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09-05-14;03:55PM;The Pegram Agency ;2524385592 <br /> AC R° CERTIFICATE OF LIABILITY INSURANCE <br /> DATE D/YYYY) <br /> 9/511094 <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 TH>_CERTIFICATE HOLDER. <br /> IMPORTANT: It the certl0cate holder Is an ADDITIONAL INSURED,the policy(los)must be endorsed. It SUBROGATION IS WAIVED,subject to <br /> the terms and conditions or the policy,certain policies may require an endorsement A statement on this certlIICats does not confer rights to the <br /> certificate holder In lieu of such ondorsement s. <br /> PRODUCER .HAMS/ Ra Pegram Jr. <br /> The Pegram Agency PNO"e 262.438-8373 252438-6692 <br /> PO Box 409 L apramr9 nationwide.com <br /> 950 Henderson,NO 27538 FIERM)AFFO;3DPMQ COVERAGI MAIO N <br /> -INGUREMA, Scottsdale Insurance Company <br /> INSURED INAURIE I <br /> M&B Mobile Detailing IMUMER C; <br /> PO Box 3062 INSURER D <br /> Henderson,NO 27536 IN UREA I <br /> INSURER PI <br /> COVLERAGE$ 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 POUDiES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> rA TYPE OP INSURANCE P ICYNUM6 L1 YEP► PDLI LIFers <br /> UR COMMERCIALGENEAALLIA91UTY EACHOCORNCE S 1,000,000 <br /> aLAtMS•MADE 0oecuR CP82085788 9-09-14 946.18 13AMAOF <br /> icFSr encei 6 100,000 <br /> MED EXI A Upro pemani S 5,000 <br /> _ PaRSONALAADVINJURY S 1,000,000 <br /> LIE•I'L AGGREGATE LqGT <br /> IM�I�T APPLIES PER: NERD A R OA`M 2,008 000 <br /> POLICY❑%R F7 LOG PRODUCTS-COM► P AGO 3 2,000,000 <br /> OTHER: s <br /> AUTOMOBILE UA41LnY OMBINED LIMIT s <br /> ANY AUTO eODILY INJURY Pbr posed t <br /> ALL AUTOS OWNED SCT4EaULED BODILY INJURY(Ptr A0110 j S <br /> NON•OWNED PA A"OE = <br /> HFtRD AUTOS AUTOS <br /> S <br /> UMBRELLA LU18 Hocr UR EACH OCCURRENCE. <br /> EXCESS LIAR CLAIMS•MADE ADORE T <br /> PErENn0N 3 S <br /> WOKX[Me COMPENSATION H <br /> ANDS IPLOVERS'UAs1UTY YY�(___ <br /> ANY PROPRIETOR/PARTNEIVEXE017NE ^ OFI AOCIOEN7 <br /> gFPXYRME]ABEREXCLUDED7 �J N/A <br /> II+�P^dPtory In NMI F-L DISEASE-EA EMPLOY _S <br /> U oA dosorrpy Yndvf E.L.DISEASE-POUC UMR S <br /> SDAIPTION 6olow <br /> DESCAIPTION OF OP6RATIONe/LDOATIONS/VEHICLES(ACDIID 101,Addltlondl ROMA-a heIRA0,PIW ev v 14PII N IRON lfova IN 164Wrvd) <br /> CERTIFICATE HOLDER CAN ELL ATl N <br /> Orange City Dept of Social Services SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE E PIRAT10N DATE THEREOF, NOTICE WILL OR OfiLMRED IN <br /> PO Box$lei ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hillsborough,NO 27278 <br /> AUT"RIZED REPA ENTATTVE <br /> Attn:Joyce Lev <br /> Fax#419-644.3006 <br /> �W- <br /> 0 1OW2014 ACORD CORPORATION. All rights reserved. <br /> ACOAD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />