2020-259-E AMS-LRC Indoor Testing and Research environmental quality inspection

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DocuSign Envelope ID: 15092B8F-0126-44C5-817A-8F73OD62BC94 ACCPR"� P ATE(MM/DD/YYYY) ��. CERTIFICATE OF LIABILITY INSURANCE 04/01/2020 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(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must 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 endorsements . PRODUCER CONTACT GARY NOBLES Nobles Insurance Agency PHONE (919)467-1703 FAX (919)467-3103 224 HIGH HOUSE RD,SUITE 102 E-MAIL CARY NC 27513 NOBLESG@NATIONWIDE.COM INSURERS AFFORDING COVERAGE NAIC# INSURER A:CINCINNATI INSURANCE COMPANY 23779 INSURED INSURER B:INSURANCE INTERMEDIARIES 10677 LRC INDOOR TESTING&RESEARCH INC 140 IOWA LN INSURER CCAPITOL SPECIALTY INSURANCE CORP 23779 SUITE 102 INSURER D: CARY NC 27511-4498 INSURERE: IN RER 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS POLICY NUMBER C X COMMERCIAL GENERAL LIABILITY X X ACPGLG02213464239 06/24/2019 06/24/2020 EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE7X1 OCCUR DAMAPRE MGE TO RENTED $ 100,000 MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER, $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per acciden) C UMBRELLA LIAB X OCCUR ACPCAF2213464239 06/24/2019 06/24/2020 EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB AGGREGATE $ 2,000,000 CLAIMS-MADE DED RETENTION $ A WORKERS COMPENSATION 6C28UB-2E28464-1-19 06/24/2019 06/24/2020 PER X OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE —] E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B PROFESSIONAL LIABILITY EV20190781-02 02/21/2020 02/21/2021 EACH OCCURRENCE 1,000,000 AGGREGATE 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) When required by written contract the certificate holder is included as additional insured with regards to General Liability.Endorsement CG 2010 CERTIFICATE HOLDER CANCELLATION AI 007598 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ORANGE COUNTY THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 8181 HILLSBOROUGH NC 27278- AUTHORIZED REPRESENTATIVE Fax:( ) @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD