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CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <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 CONTACTNAME:PHONE(A/C, No, Ext):FAX(A/C, No): <br />E-MAILADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED <br />INSURER A : <br />INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:XXXXXXX <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 />INSRLTR TYPE OF INSURANCE ADDLINSD SUBRWVD POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCUR <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO-JECT LOC <br />OTHER: <br />EACH OCCURRENCE <br />DAMAGE TO RENTEDPREMISES (Ea occurrence) <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNEDAUTOS ONLY <br />HIREDAUTOS ONLY <br />SCHEDULEDAUTOS <br />NON-OWNEDAUTOS ONLY <br />COMBINED SINGLE LIMIT(Ea accident) <br />BODILY INJURY (Per person) <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE(Per accident) <br />$ <br />$ <br />$ <br />$ <br />$ <br />UMBRELLA LIAB OCCUR <br />EXCESS LIAB CLAIMS-MADE <br />DED RETENTION $ <br />EACH OCCURRENCE <br />AGGREGATE <br />$ <br />$ <br />$ <br />WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N / A <br />PERSTATUTE OTH-ER <br />E.L. EACH ACCIDENT <br />E.L. DISEASE - EA EMPLOYEE <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />$ <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE HOLDER CANCELLATION <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 REPRESENTATIVE <br />ACORD 25 (2016/03)©1988-2015 ACORD CORPORATION. All rights reserved <br />The ACORD name and logo are registered marks of ACORD <br />LOCKTON COMPANIES2100 ROSS AVENUE, SUITE 1400DALLAS TX 75201214-969-6700 <br />OVERHEAD DOOR CORPORATIONAND ITS SUBSIDIARIES LISTED ON THE NAMED INSUREDSCHEDULE ATTACHED HERETO2501 SOUTH STATE HIGHWAY 121, SUITE 200LEWISVILLE TX 75067 <br />ODC-USEONLY <br />7/1/2023 <br />1342188 <br />X <br />2,000,000 <br />XXXXXXX <br />XXXXXXX <br />XXXXXXX <br />XXXXXXX <br />X X <br />X 10,000 <br />10,000,000 <br />10,000,000 <br />XXXXXXX <br />X <br />X <br />X SIR applies per <br />policy terms & cond. <br />2,000,000 <br />1,000,000 <br />XXXXXXX <br />2,000,000 <br />4,000,000 <br />4,000,000 <br />Excess Workers Comp.WC Statutory Limits; 1M EL/EaAccident; 1M EL Disease Emp/Policy <br />N <br />X <br />1,000,000 <br />1,000,000 <br />1,000,000 <br />Mitsui Sumitomo Insurance USA Inc.22551 <br />Navigators Insurance Company 42307 <br />Twin City Fire Insurance Company 29459 <br />Mitsui Sumitomo Insurance Co of America 20362 <br />A BVR 8406521 (AOS)10/1/2022 10/1/2023ABVM 8803088 (MA)10/1/2022 10/1/2023 <br />D 46 ECS OF9007 10/1/2022 10/1/2023 <br />B XWC9800047 7/1/2022 7/1/2023 <br />C CH22UMRZ0C74NIV 10/1/2022 10/1/2023 <br />A WCP 9113272 (AOS)10/1/2022 10/1/2023AWCP 9114841 (MA)10/1/2022 10/1/2023 <br />See Attachments <br />Orange County Asset Management ServicesAttn: Allison CooperPO Box 8181Hillsborough NC 27278 <br />13748109 <br />13748109 <br />9/16/2022 <br />Re: Project: Orange County Skills and Development Center, 503 West Franklin Street, Chapel Hill, NC 27516. <br />X <br />Y N <br />N N <br />N N <br />N <br />N N <br />DocuSign Envelope ID: 4537E875-E749-432F-8125-E0687408422F