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CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYVY) <br /> 1/26/2014 <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 Jeff Darling <br /> g <br /> Cooley and Darling Insurance Agency PHONE (703)881-0113 FAC No:(703)659-0024 <br /> E MAIL <br /> PO Box 1228 AbDRE ,jdarling @cd-insure.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> Haymarket VA 20168 INSURER A Alliance of Nonprofits 10023 <br /> INSURED INSURERB:Travelers Casualty Insurance 19046 <br /> Farmer Foodshare, Inc. INSURERC:Travelers Property Casualty 5674 <br /> 104 Granite Ridge Road INSURER D: <br /> INSURER E: <br /> Chapel Hill NC 27516 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:CL1412803986 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 /> IINSR TYPE OF INSURANCE INSR SUER POLICY NUMBER MM/DDY� POLICY/ D/YYYY LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMA TO RENTED <br /> PREMI E Ea occurrence $ 500,000 <br /> A CLAIMS-MADE FX OCCUR 013-34971 12/1/2013 12/1/2014 MED EXP(Any one person) $ 20,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> X POLICY PRO LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident 1,000,000 <br /> B X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED 9C011005 /19/2014 /19/2015 BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Per accident <br /> Uninsured motorist combined $ 1,000,000 <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I J RETENTION$ $ <br /> C WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY YIN <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 <br /> OFFICER/MEMBER EXCLUDED? NIA <br /> (Mandatory in NH) 6BO27930 5/25/2013 /25/2014 E L DISEASE-EA EMPLOYEE $ 100,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Farmer Foodshare ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Jeff Darling/ANDY � --- <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> INSn25 r9mnn5i ni The Arrion nmma=nrf Innn ore►nnietcrori mnrlre of Af npn <br />