|
---OP ID: DLACORD
<br />l\--l GERTIFIGATE: OF LIABILITY INSURANCE DATE (MM/DD/YYYYI
<br />12t22t2020
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INF()RMATION 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 POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSU|NG TNSURER(S), AUTHORIZED/.-qPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />,PoRTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. lf SUBROGATION lS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Diversified Insurance
<br />Solutions LLC
<br />P. O. Box 15734
<br />Durham, NC 27704-
<br />Diane S. Long
<br />UUNIAGI
<br />NAME:Kirk Brown
<br />iAJS.nN'o. E,o,g1g-471-9222 | li6. '"', 919-471-6607
<br />iiffilss, kbrown@diversei ns.com
<br />6ilXi3;E[ rn t, BROWBRO
<br />INSURER(S} AFFORDING COVERAGE NAIC #rNsuRED Brown Brothers Plumbing and
<br />Heating Company, Inc.
<br />2820 N. Roxboro Road
<br />Durham, NC 27704
<br />TNSuRERA: Builders Premier Insurance co.10844
<br />rNsuRER B '
<br />Builders Mutual Insurance Co,10844
<br />tNsuRERc'Hiscox Pro 44318
<br />tNsuRER D : Travelers Propeftv/Casualtv 361 61
<br />INSURER E :
<br />INSURER F :
<br />CER'IIFICATE NUMEIER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE I-ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED NOTWITHSTANDING ANY REQUIREMENT, TER:M OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSiURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS |]HOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />NSR
<br />LTR TYPE OF INSURANCE
<br />quut
<br />INSP POLICY NUMBER .M
<br />Y
<br />IM LIMITS
<br />A
<br />A
<br />GENIrI
<br />ERAL LIABILITY
<br />COMMERCIAL GENERAL LIABILITY-l .ro,rr-,roo. Ixl o..r*
<br />contractual liab.
<br />)cP0000055 12 12t31t2020 12t3'U2021
<br />EACH OCCURRENCE s 1,000,00(
<br />I9KENIEU
<br />S lFa ocdlrrence)300,00(
<br />IMED EXP (Any one person)e 10,00(
<br />PERSONAL & ADV INJURY s 1,000,00(
<br />X Deductible $500.GENERAL AGGREGATE $2,000,00(
<br />GEN_l .L AGGREGATE LIMIT APPLIES PER
<br />--^^porrcvlXl-,AXi Loc
<br />PRODUCTS . COMP/OP AGG s 2,000,00(
<br />$
<br />OMOBILE LIABILITY
<br />ANY AUTO
<br />ALt OWNED AUTOS
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />NON-OWNED AUTOS
<br />Deductible -0-
<br />'cA0006942 10 12t31t2020 12t31t2021
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)$ 1,000,00(
<br />BODILY INJURY (Per person)s
<br />BODILY INJURY (Por accidgnt)$
<br />PROPERTY DAMAGE
<br />(PER ACCIDENT)$
<br />B
<br />X UMBRELLA LIAB
<br />EXCESS LIAB
<br />X I occun-l .ro,t.-too=vluB0100430B 02 12t31t2020 't2t3112021
<br />EACH OCCURRENCE $5,000,00(
<br />AGGREGATE $5,000,00(
<br />DEOUCTIBLE
<br />ierprurton s 10,000
<br />$
<br />X
<br />B
<br />WORKERS COMPENSATION
<br />ANO EMPLOYERS'LIASILITY Yl N
<br />ANY PROPRIETORiPARTNER/EXECUTIVE f;;l
<br />oFFlcER/lvlEl/BER EXCLUDED? | lr I
<br />(Mandatory in NH)
<br />lI ves. describe under
<br />^i.^6rdri^ir nE
<br />^DtrDATlnNlQ
<br />hal^ul
<br />N/A
<br />/vcP0044355 12 12t3112020 12t3',il2021
<br />VIWCSTATU-I IOTH' lTnDvttlilTQl I FR
<br />E L, EACH ACCIDENT s 1,000,00(
<br />E L DISEASE - EA EMPLOYEI s 1,000,00(
<br />E L DISEASE. POLICY LIMIT 1,000,00(
<br />c
<br />D
<br />rollution/Profess.
<br />Ihird Party Crime
<br />ANE2i26643820
<br />1 06446766
<br />06/03/2020
<br />01t20t2021
<br />06/03/2021
<br />0112012022
<br />Occ/Aggr. 2,000,00(
<br />100,000 5000'ded
<br />DEscRtpTtoN oF opERATtoNs / LocATtoNs / vEHlc_LEs (Attach AcoRD 101, Addltlonal Remarks scheduls, lf moro spacs i3 required)
<br />5.gg;t"W"fftth l%?Jllh:18#*'fi"t addition ar insured per the attached
<br />CERTIF
<br />ORANCOT
<br />Orange CountY
<br />Attn: County Manager
<br />200 S. Gameron St.
<br />P.O. Box 8181
<br />Hif lsborough,NC 27278
<br />@ 1988-2009 ACORD CORPORATION' All rights reseryed'
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVEbil^"i.r"":; p4*_ .{
<br />ACORD 25 (2009/09)The ACORD name and logo are registered marks of ACORD
<br />DocuSign Envelope ID: 436EBEB0-5FC6-4C32-9B4B-2E3D03020137
|