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�1 CONSLAU OP ID:DBB <br /> CERTIFICATE OF LIABILITY INSURANCE <br /> DATE 01/16/2014Y) <br /> 01/16/2014 <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 <br /> the 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 /> INSURANCE SERVICE CENTER NAME: <br /> PO BOX 40736 PHONE FAX <br /> A/C No Ext: A/C No): <br /> FAYETTEVILLE,NC 28309 E-MAIL <br /> ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC 0 <br /> INSURER A:FHM INSURANCE COMPANY <br /> INSURED CONSOLIDATED LAUNDRY INSURERB:AUTO-OWNERS 18988 <br /> EQUIPMENT,INC <br /> 530 MAYWOOD AVE INSURER C: <br /> RALEIGH,NC 27603 INSURER D: <br /> INSURER E: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 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 /> ILTRR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM IC EXP LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br /> B X COMMERCIAL GENERAL LIABILITY 35160138 0511512013 0511512014 PREMISES Ea occurrence $ 300,00 <br /> CLAIMS-MADE 7 OCCUR MED EXP(Any one person) $ 10,00 <br /> PERSONAL&ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 <br /> POLICY X PRO- LOC $ <br /> AUTOMOBILE LIABILITY Ea COMBINED SIN L LIMIT $ 1,000,00 <br /> B X ANY AUTO 4916013801 0511512013 05115/2014 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Par accident) $ <br /> AUTOS AUTOS ) <br /> X HIRED AUTOS Ix <br /> NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS PER ACCIDENT <br /> UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,00 <br /> B EXCESS LIAB CLAIMS-MADE 150326 0511512013 0511512014 AGGREGATE $ <br /> DIED I X I RETENTION$ 0 $ <br /> WORKERS COMPENSATION X WC STATU- X OTH- <br /> AND EMPLOYERS'LIABILITY I ER <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 30600247162012A 0511512013 0511512014 E.L.EACH ACCIDENT $ 1,000,00 <br /> OFFICERIMEMBER EXCLUDED? NIA <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANCAN <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ORANGE COUNTY ANIMAL SERVICES ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PAULA PHILLIPS,OFFICE SUPERVI <br /> 1601 EUBANKS RD AUTHORIZED REPRESENTATIVE <br /> CHAPEL HILL,NC 27516 <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />