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DocuSign Envelope ID: COE7277A -DF52- 4508- 985D- E6BEFF540E10 CERTIFICATE OF LIABILITY INSURANCE 3/27/2018' THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER HUB INTL MIDWEST LTD /ANNA /PLIT 550728 P: (800) 228 -7548 F: (866) 229 -3296 55 EAST JACKSON BLVD STE 14A CHICAGO IL 65604 CONTACT NAME: INCN,Lxt): (800) 228 -7548 ca .Nor. (866) 229 -3296 naa ess: INSURLR(S) AFFORDING COVERAGE NAICa INSURLRA: Twin City Fire Ins Co 29459 INSURED FORENSIVET MOBILE VETERINARY be la ORENSTC CONSULTING PLLC INSURER B: 83 SBM 7X9422 INSURERC: 08/30/2018 INSURLRD: $1, 000, 0 0 0 INSURER E : DAMAGE TO R£NTED PREMISES (£a occurrence} INSURER F : X CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN.SR TYPE OF IN.SURANCF- ADDL SVBR POLTCYNUMBER POLICYEFF AIMID POLICFEXP LIMITS A COMMERCIAL GENERAL LIABILITY CLA MS -MADE OCCUR General Liab 83 SBM 7X9422 08/30/2017 08/30/2018 EACH OCCURRENCE $1, 000, 0 0 0 DAMAGE TO R£NTED PREMISES (£a occurrence} S1,000,()00 X MED EXP (Any one person) $10,000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PR� n LOC OTHER: G£NERALAGGRECATE s2,000, PRODUCTS - COMPIOP AGG S2, 000/ 000 $ A AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS H RED fx NON -OWNFO AUTOS ONLY AUTOS ONLY 83 SBM TX9422 08/30/2017 08/30/2018 COMB NED S INGLE LIMIT (Ea accident) $1,000,000 BODILY NJURY (Per person) S BODILY NJURY(Per accident) $ PROPERTY DAMAGE (Per accWdenl) $ $ UMBRELLA LiAB EXCESS LIAB OCCUR. CLA MS -MADE EACH OCCURRENCE $ AGGREGATE $ OEV RETENTIONS $ TT'OxXERS CoII/PBNSAT)ON ANOEMPLOYERSLL4BILITY ANY PROPR ETOWPARTNEWEXECUT€VE YIN OFFICE WMEMBER EXCLUDED? (Mandatory in NH) F1 If yes, describe under DESCRIPTION OF OPERATIONS below N/A _.........,._. PER OTH- STATUTE Eft E L. EACH ACC DENT $ E L. DISEASE - EA EMPLOYEE $ E L. DISEASE- POLICY L MIT $ DESCRIPTION OF OPERATIONSILOCA TIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attacked if more space is required) Those usual to the insured's Operations. RFIM:i111 1.11 CAS111 �NiL•J lqkl�l Ms'E. tN 71•I�>r rtld U 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ORANGE COUNTY ANIMAL SERVICES 1601 EUBANKS RD AUrHORIZED REPRESENTATIVE CHAPEL HILL, NC 27516 U 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD