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<br /> schnabel-eng.com 4. Insurance / Lake Orange Intake Tower / 20
<br /> 4. Insurance
<br /> ......... ......... ........... .............. .............. .............. .............. ............................... . .......... .............. ............... ............ ..................................... ...........
<br /> DATE(MMIDDIYYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE 12/7/2023
<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 CONTNAME: Cherice Tracy
<br /> Scott Insurance-Richmond PHONE FAX
<br /> 3900 Westerre Parkway,Suite 200 e a Lo Ext:804-545-2234 AIc Ne:434-455-8524
<br /> Richmond VA 23233 ADDRESS: ctracy@scoftins.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:Continental Casualty Company A 20443
<br /> INSURED SCHNA-1 INSURERB:Transportation Insurance Company A 20494
<br /> Schnabel Engineering,LLC
<br /> Schnabel Engineering South,PC INSURERC:
<br /> 11-A Oak Branch Dr INSURERD:
<br /> Greensboro NC 27407 INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1258205802 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 NUMBER MMIDDPOLICY EFF MMIDDIYYYY LIMITS
<br /> POLICY EXP
<br /> LTR
<br /> A X COMMERCIAL GENERAL LIABILITY 6018601512 7/1/2023 7/1/2024 EACH OCCURRENCE $1,000,000
<br /> DAMAGE TO_7TED CLAIMS-MADE �OCCUR PREM SES Ea olccurrrence $100,000
<br /> MED EXP(Any one person) $15,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY�PRO-ECTFX]LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY 6018601526 7/1/2023 7/1/2024 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> A X UMBRELLALIAB X OCCUR 6018601557 7/1/2023 7/1/2024 EACH OCCURRENCE $5,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED X I RETENTION$in nnn $
<br /> B WORKERS COMPENSATION 618601543 7/1/2023 7/1/2024 X PER OTH-
<br /> B AND EMPLOYERS'LIABILITY YIN 7034214158 7/1/2023 7/1/2024 STATUTE ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> A Professional Liability AEH591906042 1/1/2023 7/1/2024 Per Claim 1,000,000
<br /> $200,000 Retention Aggregate 1,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Umbrella Policy applies over General Liability,Auto Liability and Employers Liability.General Liability does not exclude xcu coverages.
<br /> Workers Compensation applies in VA,GA,NC,MD,SC,PA,MD,NJ,NV,TX,NY,TN,KY,WV,CO,ID and DC;and all other states except ND,OH,WA and
<br /> WY. Workers Compensation Policy includes USL&H coverage.Coverages provided by Owner or Contractor Controlled Programs are excluded from policies
<br /> referenced herein.
<br /> IF REQUIRED BY WRITTEN CONTRACT,the following provisions apply to General Liability,Auto Liability,Workers Compensation and Umbrella Liability:
<br /> Additional Insureds on a primary,noncontributory basis for General Liability,for ongoing&completed operations for work performed by the Named Insured;&
<br /> for Auto Liability&Umbrella Liability.Waiver of Subrogation in favor of Additional Insureds for General Liability,Auto Liability,Workers Compensation,Umbrella
<br /> Liability and Professional Liability.
<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 /> EVIDENTIARY PURPOSES ONLY-Greensboro 73=TIVE
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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