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HomeMy WebLinkAbout2024-753-E-AMS-Brown Brothers Plumbing & Heating Company-Bonnie B Davis detention pond drainDocusign Envelope ID: EEFF240C-C5B3-4941-A2B6-4A08C2BC2962 Docusign Envelope ID: EEFF240C-C5B3-4941-A2B6-4A08C2BC2962 Docusign Envelope ID: EEFF240C-C5B3-4941-A2B6-4A08C2BC2962 Docusign Envelope ID: EEFF240C-C5B3-4941-A2B6-4A08C2BC2962 Docusign Envelope ID: EEFF240C-C5B3-4941-A2B6-4A08C2BC2962 Docusign Envelope ID: EEFF240C-C5B3-4941-A2B6-4A08C2BC2962 Docusign Envelope ID: EEFF240C-C5B3-4941-A2B6-4A08C2BC2962 Docusign Envelope ID: EEFF240C-C5B3-4941-A2B6-4A08C2BC2962 12/2/202412/10/2024 Docusign Envelope ID: EEFF240C-C5B3-4941-A2B6-4A08C2BC2962 12/2/2024 12/5/2024 12/10/2024 12/10/2024 Docusign Envelope ID: EEFF240C-C5B3-4941-A2B6-4A08C2BC2962 DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE 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(ies) 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 endorsement(s). CONTACTPRODUCERNAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER 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. ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSR WVD GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY $PREMISES (Ea occurrence) CLAIMS-MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER:PRODUCTS - COMP/OP AGG $ PRO-$POLICY LOCJECT COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $(PER ACCIDENT)HIRED AUTOS $NON-OWNED AUTOS $ UMBRELLA LIAB EACH OCCURRENCE $OCCUR EXCESS LIAB CLAIMS-MADE AGGREGATE $ $DEDUCTIBLE $RETENTION $ WC STATU- OTH-WORKERS COMPENSATION TORY LIMITS ERAND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N / AOFFICER/MEMBER EXCLUDED? (Mandatory in NH)E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2009/09) Kirkland G. Brown OP ID: KB 11/25/2024 Kirk Brown Diversified Insurance Solutions LLC P. O. Box 15734 Durham, NC 27704- Kirkland G. Brown 919-471-8222 919-471-6607 kbrown@diverseins.com BROWBRO Brown Brothers Plumbing and Heating Company, Inc. 2820 N. Roxboro Road Durham, NC 27704 Builders Premier Insurance Co.10844 Builders Mutual Insurance Co.10844 Philadelphia Ins. Company Travelers Property/Casualty 36161 1,000,000 A X X PCP0000055 15 12/31/2023 12/31/2024 300,000 X 10,000 X contractual liab.1,000,000 X Deductible $500.2,000,000 2,000,000 X 1,000,000 B X CAP0042875 13 12/31/2023 12/31/2024 X X X X Deductible -0- X X 10,000,000 10,000,000 B MUB0004308 06 12/31/2023 12/31/2024 X 10,000 X B WCP0044355 15 12/31/2023 12/31/2024 1,000,000N 1,000,000 1,000,000 C Pollution/Profess.PPK2690425-000 06/03/2024 06/03/2025 Occ.2,000,000 D Third Party Crime 106446766 01/20/2024 01/20/2025 2,000,000 10,000 Ded. email to: khamlett@orangecountync.cov ORANCO7 Orange County P.O. Box 8181 Hillsborough, NC 27278 Docusign Envelope ID: EEFF240C-C5B3-4941-A2B6-4A08C2BC2962