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DocuSign Envelope ID: 19E6621B-D4D8-44A4-91A7-513B87CF541C
<br /> DATE(MM/DDIYYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE
<br /> DATE
<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 CONTACT
<br /> NAME: Amy Summers
<br /> Scott Insurance PHONE FAX
<br /> 400 Bellemeade Street, Suite 201 (A/C.
<br /> A/C No Ext: 336-510-0075 A/c No),
<br /> Greensboro NC 27401 ADDRESS: asummers@scottins.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA:Zurich American Insurance Company A+ 16535
<br /> INSURED BRADY-7 INSURER B: Houston Casualty Company A++ 42374
<br /> Brady Services Holdings Inc, MMK, LLC, Brady Trane Service Inc, INsuRERc: Evanston Insurance Company A 35378
<br /> Brady Services Inc, Brady Sales&Services Inc, Brady Parts Inc,
<br /> Brady Integrated Security Inc, INSURERD:Travelers Excess and Surplus Lines Company A++ 29696
<br /> J. Brady Contracting, Inc, Icon Boiler, Inc INSURERE:XL Specialty Insurance Company A+ 37885
<br /> PO Box 13587, Greensboro NC 27415
<br /> INSURER F
<br /> COVERAGES CERTIFICATE NUMBER:236122213 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 EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY
<br /> A X COMMERCIAL GENERAL LIABILITY Y GL03433329 10/1/2023 10/1/2024 EACH OCCURRENCE $2,000,000
<br /> TED
<br /> CLAIMS-MADE � OCCUR PREMISES(Ea o DAMAGE TO ccurrence) $300,000
<br /> MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
<br /> POLICY jE LOC PRODUCTS-COMP/OP AGG $4,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY Y BAP3433330 10/1/2023 10/1/2024 COMBINED SINGLE LIMIT $2,000,000
<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 /> Hired Physical Damage $100/1,000
<br /> C X UMBRELLA LIAB X OCCUR Y MKLV2EUL105763 10/1/2023 10/1/2024 EACH OCCURRENCE $5,000,000
<br /> D EX-4S291802-23-N F 10/1/2023 10/1/2024
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED X RETENTION$n $10M x$5M Excess $10,000,000
<br /> A WORKERS COMPENSATION Y WC3433328 10/1/2023 10/1/2024 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N N/A
<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 /> B Professional&Pollution Liab HCC2369150 10/1/2023 10/1/2024 5,000,000 per occ/agg 35,000 ded
<br /> E Builders Risk/Installation Fltr UM00145642MA23A 10/1/2023 10/1/2024 500,000 Limit 5,000 ded
<br /> Leased&Rented Equipment Limit 200,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> Orange County,its officers,official agents,and employees are additional insured with regards to General,Auto and Umbrella liability if required by written
<br /> contract.A waiver of subrogation as respects workers compensation applies in favor of the Certificate Holder if required by written contract.30 day notice of
<br /> cancellation will be provided to the certificate holder except for nonpayment of premium.
<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 /> Orange County North Carolina ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> PO Box 8181
<br /> Attn: Risk Management AUTHORIZED REPRESENTATIVE
<br /> Hillsborough NC 27278
<br /> r
<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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