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DocuSign Envelope ID: DC772236-D8A9-4F9B-9103-015EA03E6B9A <br /> F <br /> k <br /> DATE 09"DI1 YM <br /> '` --- CERTIFICATE OF LIABILITY INSURANCE 13/27/2018 <br /> THIS CERTIFICATEIS 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 pollcy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on thls <br /> certificate does not confer rights to the certificate holder fn lieu of such endorsoment s <br /> PRODUCER CCNTACT <br /> HUB INTL MIDWEST LT❑/AVMA/FLIT c,NNEo.Ext}: (800) 228-7548 FAX,Nay. (866) 229-•3296 � <br /> 550728 P: (800) 228-7548 F: (866) 229--3296 "' 1 <br /> 55 EAST JACKSON BLVD STE 14A INWRMSI AFFORDING COVeRAUE NAIC* <br /> CHICAGO IL 60604 INSURER A:Twin City Fire ins Co 78459 I <br /> INWRED INSVRFR8; <br /> FORENSIVET MOBILE VETERINARY & INSURER C: <br /> FORENSIC CONSULTING PLLC INSURER D: <br /> INSURER E <br /> INSURER F: <br /> CERTIFICATE NUMBER: 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 <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> 2h1SR TYPfi r3FIN.SUR.tMCB ADIX.SUBRI POLICY NUAl6RR PULFCY&FF POLdCPFXP LUJUTS <br /> tAfIa <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> CLAMS-MAD'E OCCUR DWeIAaETORENTED $1 000 000 <br /> PREMISES Es ouurranrs r r <br /> AA X General Liab 83 SBM IX9422 08/30/2017 08130/7018 MEDE%P(Any unaparson) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> CENERALAgUIREGATE o2,000,000 <br /> GEFrL AGGREGATE LIMIT APPLIES PER; <br /> POLICY PRO.T M LOG PRLDwcTs-COMPIOPAaa s2,000,000 <br /> OTHER:LLL����JJJJJJ S <br /> AUTOMOBILE LIABILITY CO azdd D S HGLE LIMIT $1,000,000 <br /> arkq <br /> ANY AUTO BODILY NJURY(Parperson) $ <br /> OWNED SCHEDULED g <br /> A 83 SBM IX9477. D®/30/2 17 fl8/30/71118 BODILY NJURY{Peracctdanll $ 11 <br /> AUTOS ONLY AUTOS <br /> X H RED X NWOWNEO PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY (Par acddent) $ R <br /> S yy$ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE 5 <br /> Ll 3 <br /> EXCESS LIAR CLA MS-MADE AGGREGATE S <br /> D. REiEN IONS <br /> 1110RANRR Cr)MP&NSA rXff PEFI OTH- <br /> ANDNMAWLReLJAIMUn' STATUTE I ER <br /> ANY PROPR ETOWPARTNEWEY,ECUTWE YIN E L.EACH ACC CENT a <br /> OFFICEWMEMBER EXOLUDI'..t5y ❑ MIA[9 <br /> (Afaadafory In NH) E L.DISEASE-EA EMPLOYEE $ <br /> If yes,daswbe un"r E L.DISEASE-POLICY L MR <br /> DESCRIPTION OF OPERATIONS bo Ew <br /> DESCRIPTION OF OPERATIONSIL.00A77ONSI VEHICLES(ACORD 101,AddlNonot Remarks Sehadulo,may he altaahad If more apace Is mqulradl <br /> Those usual to the Insured's Operations. <br /> 3 <br /> I <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> ORANGE COUNTY ANIMAL SERVICES AUTHORIZEDREPRESEATATM <br /> 1601 EUBANKS RD <br /> CHAPEL HILL, NC 27516 <br /> 0 1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2096103) The ACORD name and Ingo are registered marks of ACORD <br />