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DocuSign Envelope ID:OD740226-7CEO-4689-8080-921 1 D927618B <br /> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) <br /> PKUL)UUtR <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br /> r.NSI.J A\TCE PROFESSIONT uS,INC AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS <br /> 919 KILD,,%jRE,FARM ROAJ) CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br /> CARY,NC'2>>I I COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> URER A: AUTO-OWINERS INSURANCE COMPANY <br /> 18988 <br /> SI AVE IADVEMENT rt-)UIND,�Tlo\\4,Ii-C, INSURER B: <br /> P0 BOX 1497 <br /> INSURER 0: <br /> APEX,NNC 27502 <br /> INSURER D: <br /> INSURER E; <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br /> PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> t�R "POLICY EFFECTIVE POLICY EXPIRATION <br /> ............ <br /> TYPE OF INSURANCE POLICY NUMBER ,ATE,Mmr,,,,yy <br /> ,P <br /> LIMITS <br /> DATE(MMIDDNY) <br /> .A GENERAL LIABILITY EACH OCCURENCE $1,000,wo <br /> E COMMERICAL GENERAL LIABILITY B35I5t20IDF 03/05/2016 DAMAGE TO RENTED <br /> F-11 CLAIMS MADE Ej OCCUR I PREMISES(ca occurnaf—ce) S100.000 <br /> MED EXP(Any one pI;!rson', 55000 <br /> PERSONAL&ADV INJURY <br /> G SENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $1,000,000 <br /> PROOUCTS-COMPiOP AGG <br /> POUCY F-1 PROJECT E-1 Loc $1,000,000 <br /> IS <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br /> ANY AUT 0 (Each Occurrence? <br /> D ALL OWNED AUTOS <br /> BODILY INJURY <br /> ❑SCFE-ou'r-DAUTOS (Per oermli $ <br /> ❑HIRED AUTOS <br /> BODILY INJURY <br /> ❑ <br /> NON-0`v1.ED AUTOS am'dent) $ <br /> F-1 <br /> APReracvOPE DAMAGE <br /> db RTY <br /> C3 ............ <br /> F-1 GARAGE LIABILITY <br /> AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO <br /> EA ACC S <br /> OTHER THAN <br /> El- AUTO V QNLY� <br /> I AGG S <br /> EXCESSIUMBReLLA LIABILITY <br /> EACH OCCURRENCE <br /> !0 OCCUR ❑CLAIMS MADE i 'AGGREGATE <br /> ............. <br /> ❑DEDUCTIBLE .......... <br /> RETENTION $ <br /> $ <br /> ❑ WORKERS COMPENSATION AND I STATU- OTH- <br /> EMPLO YERS'LIABILITY TORY LIMITS <br /> ANY PR0PRIETORIPARTNERiExECu- <br /> TIVE OFFICERINIEMBER EXCLUDED7 E,L.EACH ACCIDENT <br /> I!yes:desixibe und-r <br /> SPECIAL PROVISIONS beivw E.L.DISEASE-EA EMPLOYEE <br /> E.L.DISEASE-POLICY LIMIT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> NFP ORGANIZA,rION-THER?V- 1EURC,N10Vfz?vfEN-fT <br /> CERTIFICATE HOLDER <br /> CANCELLATION <br /> ROBERT&PEAR1,&EY.MOUR CEN- TER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> 2551 flOMIESTEAD ROAD EXPIRATION DATE THEREOF,THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO <br /> CHAPEL HILL,NC 27516 MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT <br /> FAILURE 7w)OSO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> INSURER,) <br /> _I jZENTS O—RR NTATIVES. <br /> AUTHORI DR tt1!+a_ATIV5 <br /> ACORD 25(2001108) T- <br /> @ ACORD CORPORATION 1988 <br /> fi <br />