2018-163-E Animal Services - ForensiVet mobile services

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DocuSign Envelope ID: COE7277A -DF52- 4508- 985D- E6BEFF540E10 CERTIFICATE OF INSR LIABILITY INSURANCE 3/2 /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(fes) 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 ondorsement s . PRODUCER HUB INTL MIDWEST LTD /AVMA /FLIT 550728 P: (800) 228 -7548 F: (866) 229 -3296 CONTACT NAllE: Pr, °NE (AIC,Nc,Exl): (800) 228 -7548 ia,No): (866) 229 -3296 A'D`DR'ss: 55 EAST JACKSON BLVD STE 14A CHICAGO IL 60604 INSURER(S) AFFORDING COVERAGE NAIC# INSURERA: Twin City Fire Ins Co 29459 INSURED INSURER B: EACH OCCURRENCE FORENSIVET MOBILE VETERINARY S[ INSURERC: DAMAGE TO RENTED PREMISES (Ea occurrence) FORENSIC CONSULTING PLLC INSURERO: INSURER E: $10,000 INSURERF: 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. INSR TYPE OFIN.4URANCE ADDL SUBR POT,ICYNUbfBER POLICYEFA 1hf/OD POLIC'YEXP LIAfITS A COMMERCIAL GENERAL LIABILITY CLA MS -MADE OCCUR General Liab 83 S8M IX9422 08/30/2017 08/30/2018 EACH OCCURRENCE $1,000, 0 0 0 DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 X MED EXP (Any one Person) $10,000 PERSONAL &ADVIN31JRY $1, 000, 000 AGGREGATE LIMIT APPLIES PER: POLICY PRO - LOG LOG dEG7 GEN'L GENERAL AGGREGATE $2, 000, 000 PRODUCTS • COMPIOP AGG s2,000, 0 0 0 OTHER: S AUTOMOBILE LIABILITY COMB NED 5 NGLE LIMIT (Ea accident) $1,000, 000 A ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X H RED X NON-OWNED AUTOS ONLY AUTOS ONLY B3 SBM IX9422 08/30/2017 08/30/2018 BODILY NJURY (Perperson) $ BODILY NJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ S UMBRELLA LlAB OCCUR EACH OCCURRENCE g EXCESS LIAR CLA MS -MADE AGGREGATE $ DED RETENTION$ $ $ WORKERS COAfPENSA?ION ANUEMPLOyERS LIABILITY ANY PROPR ETORIPARTNERIEXECUTIVE YIN OFFICERIMEMHER EXCLUDED? El I'Mandaforyin NH) W!l PER OTH- STATUFE ER E L. EACH ACC DENT $ E L. DISEASE- EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE- POLICY L MIT $ I-l- L�7_ DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Those usual to the Insured's Operations. HOLDER ORANGE COUNTY ANIMAL SERVICES 1601 EUBANKS RD CHAPEL HILL, NC 27516 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PRnvic;inIUC 07 1988-2015 ACORD CORPORATION. All rights ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD