2020-051-E AMS - Carolina Restoration Services Seymour Center bathroom repair

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DocuSign Envelope ID: F86D014C-7DCC-42B5-83DE-B006EA690E74 AC"Ra® CERTIFICATE �F LIABILITY INSURANCE F-"ATEiMMfoofYYYY] %�. 09/1 W2019 THIS CERTIFICATE 15 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 CONTANAME: Amy Freeman Williamson Insurance&Financial Services Inc A", ,N 919 567-9580 PA Not: 919 557-9917 320 N Judd Parkway NE I-,,MARLss. am @williamsvn-insurance.cam Suite 204 INSURERS AFFORDING COVERAGE NAiC# Fuguay Varina NC 27526 INSURERA: Erie Ins Exchange 26271 INSURED INSURER B Carolina Restoration Services of NC Inc ENSURER C 3401 Gateway Centre Blvd INSURER D: INSURER E: fVlorrisville NC 27560 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 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 AODL SUBR POLICY NUMBER POLICY EFF POLICY LTR LIMEYS X COMMERCIAL GENERAL LUIBILITY EACH OCCURRENCE $ 1000000 DAMAGE TO RENT EIT- CLAIMS-MADE FX7 OCCUR PREMISES a occurrsnoe $ 10DO000 MED EXP(any orre person) $ 5000 A Q44-0152051 08/01/2019 08/01/2020 PERSONAL&ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2000000 POLICY PRO JECT FRI LOC PRODUCTS-COMPIOPAGG $ 2000000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 Ea accident X ANY AUTO BODILY RJURY(Per person) $ A OWNED SCHEDULED AUTOS AUTOS ONLY AUTOS Q08-0140177 08/01/2019 OSIM112020 BODILY INJURY(Per accdent) $ X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Peracadent X UMBRELLA LIAS X OCCUR EACH OCCURRENCE $ 4000000 A EXCESS LIA6 CLAIMS MADE Q32-0171383 08/01/2019 08/012020 AGGREGATE $ 400D000 DED I X I RL'TENTION 0 $ WORKERS CO MP EN SA TON PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR:PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICER,-MEMBER EXCLUDED? F7 NIA (Ka ndatoryIn NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Bailees Coverage-I In Transit Limit Limit 2000000 Ded 500. A Blanket Leased Equipment 044-0152051 08/01/2019 OBM1202o Limit 10000 Dad 500_ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule.may be attached if more space Is requiredl CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN Orange County ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 200 South Cameron Street AUTHORIZED REPRESENTATIVE Hillsborough NC 27278 Fax: Email: ©1988-2015 ACORD CORPORATION. Al rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD