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DocuSign Envelope ID: F52FF19B- 033A- 43E6- 81OF- 5875E4911113 LEE tad ®� � INSURANCE
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<br />PAGE 02/02
<br />OP 11D� SP
<br />DATE trvrt212010 1`�
<br />CERTIFICATE OF LIABILITY fNaU'�Ja�V�CE TI3,12l2Tl1$
<br />THIS CaftTIFiCATE IS 15$UED AS A MATTER OF INFORMATION ONLY AND CONIFERS 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 CE2TiFICrATE CIF INSuRANCIE DOES NOT CONSTITU'T'E A CONTRACT BETWEEN THE ISSUING INSURERS ), AUTHORIZED
<br />REPRESENTATIVE OR PR!3DUCFP, AND THE CERTIFICATE HOMER
<br />iIINPOfZTAN"i. If the Cs:rtdfl_te holder is an ADDITIONAL INSURED, the poiiay(Ees1 must be endorxed If SIIBR4LaATit)N IS WAIVED, subject la
<br />the terms and conditions .4 the policy, certain policies may require an endorsement A statement on this certiflcato does not Confer rights to 1;1.1e,
<br />PROPUCER
<br />Lee -Moore insurance Agency Inc
<br />P.O. [Box SST
<br />west End. NO 27376
<br />Alex Matolo
<br />Consu tents, Inc
<br />PQ Box 1399
<br />Durham NC 27705
<br />F CISeslev Kalnen
<br />91 9-932-9990 I,i ,may: 974.933 -4155 _
<br />r; cheslay.imi@gmall.com
<br />_
<br />INSURCRISS] AFFORDIN13 00KRAG €_
<br />IA; Hartford Insurance 14397
<br />,a .The Hanover Insurance Grain_.
<br />COVERAGES
<br />GERTIFICATE
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLER BEFORE
<br />NUMBER:
<br />THE EXPWATION KATIE THIEREOF, NOTICE WILL Ids bELIVEREC IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />PO Box 5181
<br />K1- _VISNJIV F41UMBEK -.
<br />I` ilisborougl ", NC. 27279
<br />THIS
<br />..._-
<br />IS TO CERTIFY THAT'°HE POLICIES
<br />OF INSURANCE
<br />LISTED BELOW HAVE SEEN
<br />1SSUE0 TO
<br />THE INSURED
<br />NAMED ABOVE- FOR THE
<br />POr..ICY PER[,DD
<br />INOICATED..
<br />NOTWITHSTANDING ANY REQUIREMENT,
<br />TERM OR GONDFrION OF ANY
<br />CONTRACT
<br />OR OTHER DOCUMENT
<br />WITH RESPECT
<br />TO WHICH T. IIS
<br />CERTIFICATE
<br />MAY 13E ISSUED OR MAY PERTAIN,
<br />THE
<br />WsuRANCE AFFORDED BY
<br />THE POLICIES
<br />DESCRIBED
<br />HEREIN IS SUBJECT TO
<br />ALL THE TERMS,
<br />EK"USIONS
<br />AND CONDM,'. NS OF SUCH
<br />POLICIES.
<br />LIMITS SHOWN MAY HAVE BEEN REDUGECI
<br />BY
<br />PAID CLAIMS.
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<br />TYP€ OF INSURAH-A
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<br />EACH OCCURRENCE
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<br />DESORIPTtlON OF OPERATIONS I IJ.'CATItIN9 f VENICLL3 IAttacFl ACORO 4Ct, Addlfianal Aumnllrlt 5CIkeeSU[n,lf .nerd space fa inquired]
<br />Cedar Grave School Nafianal ROW.StOT nOnllnati0n
<br />afe`r:l 1 ■TInul
<br />&T`JA9 -LUU" 1ALUR6f■.'VISrwVr%M I IVf`l- ell!1141112➢ FTUUIY<7U.
<br />ACORD 25 (7009,09) The AGORID name and logo are registered marks of ACORN
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLER BEFORE
<br />Orange County I]1:APR
<br />g tY
<br />THE EXPWATION KATIE THIEREOF, NOTICE WILL Ids bELIVEREC IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />PO Box 5181
<br />I` ilisborougl ", NC. 27279
<br />ArJtNOR�}] REPrdL�BEirTATNO'
<br />1
<br />&T`JA9 -LUU" 1ALUR6f■.'VISrwVr%M I IVf`l- ell!1141112➢ FTUUIY<7U.
<br />ACORD 25 (7009,09) The AGORID name and logo are registered marks of ACORN
<br />
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