2019-218-E AMS - Boomerang Link moisture mitigation

Browse Search

DocuSign Envelope ID:84FEED65-C734-4847-8E30-55FF579C2681 page 2 of 3 E... Client#:121479 70BOOMEDES GATE(MMIODIYYYY) ACORD., CERTIFICATE OF LIABILITY INSURANCE 01/15/2019 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(les)must have ADDITIONAL IN§Ulf ta_proeis€ons or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on Ihis certificate does not confer any rights to the certificate holder In IIsu of such endorsement(s), PRODUCER CONTACT Charlotte Certificate Team NAME: McGriff Insurance Services PHONE, el);704 954-3000 No, 888-751-3197 5925 Carnegie Blvd Suite 400 E-MAIL ccertteam0mcgriff Charlotte,NC 2,9209 INSURERS)RFFORDING COVERAGE NAIC Y 704 954-3004 14990 INSURER A:Mnmylwnla Naavr nl f,Mu^i Cea kn co INSURED INSURER B: Boomerang Design PA INSURER C: PO Box 2285 INSURER D: Shelby, NC 28i 51 rnlsuR£R E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUI3JECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iTH TYPE OF INSURANCE DD UBR pOu Y EFF POLICY EXP LIMBS INSR VVVD POLICY NUMBER MMIDDIYYYY MMMDIYYY A X COMMERCIAL GENERAL LIABILITY y BP90670238 2/11/2019 02111/202C EACH OCCURRENCE $1 00Q 000 CLAIMS-MADE 5XI OCCUR PREM,B£S Faoccu[[ence 000000 MED EXP(Any an parson) s es 000 PERSONAL&ADV INJURY $1 0W 000 GEN'✓_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 000,000 POLICY❑JECT LOG PRODUCTS-COMPIOP AG s2,000,000 OTHER: $ A AUTOMOBILE LIABILITY Y AU90670238 2/11/2019 021I t1202 COMBCNmeO SWGLELIMrT 1,000 0170 IX ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURYIPeraccidenQAUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY❑AMAGE AUTOS ONLY x AUTOS ONLY Per acciden s A X UMBRELLA LIAB x OCCUR Y UL9067023$ DVI1/2019 OVI 112020 EACH OCCURRENCE s3,000,000 EXCESS LIAB I LCLAIMS-MADE AGGREGATE s3,000,000 DEO RETENTION$ _ _ $ WORKERS COMPENSATIbN pEFt OTH- AND EMPLOYERS'LIAEILII'Y ANY O MCERIMEMSER EXCLIJOE E?EIXITIVE E.L.EACH ACCIDENT ❑ N 1A $ (Mandatory in NH) E.L.DISEASE•EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES(ACORD 1 of,Additional Remarks Schadula,[nay be attechad If more space Is required) Certificate Holder Is automatically listed as A Did it Iona I Insured IF required in their written contract with the Insured. Blanket Additional Insured Endorsement applies. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 S Caiheron St PO Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE 0 1 988-201 5 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 2 The AC0RD name and logo are registered marks of ACORD 847 #S227486531M22748569 SMWA