Orange County NC Website
r....... nrl Y. a04MIQ0393 Page:2A2 Date: 11f9120183:04:51 PM <br /> DocuSign Envelope ID: EE2DF149-0134D-4D91-8CD4-OE65A78413AE <br /> CERTIFICATE OF INSURANCE ISSUE DATE 11/912018 <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 BELOW, <br /> 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, <br /> SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY,CERTAIN POLICIES MAY REQUIRE AN ENDORSEMENT.A STATEMENT ON THIS <br /> CERTIFICATE DOES NOT CONFER RIGHTS TO THE CERTIFICATE HOLDER IN LIEU OF SUCH ENDORSEMENT(S). <br /> PRODUCER INSURER(S)AFFORDING COVERAGE <br /> Jennings Bryan-Chappell Insurance Services INSURER A: Nautilus Insurance Company <br /> PO Box 1118 <br /> Burlington,NC 27216 <br /> INSURER B- NIA <br /> INSURED INSURER C- NIA <br /> Claws,Inc. INSURER D: NIA <br /> 1516 Jo Mac Road <br /> Chapel Hill, NC 27516 <br /> INSURER E: N/A <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE <br /> POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH <br /> RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br /> HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY <br /> PAID CLAIMS. <br /> INSR TYPE OF POLICY POLICY POLICY LIMITS <br /> LTR INSURANCE NUMBER EFFECTIVE DATE EXPIRATION DATE <br /> GENERAL LIABILITY NN866946 115/2018 1/512019 GENERAL AGGREGATE 1,000,000 <br /> PRODUCTS-COMIOP AGG. Included <br /> PERSONAL&ADV-INJURY 500,000 <br /> EACH OCCURRENCE 500,000 <br /> DAMAGE PREM RENTED TO YOU 100,000 <br /> MED EXPENSE(Any one person) 5,000 <br /> PERSONAL LIABILITY COMBINED SINGLE LIMIT <br /> MEDICAL PAYMENTS TO OTHERS <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> AGGREGATE <br /> I <br /> D <br /> I <br /> E PROPERTY BUILDING <br /> CONTENTS <br /> BUSINESS INCOME <br /> DESCRIPTIOM OF OPERATIONS I SPECIALTY ITEMS <br /> Entertainment Performed on Others'Premises <br /> CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> Orange County Animal Services BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILLBE DELIVEREt)IN <br /> Alt;Aindi Morgan ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1601 Eubanks Road AUTHORIZED SIGNATURE <br /> Chapel Hi41,NC 27516 <br /> This fax was sent with GFI FAXmaker fax server. For more information,visit:http:/lwww.gfi.com <br />