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, k.. CERTIFICATE OF LIABILITY INSURANCE DATE/07/2013 ) <br /> �'� 11/07/2013 <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 be endorsed. If SUBROGATION IS WAIVED,subject to the <br /> terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> Sheila Geibig Agency,LLC PHONE FAX <br /> AIC No): <br /> 400 W ROSEMARY ST E-MAIL <br /> ADDRESS: <br /> STE 1006 INSURERS AFFORDING COVERAGE NAIC# <br /> CHAPEL HILL NO 27516-2338 iNSURERA: NATIONWIDE MUTUAL INSURA14CE COMPANY 23787 <br /> INSURED INSURER 8: NATIONWIDE MUTUAL FIRE INSURANCE COMPAI 23779 <br /> INSURER C: <br /> SPARKLE WINDOW CLEANERS LLC INSURER D: <br /> 1808 US 15 501 S INSURER E: <br /> CHAPEL HILL NO 27517-6031 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION 14UMBER: <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 ADDL SUBIR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DDIYYYY MMIDDIYYYY LIMITS <br /> GENERAL LIABILITY EACH OCCUR 2ENCE $ 500,000 <br /> X COMMERCIAL GENERAL LIABILITY I--; PREMISES Ee occurrence $ 100,000 <br /> CLAIMS-MADE 1XI OCCUR MED EXP(Any one person) $ 1,000 <br /> B ACID GLGO 2215477745 02/16/2013 02/16/2014 PERSONAL&.aDV INJURY $ 500,000 <br /> GENERAL AG(>REGATE $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-(:OMPIOPAGG $ 1,000,000 <br /> X POLICY PRO- <br /> 7 LOC $ <br /> AUTOMOBILE LIABILITY rl�� Ee aacideD SINGLE LIMI $ <br /> ANY AUTO L BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per $ <br /> AUTOS AUTOS ( ) <br /> HIRED AUTOS NON-OWNED PROPERTY DiWAGE <br /> H $ <br /> AUTOS Per accident $ <br /> UMBRELLA LIAR OCCUR f I EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE III 1 AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION WC STA°U- I OTH- <br /> AND EMPLOYERS'LIABILITY YIN I IT ER <br /> ANY PROPRIETORIPARTNER/ECECUTIVE <br /> OFFICE/MEMBER EXCLUDED? F—] NIA E.L.FACHAC('(DENT Is <br /> (Mandatory in NH) E.L.DISEASE EA EMPLOYE $ <br /> If yes,describe under <br /> R OF OPERATIONS below E.L.DISEASE POLICY LIMIT I $ <br /> I..._.. <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Daniel Langham SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> DBA Sparkle Window Cleaners LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1808 US 15-501 S <br /> Chapel Hill NC 27517 AUTHORIZED REPRESENTATIVE <br /> Blanca Patino <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/06) The ACORD name and logo are registered marks of ACORD <br />