ 1,000,00 <br /> •Ifyes,describe under <br /> DESCRIPTION OF OPERATIONS below E,t..DISEASE-POLICY LIMIT $ 1,0aD,U0 <br /> C �Pollutlon L.lab. FEI-ECC-22903-02 0810 112018 08/03/2019 0ce/Aggr. 2,ODO,00 <br /> D Third Party Crime 106446766 0112012019 01/20/2020 100,000 5000.ded. <br /> DESCRIPTION OF OPERATIORS I LOCATIONS i VEHICLES(Attach ACORD 401,Add[tional Remarks Schedule,IT,nore space is required) <br /> email to:accoper@orangecountync.gov <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANC07 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Tl B County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange tY ACCORDANCE WITH THE POLICY PROVISIONS. <br /> P.O. Box 8181 !. <br /> Hillsborough,NC 27278 AUTHOTWEDREPRESPNTATIVE <br /> Diane S. Long r <br /> 01988-2009 ACORD CORPORATION. All rights reserved. <br /> ACCRD 25(2009109) The ACORD name and logo are registered marks of ACORID <br />