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DocuSign Envelope ID:CE7A728C-3B49-40FA-BC72-CE7A2A13A793 <br /> �r1 SPAYASS-01 E13ROW <br /> A CERTIFICATE OF LIABILITY INSURANCE LtO31201t20 <br /> IMM <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 <br /> BELOW. THIS CERTIFICATE OF INSURANCE 1309S NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IN8URER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> 5 <br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SURROGATiON 15 WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate deos not confer rights to the certificate holder in lieu of such endorsements. <br /> PRODUCER License#10o290879 c TAcr <br /> Chicago,IL-Huh International Midwest West PHONE <br /> 55 East Jackson Boulevard,Floor 14A AIC,No,Extl:(312)922-6000 'p C Nol;[31 358 <br /> Chicago,IL 60604 u <br /> ------- 1nSURERtS}AFfORDIN[i COVERAGE_ _ NA1C N <br /> INSUNCRA:Twin City Fire Insurance COfl PA 29459 <br /> INSURED WsuRERB:Hartford Underwriters Insurance Company30104 __ <br /> Spay-Reuter Assistance Program INSURER Ins Co of the Midwest 37478 _ <br /> of North Carolina <br /> P.O.Box 278 INSURER D <br /> New Hill,NC 27662 INSURER <br /> INSURER F <br /> COVERAGES 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 TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE SEEN REDUCED BY PA10 CLAIMS. s <br /> INSR TYPE or INSURANCE ADDL SVBR pOLICY 6 <br /> LTR g POLICY NUMBER _(MMIDOffMJ LIMITS <br /> A x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2,000,000 <br /> CLAIMS-MADE OCCUR x 83S8WA50455 0912012018 09128/2019 -PREMISESA TOREN19en <br /> --- MED EXP(An one elson 10,000 <br /> -- - PERSONAL&AOV INJURY $ 2,000,000 . <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE '4,000,000 <br /> POLICY❑wcy LOG PRODUCTS-COMPIOPAGO S 4,000,000 <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY COMBINEgpu NGLELIMIT - 1,000,000 <br /> ANrAUra }( 88UEGEB2122 09/2812018 09/28/2019 gODILYINJURY1PcroersM}._ <br /> OWNED - SCHEDULED <br /> AUTOS ONLY x AUTOS <br /> BODILY <br /> sINJURY Per eCidenl 5 <br /> AV HTQSONLY SEELpp ROacRR <br /> AMAGE <br /> UMBRELLA LIAR OCCUR EACH.OCCURRENCE <br /> EXCESS LIAO _ CLAIMS-MADE DED RETENTION S $ <br /> C WORKERS COM NSATION x pEft OTTi- <br /> ANDEMPLOYERS'LIABILITY YJ5 ATER <br /> ANY PROPRIETORIPARTNEWrXECVnVE 2tNBCZ53fJ66 g610612t718 OSIQ612Q19 500,000 . <br /> OFFICERNu4PlMQ€t EXCLUDEW L] NIA E-L_EACH ACCIDENT-- _ <br /> {hlsnda ory n n } C.L.DISEASE-EA EMPLOYE $ 500,000 <br /> Ifyes,desmi3a udder - - <br /> DESCRIPTION OF OPERATIONS nol- -. E.L.hISEASE-POLICY LIMIT 500,00a _ <br /> j <br /> DESCRIPTION OF OPERATIONS I LOCATIONS J VEHICLES JACORD 191,Addibanal Remarks Sohodule,may be allaohad if more spaco Is aired 3 <br /> Certificate Holder Is included as Additional insured as their interests may appear with respect to General LIahbIlty.Isuhiect to policy terms,conditions,and 3 <br /> exclusions, <br /> r <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 13EFORE <br /> Alstopi TCI,LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> &Amerlean Assots Corporation <br /> 5950 Falrviow Rd _- <br /> SURG 800 AUTHORIZED REPRESENTATIVE <br /> Charlotte,NC 28210 •d r' <br /> • J� <br /> ACORD 25(2016103) fl 1988-2015 ACORD CORPORATION. All.rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />