2020-164-E AMS - Burke Design Group Motorpool HVAC

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DocuSign Envelope ID:CA620586-ABFE-43A8-83DO-78EFC64B6215 r 13URKE-1 OP ID:SR ,4,lCoRO` CERTIFICATE OF LIABILITY INSURANCE 7DATE 10212 Y 0/02/2020 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed, if SUBROGATION 1S 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 endorsements. PRODUCER CONTACT THE YOUNG GROUP OF FUQUAY NAME: 411 N Judd Parkway NE,Suite A arcNNo Ext:919-552-8274 FAX No): 919-552-4615 Fuquay-Varina, NC 27526 E-MAIL ADDRESS: INSURER 5 AFFORDING COVERAGE NAIC# INSURER A:Hartford Underwriters Ins.Co. 130104 INSURED Burke Design Group Pa INSURER B:Erie Insurance Group 126271 Ben Burke #136 in addr 12218 Bradford Green Square wsURERc:RLI Insurance Company Cary, NC 27519 INSURERD: INSURER 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 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 ADDL VWK POUCY EFF POLICY EXP LTR TYPE OF INSURANCE twsFz wvn POLICY NUMBER MMIDDIYYYY MMIDD OMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 22SBAVD6060 12/23/2019 12/23/2020 DAMAGE GPREMISETO RENTED Ea occur ence $ 1,000,00 CLAIMS-MADE OCCUR IVIED EXP(Any one person) $ 10,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PERt PRODUCTS-COMPIOP AGG $ 2,000,00 POLICY F7 PRO LCC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,00 Ea accident $ B ANY AUTO 012-2330364 12/23/2019 12/23/2020 BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS X AUTOS BODILY INJURY(Per accident) S NON-OX HIREDAUTOS X AUT SWNEO PERPACCIDENATAGE S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS UAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X I WC STATU- OTH- AND EMPLOYERS'UASIUTYORYA ANY PROPRIETORIPARTNERIEXECUTIVE Y1 N 22WBCRI8597 11/28/2019 11/28/2020 E.L.EACH ACCIDENT S 1,000,00 OFFICERIMEMBER EXCLUDED? ❑ N I A (Mandatory in NH) E.LDISEASE-EAEMPLOYEE $ 1,000,00 If yes.describe under DESCRIPTION OF OPERATIONS below E,L,DISEASE-POLICY LIMIT S 1,000,00 C Professional Liabi RDP0037401 09/02/2019 09/02/2020 Prof Liab 1,000,00 Ded 2,50 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION ORANGEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County, NC Government THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g ty� ACCORDANCE WITH THE POLICY PROVISIONS. 131 W.Margaret Lane Hillsborough, INC 27278 AUTHORIZED REPRESENTATIVE O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD