Orange County NC Website
Client#:22189 SPAYNEUT <br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) <br /> 08/18/2014 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 NAME: <br /> "MA PLIT Business Insurance PHONE FJX <br /> A/C No,Ext: A IC,No): <br /> Hub International Midwest Limited E-MAIL <br /> ADDRESS: <br /> 55 East Jackson Boulevard,Ste 14B INSURER(S)AFFORDING COVERAGE NAIC# <br /> Chicago,IL 60604 INSURER Hartford Insurance Group 29424 <br /> INSURED INSURER B <br /> Spay-Neuter Assistance Program <br /> of North Carolina INSURER <br /> P.O.Box 278 INSURER D. <br /> New Hill,NC 27562 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 CONTRACTOR OTHER DOCUMENT WITH RE:PECT 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP <br /> LTR INSR WVD POLICY NUMBER MWDD MM/DD/YYYY LIMITS <br /> A GENERAL LIABILITY 83SBWRW6808 1/18/2014 01/18/201 EACH OCCURRENCE $2000000 <br /> X COMMERCIAL GENERAL LIABILITY DA G TO RENTED <br /> PR MIS S Ea ocxiurre ice $300 000 <br /> CLAIMS-MADE F7x OCCUR MED EXP(Any one per son) $10,000 <br /> PERSONAL&ADV INJ JRY $2,000,000 <br /> GENERALAGGREGAIE $4,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/O'AGG $4,000,000 <br /> POLICY 7 PRO- LOC $ <br /> AUTOMOBILE LIABILITY Ea COMBINED etSINGLE U AIT $ <br /> ANY AUTO BODILY INJURY(Per parson) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per a x:itlent) $ <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Per accident <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY YIN <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT I$ <br /> OFFICERIMEMBER EXCLUDED? F N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EM'LOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLIC"LIMIT 1$ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> Certificate Holder is included as Additional Insured as their interests may appear with respects to General <br /> Liability. <br /> Loc#1 -6588 BEAVER CREEK RD;NEW HILL,NC <br /> Subject to policy terms,conditions,and exclusions. <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County Risk Manager SHOULD ANY OF THE ABOVE DESCRIBED POLICIE: BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> PO Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hillsborough,NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> _71W <br /> GGG ©1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S948512/M948511 RM02 <br />