Orange County NC Website
DocuSign Envelope ID:92842175-DOOA-431 1-B062-209FFA3A94C8 <br /> Ar ® DATE(MMrDDrYYYY} <br /> `� CERTIFICATE OF LIABILITY INSURANCE 0712 312 01 9 <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- It 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 rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT peter Moon <br /> NAME: <br /> The Whitlock Group Inc PHc°Mp Ex {678}906-2008 FAX <br /> AIC No; (855)906-2012 <br /> 3300 Breckinridge Blvd Ste 200 E-MAIL s pmoon@twgins.net <br /> ADDRE <br /> INSORER(S)AFFORDING COVERAGE NAIC Al <br /> Duluth GA 30095 INSUReRA: Selective Insurance Company ofArnerica 12572 <br /> INSURED INSURER B: Wesco Insurance Company 25011 <br /> DUCT DOCTOR USA OF CHARLOTTE LLC DBA:DUCT DOCTOR INSURER C: <br /> 8508 PARK RD.SUITE 128 INSURER D: <br /> INSURER P: <br /> CHARLOTTE NC 28210 INSURERF' <br /> COVERAGES CERTIFICATE NUMBER: CL1912902326 REVISION NUMBER; <br /> THIS 15 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 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 C0NDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR AL1111,5UBR POLICY EFF POLICY EYP LIMITS <br /> LTR TYPE OF INSURANCE INS❑ WVD POLICY NUMBER MMIDOffYYY MMIODIYYYY <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1.000,000 <br /> GE TO ENTEO 500,000 <br /> CLAIMS-MADE X OCCUR PREMISES Ea occurrence) $ <br /> MED EXP(Any one person) S 15,000 <br /> A Y Y S 2216041 02/1512019 02/15/2020 PERSONAL&ADV I NJ U RY S 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S 2,000,000 <br /> POLICY F; -i PRO. ❑LOC PRODUCTS-COMP+OPAGG $ 2,000,000 <br /> JEC7 <br /> OTHER, <br /> $ <br /> Ail TOM OBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 <br /> Ea accident <br /> X ANYAUTO BODILY INJURY(Per person) S <br /> A OWNED SCHEDULED Y Y S 2216041 02/15/2019 02/15/2020 BODILY i NJ U RY(Per aecidenl) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> 5 <br /> X UMBRELLA LIAR OCCUR EACH OCCURRENCE 5 2,000,000 <br /> A EXCESS LIAR HCLAIMS-MADE Y Y S 2218041 02/15/2019 02/15/2020 AGGREGATE 5 2,000,000 <br /> DIED I X RETENTION S 10,000 5 <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN X STATUTE I I ER <br /> A N Y PROPRI ETOR7PARTNERIEJ(ECUTIVE E.L.EACH ACCIDENT 5 500,000 <br /> B OFFICERWEMBER EXCLUDED? � NIA Y VWUC3393983 02/15/2019 02/15/2020 <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 5 50Q,QD0 <br /> If yes,descA be under 500,DD0 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 <br /> DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schadufe,may be attached If more space Is required) <br /> {See attached Comments/Remarks page for coverage details} <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 8181 <br /> AUTHORIZED REPRESENTATIVE <br /> Hilfsborough NC 2727 <br /> 1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016ID3) The ACORD name and logo are registered marks of ACORD <br />