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^..,40 CLEANDE OP ID:SB <br /> â– CORO" DATE(MMIDD/YYYY) <br /> 411...----- CERTIFICATE OF LIABILITY INSURANCE 07/09/14 <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 Phone:919-286-7473 CONTACT <br /> Dominick Huckabee Noblin Trent <br /> Insurance Agency Fax:919-286-5170 (71/2."17o.Ext): FAX No): <br /> POBox 5223 EMAIL <br /> Durham,NC 27717-2239 ADDRESS: <br /> Steve Booth INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA:THE HARTFORD 29424 <br /> INSURED Clean Design, Inc INSURERB:AXIS Insurance Co . <br /> 8081 Arco Corporate Drive <br /> Raleigh,NC 27709 INSURER C. <br /> INSURER D. <br /> 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 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 /> INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER (MM/DDY/YYYY) (MM/DD/YYYY) LIMITS <br /> LTR JpISR WVD <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> A X COMMERCIAL GENERAL LIABILITY X 22SBABQ6790 05/03/14 05/03/15 pREM SES(Ea occu nce) $ 300,000 <br /> CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 <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 /> POLICY ? LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> (Ea accident) $ <br /> A ANY AUTO 22SBABQ6790 05/03/14 05/03/15 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS $ <br /> X HIRED AUTOS X AUTOS <br /> (Per DAMAGE <br /> ra cid nt <br /> $ <br /> UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 <br /> A X EXCESS LIAB CLAIMS-MADE 22SBABQ6790 05/03/14 05/03/15 AGGREGATE $ <br /> DED X RETENTION$ 5000 $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE I N f A E L EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? J <br /> (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ <br /> If yes,descnbe under <br /> DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ <br /> B Prof Liab MCN76471301 10/07/13 10/07/14 E&O Liab 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> Notification requirement of 30 days provided by endorsement SS 1223061 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange County, NC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> g ty, ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Officers,agents and employees <br /> Risk Mgmt AUTHORIZED REPRESENTATIVE <br /> P O Box 8181 <br /> Hillsborough,NC 27278 ''idligg'"---- <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />