2020-211-E AMS - Warren Hay Animal Svc compressor repair

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DocuSign Envelope ID: BAAB58D1-80EA-45D2-8C35-81EBAOFBD77D Client#: 1931542 20WARREHAY ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATEfYYYY' 121311201l2O19 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(5),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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER R NTACT N RME: Michael Brown III Insurance Services PHONE 919 281-4518 FRx 888 746-871i1 AlC,No,Ext: AlC,No Post Office Box 13941 ADDRIESS, Michael.Brown@mcgriffinsurance.com Durham, 50 27709 INSURER(5)AFFORDING COVERAGE NAIC# 919 281-4500 INSURER A:National Trust Insurance Company 20141 INSURED INSURER B:FCC[Insurance Company 10178 Warred Hay Mechanics! Contractors Inc INSURERC:Bridgefield Employers Insurance 10701 P.O. Box 818 Hillsborough, NC 27278 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 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 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMfDDMYY MNIfDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CPP100054108 12/3112019112/3112020 EACH OCCURRENCE $1000000 CLAIMS-MADE �X OCCUR PREMI ES EaEooccu r nce $100 000 MED EXP(Any one person) $1 D 000 E PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE s 2,000,000 POLICY I ^ JECOT F7 LOC PRODUCTS-COMPIOP AGG s 2,000,000 AX9THER. $ B AUTOMOBILE LIABILITY CA100064109 12/31/2019 12/31/202 COMBINEDSINGLELIMIT EaaccidenE $1,000,000 X ANY AUTO i BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ $ B X UMBRELLA LIAB X OCCUR UMB100054110 1213112019 12/3112020 EACHOCCURRENCE s3,000,000 EXCESS LIAf3 CLAIMS-MADE AGGREGATE $ QED X RETENTION$$10 D00 $ C WORKERS COMPENSATION 019640173 1213112019 12I311202 X P7p DTH- AND EMPLOYERS'LIABILITY Y!N ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $500 000 OFFICERWEMBEREXCLUDED? � NIA {Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5500,000 If yes,describe under DESCRIPTION OF OPERATIONS below I E-L.DISEASE-POLICY LIMIT $500,000 A Leased I Rented CPP100054108 121311201911213112020 $60,000 Equipment DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may he attached if more spare is required) CERTIFICATE HOLDER CANCELLATION Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 8181 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S2494740SIM24946728 MROB