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DocuSign Envelope ID: BB2863CC- 7483- 443D- 9BD6- 57ECFF18CA7A
<br />MORIAME -02 MALIRA
<br />DATE (MMIDDIYYYYI
<br />CERTIFICATE OF LIABILITY INSURANCE 512112015
<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 />BELO'w ' 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 Willis Certificate Center
<br />Willis of North: Carolina, Inc. PHONE 877 945 -7378 Fax
<br />c/o 25 Centu Blwdl (AIC, No, Extl. )_ IAIC, No): (888) 457 -2375
<br />EMAIL
<br />P.O'. Box 305 91 ADDRESS." certificates@willis.com
<br />Nashville, TN 37230 -51'91 _
<br />INSURER(S) AFFORDING COVERAGE NAIL #
<br />_ _...
<br />INSURER A.Tokio Maurine America Insurance Company 10945
<br />. _... ._... .... .. ...
<br />INSURED
<br />INSURERS.
<br />Morinagla America Foods, Inc.
<br />INSURERC:
<br />PO Box 1359
<br />200 S. Cameron St
<br />INSURER
<br />Hillsborough, NO 27278
<br />INSURER Im
<br />'.. INSURER F'
<br />COVERAGES CERTIFICATE NUMBER:
<br />... ......... ......... "".� "... ..__.....,.,.. .. ...............................
<br />_ ... ....... REVISION. NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW
<br />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 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 .. ....... .... ........ ...FArh!bL.3l1N§R ......... ......
<br />POLICY EFP (POLICY EXP .... ... .... .....
<br />TYPE OF INSURANCE IpNS,D yurD POLICY NUMBER
<br />IMMPCDPY'Y`YY� IM MFi7DM1lY'WY,�. .., .., LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000 „000
<br />caca;UR CPP54t17433 iIW
<br />(DAMAGE TO RENTED
<br />0512612014 tI713112t115 1,000,000
<br />CI.AUM.3 MADE
<br />PREMISES (Eaoccurreanre) $
<br />ME,D EXP (Any ane person) $ 5,000
<br />P'ER'SONAL, S ADV INJLIR'Y $ 1,000,000
<br />GEN'L AGGPIEGAIE LIMIT APPLIES PER
<br />GENERAL AGGREGATE $ 2,000,000
<br />,..... POLICY PRO- ...� LOC. ',
<br />JECT
<br />PRODUCTS DUCTS - COMPiOP AGCY . S 1,000,000
<br />',. OTHFiR,
<br />S
<br />,___- _..._ ........
<br />AUTOMOBILE LIABILITY
<br />...- ....
<br />_ CEa a Went) lNCsl E` I,IIa71T S
<br />ANYAUTO
<br />BODILY INJURY (Perperson) $
<br />AL.L FNIVNED SCHEDULED
<br />BODIILY INJURY (Per arodenn"I $ ..._
<br />AUTOS AUTOS
<br />NON -C'MED
<br />PROPERTY DAMAGE $
<br />.... HIRE?AUTOS ..... AUTOS
<br />(Perac4ident) '..
<br />i........
<br />....� .. ... .. .... .... ............_ .. .........
<br />UMBRELLA LIAB OCCUR
<br />......__......' .... ...... ...... .......... _ ... .w ..... .....
<br />EACH 4Xr„ URRENCE
<br />.. _.
<br />EXCESS UAB CLAIMS-MADE
<br />AGGREGATE 5
<br />DLr`M].... RL"6ETION1$
<br />, ..
<br />, ....... --- .... - -_. _ ----------- - - - --_
<br />,'M""DRKERS' COMPENSATION
<br />..
<br />....�... ....... -._
<br />AND EMPLOYERS *LIA.BILITY YIN
<br />.alAi`4! "T&",. ER....
<br />ANY PROPRIETOR FPARTNERIEX:ECIIJ'TI4^I." ..�
<br />FL. EACH ACCIDENT .x
<br />C;NFFICEWME:MBER F.XC.D_h, DEDI? NIA
<br />... ...... ......... ......
<br />(Maedatory In NH) ..”
<br />E I.. DGSFAEE - FA EMPLOYtt Zr
<br />BC yyes describe under !.
<br />'
<br />._. _ .... I ......... .........
<br />E.L.. DISEASE POLICY 5
<br />DESCRIP71ON7OFOPE'RATI'ONSb'0ow
<br />- _.__ -_.. _.__.._ �_ ... ..... ... ... ..... ....... .. ...... ... .... ...... ................_,. ......._,....,.
<br />3 - LIMIT
<br />....... ._._.-._...... ,._.._.' _`__- . -.�._
<br />I
<br />I
<br />_ .... _ .... _..,, ..-- -_ .._. __ _.,.._. ....... .. .... ..... - ..... _............ __.... __- ---- ------
<br />DESCRIPTION OF OPERATIONS t LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule., may be aitached If more space is regWredl
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS..
<br />_ ............ ........._.......__._..............__..._... .............................. _ _.. _ _.. _ __ ........ .._ -- ...
<br />AUTHORIZED REPRESENTATIVE
<br />To Whom) It MaV Concern
<br />_
<br />x1988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORID
<br />
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