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_~ <br />-~„~..."~ ,. <br />'~"~°`R°' CERTIFICATE OF LIABILITY IN °"~`MM'°°'""~" <br />SURANCE <br />~` 12/19/11 <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 BE7WEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAI INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this cert'rficate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER NAMEACT R2b2~C}Cd Bowen <br />Bowen Agency Inc. PHONE .glg_g2g_4222 ac No:919-341-7061 <br />1801 E. Franklin St. B202 pDDR~ess:rebekka@bowen-a enc .com <br />Chapel Hlll <br />NC 27514 PRODUCER <br />, c <br /> INSURE S AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: Tlle HaTYfOTd <br />Beth May DBA Tempeh Girl INSURER6: <br />232 St <br />bl <br />Rd '"S"RER ° : <br />a <br />e <br />. <br /> INSURER D : <br />Carrboro, NC 27510 INSURER E: <br /> INSURER F : <br />GOVERAGES C_FRTIFICATF NI IMRFR• o~v~mnu w~~ ~~~cco. <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. NONNTHSTANDING 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 POLICfES 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 <br />LTR TypE OF INSURANCE ADDL SUBR <br />POLICY NUMBER POLICY EFF <br />MMIDD/YYW POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />A GENERALLIABILITY 1 ZZSBBL 226 1 11 11 1 11 IZ EqCHOCCURRENCE $Z~OOO~OOO <br /> X COMMERCIAL GENERAL LIABILITY PREMISES EaEOCCUrrence $ 2 OOO OOO <br /> CLAIMS-MADE ~ OCCUR MED EXP (Any one person) $ 1 O OOO <br /> PERSONAL & ADV INJURY $ 2 OOO OOO <br /> GENERAL AGGREGATE $ 4 OOO OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ <br /> X POLICY PR~ LOC $ <br /> AUT OMOBILE LWBILITY COMBINED SINGLE LIMIT <br />$ <br /> (Ea accident) <br /> ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br /> ALL OVJNED AUTOS <br />BODILY INJURY (Per accitlent) <br />S <br /> SCHEDULED AUTOS <br /> <br />HIRED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br /> NON-0WNED AUTOS $ <br /> $ <br /> UMBRELLA l1AB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION <br />AND EMPLOYERS' LJABILITY WC STATU- OTH- <br /> Y/ N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE ^ <br /> <br />N ~ A <br />E.L. EACHACCIDENT <br />$ <br /> OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ <br /> If Yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLtCY LIMIT <br />$ <br /> <br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Orange County, NC is added as an additional named insured <br />CERTIFICATE HOLDER CANCELLATION <br />Orange County~ NC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />SOO Va110y FOT'ge RC~. ACCORDANCE WITH THE POLICY PROVISIONS. <br /> <br />Hillsborough~ 1V C 2/ 2/ O AUTHORIZED REPRESENTATiVE <br /> <br />O 1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />