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00/22/2014 0:28PM FAX 3363431000 JBC INSURANCE 00001/0001 <br /> CERTIFICATE OF LIABILITY INSURANCE D /003. <br /> 8//22/22/203.4 4 <br /> � <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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endol'sement_ A statement on this certificate does not Confer rights to the <br /> certificate holder in lieu of such endorsament s). <br /> PRODUCER CO TACT Clint Chappell <br /> ,Tarmings Bryan-Chappell Inaurance Services NHONE (336)227-7458 FAQ a,(336)3x3-1000 <br /> PO Rox 1118 E.MAI 81iIItr(d j>,C12{6 <br /> INSURER(61 AFFORDING COVERAGE NAIL if G' <br /> Burlington NC 2723.6 <br /> NSURGRAITyL oo Underwriters Irtc, <br /> INSURED <br /> INSURER B; S <br /> Claws Ina, I SURERC: <br /> 1516 Jo Mac Rd INSURER D: <br /> INSURER 9: @ <br /> Chapel Hill NC 27516 , 91, UR p: <br /> COVERAGES CERTIFICATE NUMBSR:CL149220087-4 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVI;FOR THr 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 HBREIN IS SUBJECT TO ALL THE! TERMS, <br /> EXCLUSIONS AND CONDITIDNS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> SR TYPO OF INSURANCE= oOL 9Ua POLICYF Policy EXP R <br /> P CY NUMB DDIYY bmml LIMITa <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE S 500,000 <br /> COMMERCIAL GENERAL LIABILITY DROMI Ea Data S 100,000 <br /> A CLAIMS-MADE �OCCUR 414465 1/5/2014 /5/2015 MED EXP Any one arson) S $1000 <br /> PERSONAL S ADV INJURY S 500,000 <br /> GENERAL AGGREGATE S 11000,000 <br /> CENL AGGREGATE LIMB APPLIES PER. PRODUCI S-CampIOF AGO III Included { <br /> POLICY PR LOG g I <br /> AUTOMOBILe LIABILITY OMaBINED SINGLE LIMB { <br /> ANY AUTO <br /> ALL"ED SCHEDULED <br /> 0001LY INJURY(Per palson) S I <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> HIRED AUTOS q NOWOWNED P PERTY DAMA <br /> AUTOS p ar S <br /> S <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE S <br /> EXCESS LIAIa HCLAIMS-MADE _AGGREGATE $ <br /> DeD I RETFNfIONS S <br /> WORKERS COMPENSATION VK ST TU- H- <br /> AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOfLPARTNER/EXECUTIVE t---l'( F.L.EACH ACCIDENT <br /> S <br /> OFFICERIMEMBER EXCLUDED? L J N/A <br /> (Mandptary In NH) <br /> If yes,deaCdha,mder E.L DISEASE-EA EMPLOYE S <br /> DESCRIPTION OF OPERATIONS below E.L,DISEASE-POLICY LIMIT S <br /> DESCRIPTION Of OPERATIONS/LOCATIONS i VEHICLES(Attach ACORD 104,Addlllanal It malka Schadnls,It mare space In rsquired) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE AROVS DESCRIED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Orange Country Animal Control ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1601 Eubanks Rd. AUTHQRrEEDREPRSSENTATNH <br /> Chapel Hill, NC 27516 <br /> Clint Cha�ppall/AC <::a4_' <br /> �. <br /> I I ACORD 26(2010/05) 0 1988-2010 ACORD CORPORATION. All rights reserved, <br /> INS025(;eniuospi The ACORD name and logo are registered marks of ACORD <br />