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DocuSign Envelope ID:A121F1D3-3358-4FD7-8883-D6CB4A9B338A <br /> D <br /> ATE CERTIFICATE OF LIABILITY INSURANCE E(MM/DDIYYYY) <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: If 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 Leslie McCoy <br /> Lawson Insurance Group, Inc. a/c°ONFA <br /> o EXt, 919-846-2090 ext 202 ac No: 919-846-2438 <br /> 6512-101 Six Forks Rd. E-MAIL ADDRESS: leslie.mccoy@lawsonins.com <br /> Raleigh, NC 27615 INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A: Nationwide Mutual Insurance Company 23787 <br /> INSURED INSURERB: NorGUARD Insurance Company 25844 <br /> ProNet Systems, Inc. INSURERC: AIG Specialty Insurance Company <br /> 3200 Glen Royal Road INSURER D: <br /> Suite 107 INSURER E: <br /> Raleigh, INC 27617 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS 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 CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR IN SD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY <br /> X COMMERCIAL GENERAL LIABILITY y ACPCPP2222994383 02/22/202002/22/2021 EACH OCCURRENCE $ 1,000,000 <br /> A CLAIMS-MADE 1XI OCCUR DAMAGE TO RENTE <br /> PREMISES(Ea occur ence) $ 100,000 <br /> • Contractual Liability MED EXP(Any one person) $ 5,000 <br /> • Contractor's Enhancement PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY� PRO- <br /> POLICY LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> OTHER: Core Cyber 1000 Master Contract IFI551241 04/28/2019 04/28/2020 Aggregate $ 1,000,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> X UMBRELLALIAB OCCUR ACPCAF2222994383 02/22/202002/22/2021 EACH OCCURRENCE $ 4,000,000 <br /> A X, EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000,000 <br /> DED RETENTION$ None $ <br /> WORKERS COMPENSATION PRWC900559 04/28/201904/28/20201€ STATUTE ERH <br /> AND EMPLOYERS'LIABILITY <br /> B ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBEREXCLUDED? Y NIA <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> Tools and Equipment Installation Floater $75,000 <br /> A Commercial Inland Marine ACID CIM 2222994383 02/22/2020 02/22/2021 Contractors Equip $22,250 <br /> All Job Sites of the Insured $500./$1000. Ded respectively <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Orange County is included as additional insured (CG 20 33) and Waiver of Subrogation applies per Blanket Contractors Enhancement <br /> Endorsement CG 72 88 under the general liability policy(please refer to attachments). The Umbrella/Excess Liability policy is "follow <br /> form". Blanket Waiver of Subrogation also applies to the workers compensation policy(please refer to attachments). <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County <br /> P. O. Box 8181 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Hillsborough, INC 27278 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> E-Mail: khamlett@orangecountync.gov <br /> E-Mail: adorman@orangecountync.gov AUTHORIZED REPRESENTATIVE <br /> E-Mail: acornetto@orangecountync.gov <br /> E-Mail: patf@pronetsystemsnc.com <br /> ©1988-201 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />