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DocuSign Envelope ID: F6D44040-F8B5-4CC2-8443-C34E90D3BF8C <br /> CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)6/15/2016 <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 Amy Carl <br /> NAME: y <br /> Jennings Bryan—Chappell Insurance Services PHONE (336) FAX <br /> o Ext) (336)343-1000 <br /> PO Box 1118 E-MAIL <br /> ADDRESS:am y @ 'bcins.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> Burlington NC 27216 _INSURERANauti.lus Insurance Company 17370 <br /> INSURED INSURER B: <br /> Claws Inc. INSURER C: <br /> 1516 Jo Mac Rd INSURER D: <br /> INSURER E: <br /> Chapel Hill NC 27516 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:CL1661502098 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 EFF POLICY EXP LIMITS <br /> LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 500,000 <br /> DAMAGE TO RENTED 100,000 <br /> A CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ <br /> NN576841 1/5/2016 1/5/2017 MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 500,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 1,000,000 <br /> X POLICY PRO- LOC PRODUCTS-COMP/OPAGG $ Included <br /> JECT <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS AUTOS (Per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION J PTATUTE J ....J.EOTH <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory in NH) E .DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E .DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> (919) 918-2393 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange County Animal Control THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Attn Paula Phillips ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1601 Eubanks Rd. <br /> Chapel Hill, NC 27516 AUTHORIZED REPRESENTATIVE <br /> Amy Carl/AC '�-.� <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br /> INS025(201401) <br />