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AiCC> CERTIFICATE OF LIABILITY INSURANCE DATE(MtA ODYWY) <br /> 16.� 1 08/23/2013 <br /> PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFOIRMATION <br /> Marsh Dawson Insurance Agency,LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 5410 NC Highway 55,Sutie AI HOLDER. THIS CERTIFICATE DOES NOT AMEND, EX"SEND OR <br /> Durham,NC 27713 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 919-806-5109 <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: Nationwide Mutual Insurance Company <br /> Fun2Ref,LLC INSURER B: Riverport Insurance Company <br /> 1105 Infinity Road <br /> Durham,NC 27712-9795 INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ <br /> INSR ADD' POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/Yl' DATE MMIDO/YY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X A ® COMMERCIAL GENERAL LIABILITY ACP GLGO 2215150455 08/16/2013 08/16/2014 GENERAL AGGREGATE s 2.000,000 <br /> ❑ ❑CLAIMS MADE Z OCCUR PRODUCTS-COMP/OP AGG S 2,000,000 <br /> ❑ - PERSONAL&ADV INJURY $ 1,000, <br /> El _ DAMAGE TO RENTED $ 300,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER MED EXP(Any one person) $ 5,000 <br /> PRO- <br /> ® POLICY 0 ❑ - - <br /> JECT LOC $ <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> E] <br /> ANY AUTO (Ea accident) <br /> ❑ ALL OWNED AUTOS _ <br /> 8 BODILY INJURY t <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY : <br /> X NON-OWNED AUTOS (Per accident) <br /> ❑ PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ❑ ANY AUTO OTHER THAN EA ACC $ <br /> ❑ AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY ACP CAF 2215150455 08/16/2013 06/16/2014 EACH OCCURRENCE $ 1,000,000 <br /> ❑ OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 <br /> _ s <br /> ❑ DEDUCTIBLE f <br /> RETENTION S $ _ <br /> B WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS'LIABILITY WC-32-90-018509-01 08/3012013 06/30/2014 E.L.EACH ACCIDENT $ 100,000 <br /> ANY PROPRIETOR/PARTNERIEXECUTIVE - <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE f 100,000 <br /> If yes,describe under - -- <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Certificate Holder is listed as Additional Insured for Liability. <br /> CERTIFICATE HOLDER CANCELLATION <br /> ADDITIONAL INSURED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Orange County DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DIU S WRITTEN <br /> PO BOX 8 181 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO VO SO SHALL <br /> Hillsborough,NC 27278 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> g REPRESENTATIVES. <br /> 919-644-3042 AUTHORIZED REPRESENTATIVE <br /> 7orrya 914. Dawson <br /> ACORD 25(2001/08) ©ACORD CORPORATION 1988 <br />