2019-198-E Human Rights Relations - City Sliders catering

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DocuSign Envelope ID:154F4DA8-1233-493D-A1AF-5FE62E1EFEF3 ---I*i AcaRo® CERTIFICATE QF LIABILITY INSURANCE nA06/2o o 8 THIS CERTIFICATE IS 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 pollcy(ies)must 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 NAME' FLIP Program Support Veracity Insurance Solutions,LLC. PHONE (844)-520-6992 FAx d; 260 South 2500 West,Suite 303 ADDRESS: info@fliprogram.com Pleasant Grove UT 84062 KSURe s AFFORDINGOOVERAGE NAIL■ INSURER A: Great American Alliance Insurance Co. 26832 INSURED INSURER B: City Sliders 1NSVRERO: 5114 Gable Ridge Dr. INSURER D: Durham NC 27713 INSURER E: INSURER F COVERAGES 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. I TYPE OF INSURANCE ;ASIDE SU o POLICY NUMBER PNDL DD EFF MNUDICY EXP UMns GENERAL LIABILITY CURRENCE S 1,000,000 EACH OCluKtNitij X COMMERCIAL GENERAL LIABILITY r PREMISE,SEa ox�nenp9 $ 300,000 CLAIM&MADE E OCCUR I xr I MED EXP(Anyone person) S 5,000 A PL1744427-FO45137 04/27/2018 04/27/2019 1,000,000 PERSONAL b ADV INJURY 5 GENERAL AGGREGATE $ 2,000,000 GEN1-AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 2,000,000 X POLICY I PRO- LOC ANIMAL BAILEE $ AUTOMOBILE LIABILITY �F— COM IN D SINGLE LIMIT (Ea acadentk S ANY AUTO BODILY INJURY(Per parson) $ ALL OWNED SCHEDULED BODILY INJURY(Per weident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS Par 8cdd. S UMBRELLA LIAB HICCIR r—F— EACH OCCURRENCE $ E](CESS LIAB CLAIMS-MADE AGGREGATE S DED I RETENTH]NS S WORKERS COMPENSATION WC STATt1- OTH- AND EMPLOYERS'L449ILrIY Y t N TORY IMITS ER ANY PROPRIETORlPARTNERIEXECUTPVE EL EACH ACCIDENT S OFFIC EMIEMBER EXCLUDED? NIA {Mandato(y In NH) E.L DISEASE-EA ENPL $ If yes'describe underOrSGRIPTPON OF OPERATIONS 1591M E.L DISEASE-POLICY LIMO $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 101.Additional Remarks Schedule,it more space is required) Certificate holder had been added as additional insured regarding the above mentioned policy per attached Additional Insured-Designated Person or Organization(CG 20 26,ED.04 13) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Angle Management LLC DBA The Cookery ACCORDANCE WITHTHE POLICY PROVISIONS, 1101 West Chapel Hill St. Durham,NC27701 AUTHORIZED REPRESENTATIVE .7�+.�r� / —�s �� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS026(2D1401)