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AQUAT-1 OP ID:TH <br /> AC°'RO CERTIFICATE OF LIABILITY INSURANCE 1 DATE(M9/20 4 <br /> 01!29/2014 <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 /> Martin&Harrill Inc NAME, Tonla Hubbard <br /> 221 W 11th Street PHONE 704-376-2436 �AI <br /> J ,Nb):704-375-2469 <br /> Charlotte,NC 28202-1715 E•MAR <br /> Zachary Harrill ADDRESS:thubbard @martinandharrili.com _ <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A_:Catlin Sp_e_cialty Insurance Co _ <br /> INSURED Group Aquatic Resource i — <br /> q P LLC INSURER B: - <br /> Suite 103-156 — - <br /> 8334 Pineville Matthews Road INSURER C: <br /> Charlotte,NC 28226 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 /> POLICY EFF <br /> LTR TYPE OF INSURANCE IN9R wtm J POLICY NUMBER MMAD IYYYY) fMMJDDArM LIMITS <br /> GENERAL LIABILITY 1,000 <br /> _EACH OCCURRENCE S ,DO <br /> A X COMMERCIAL GENERAL LIABILITY 13200301473 0310712013 03107/2014 DAMAGE To RENTED <br /> PREMISES(Ea occurrence) S 100,00 <br /> CLAIMS-MADE X J OCCUR MED EXP(Any one person) $ 10,00 <br /> r--�--' .-__.----- <br /> PERSONAL&ADV INJURY S 11000100 <br /> -------_ GENERAL AGGREGATE S 2,000,00 <br /> GEN'L AGGREGATE LfM1T APPLIES PER - PRODUCTS-COMP/OP AGO S 2,000,00 <br /> __. _ <br /> X POLICY !JE Q LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident S <br /> ANY AUTO BODILY INJURY(Per person) S <br /> ....II ALL OWNED ...I SCHEDULED <br /> i AUTOS _4 i AUTOS - BODILY INJURY(Per accdent) S <br /> W M <br /> L� HIRED AUTOS - NON-ONED PROPERTYbAAGE __ <br /> ---- .�AUTOS <br /> S <br /> UMBRELLA LIAR !OCCUR EACH OCCURRENCE S <br /> I EXCESS LIAB <br /> 'CLAIMS-MADE I <br /> -__ AGGREGATE <br /> T — t 3 <br /> DED RETENTION$ S <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS'LIABILITY YIN � TQRY WC STATU __L JOTH ER LIMiT�J <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT S <br /> OFFICER/MEMBER EXCLUDED? <br /> NIA .-„ <br /> (Mandatory in NH) ( E L DISEASE-EA EMPLOYEE(S <br /> i It yes describe under — <br /> DESCR)PTION OF OPERATIONS hek,w E.L-DISEASE-POLICY LIMIT S <br /> I I <br /> I I <br /> I <br /> DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES(Affach ACORO 701,Additional Remarks Schedule,it snore space is.requiretl) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ORANG-1 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> PO Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hillsborough,NC 27270 AUTHORIZED REPRESENTATIVE <br /> Cr31988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />