2019-808-E AMS - BIRS Inc. Board of Elections roof repair

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DocuSign Envelope ID:Al607914-06A4-43E5-A9D2-E6E83E1 FCBEC A��" CERTIFICATE OF LIABILITY INSURANCE DATEiMMR7DIYYYYy 4/12/2019 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{ies)must have ADDITIONAL INSURED provisions 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 this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTT T Lynne A.Meyer,CIC,CpIW,AWNS Marsh McLennan Agency LLC P"�E .336-346-1302 FAArxc Na,212-607-B534 3525 N.. Elm Street E-MAIL Greensboro NC 27455 ADDRESS: Lynne.Meyer@marshmma.com INSURERS AFFORDING COVERAGE NAIC R INSURER A.Builders Premier Insurance Company 13036 INSURED BIRSINCI INSURER B:Builders Mutual Insurance Cam a ny 10844 BIRS, Inc. INSURER C:Columbia Casualty Company 31127 Mr. Raven Broeker PO Box 36197 INSURER D: Greensboro NC 2 74 1 6-61 97 INSURERE- ' INSURER F: COVERAGES CERTIFICATE NUMBER:379236999 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL 5wvD UBR POLICY NUMBER MMIDDNYYY MMMDNYYY LIMITS LTR A x COMMERCIAL GENERAL LIABILITY PCP000363200 5/1/2019 5/1/2020 EACH OCCURRENCE $1,000.000 CLAIMS-MADE T I OCCUR PREMISES a omumance $100,DD0 MED EXP(Arty one person) $5,000 PERSONAL a ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 71 POLICY[K JECT LOC PRODUCTS-COMPIOPAGG S2,000,000 OTHER, Is A AUTOMOBILE LIABILITY PCA0018423 5/1/2019 5/1/2020 CflMBiNED SINGLE LIMIT $1,000,000 Ea accdent x ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Paraccidemy $ AUTOS ONLY AUTOS X HIRED X NON-OV4NEO PROPERTY DAMAGE $ AUTOS ONLY ALTOS ONLY Per accident CompXcll Ded S 1,00011,000 8 X UMBRELLA LLRETENTION X OCCUR MUB000128600 5/112019 511/202D EACHOCCURRENCE $6.000,000 EXCESS LIARCLAIMS-MADE AGGREGATE $5,000,000 DED x S in nnn 13 $ A WORKERS COMPENSATION 1 PWC100029008 5/1/2019 5/1/2020 x STATUTE OETH- AND EMPLOYERS'LIABIUTY Y 1 N ANYPROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $1,000.000 OFFIC ERIM EM SER EXC LU DED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Rental Eq-pmeni PCP000363200 5/1/2019 5111202D Umlt $160,000 C E&OIPoIkJtiun CE0591855996 5/1/2019 1 51112020 L" I $1,000,000 DESCRIPTION OF OP E RATIONS I LOCATIO NSI VEHICLES IAC ORD 101,Additional Remarks Schedule,may be attached if more space Is requ Ired) f CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WFTH THE POLICY PROVISIONS. Orange County PO Box 85181 Hillsborough NC 27278 A x}IORI2EDREPRESENTATi IJRs,� le ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD