2019-422-E Animal Svc - AnimalKind spay-neuter financial assistance

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DocuSign Envelope ID:85B8BA8E-9132-4F3C-9F24-4EF077747226 ANIMA-1 A�C712�- CERTIFICATE OF LIABILITY INSURANCE DATE iMM+oomrvY)0 611 31201 9 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 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 endorsements. PRODUCER 252438-8165 CONTACT Dan Wilson -NAME: ._ .-..- .- .....-.. ..- WESTER INSURANCE AGENCY PHONE 252-438-8166 FAX 252-438-6640 1020 S.GARNETT STREET (A/C,No,Ext): (AICP No): AIL P.O.BOX 769 ADOLM55- HENDERSON,NC 27536-769 Dan Wilson .._ INaIIRER{s)AFFORDING COVERAGE -._ tJAtC# INSURER A:First Nonprofit Ins Co. INSURED INSURER 8,Stonewood Insurance Co. 11828 AnimalKind Inc. Sandeep Ro n of INSURER C,Uited States Liabili n ty Is 26895 28g1 Sh'nog Forest Rd.STE 103 Ra eig INSURER D INSURER E INSURER F COVERAGES CEBJIFICATE NUMBER: REVIS❑ 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 N REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL WSR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE { x DCCVR NPP106fi85503 Q410fi12019 0410fi12020 DAMAGE TO RENTED 300r000 X x I?Ccufren. 5 MED EKP An dne.person) 5,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT I PER: GENERAL AGGREGATE ..__ S 2,000,000 X POLICY PRO- LOD PRODUCTS-COMPIDPAGG S 2,QO0,000 JECT OTHER' A AUTOMOBILELIA64UTY (Eaaod BDSINGLELIMIT S 1,000,OOO ANY AUTO NPPI006855 0410612019 04106/2020 sooiLYINJVRY[Perperson S _ .. OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJVRY.[Peraccident S II .. pyV p � �� . . ..--- x A[1To ONLY x AC 65 ONLY Pebr PE ntDAMAGE 5 _ UMBRELLA LIAR I OCCUR EACH OCCURRENCE S ... ..._ EXCESS LIAR CLAIMS-MADE AGGREGATE DED RETENTION$ B IVORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY nJ TATUiE- _.. .... YIN WC100.0058526 0611012019 06l1012020 1,000,OOQ ANY pROPRIETORlPARTNERIExECUTiVE ❑ N f A E.L.EACH ACC S _ OFFIC ERlMEMDER EXCLUDED?DED? 1,000,QO0 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 9if yyes,d.mb0 under 1,000,000 -DESCRIPTION OF OPERATIONS below E.L.AISEASE-POLICY LIMIT B D801EPLI � _7UE 12/29/2018 1212912019 D&O 1,000,000 EPLI 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES [ACORD 101,Additional Remarks Schedule,may be attached IF more space Is required] Holder is listed as additional insured.Waiver of subrogation applies. CERTIFICATUOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2821 Spring Forest LLC ACCORDANCE WITH THE POLICY PROVISIONS. 3224 Northside Drive Raleigh,NC 27615 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD