2021-127-E Animal Svc-Independent Animal Rescue barn cat services

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DocuSign Envelope ID: EEF8676B-OD21-4058-AF25-BDOC892BF50C INDEANI-01 SPARKER 7 DATE(MM/DDIYYYY) ,a►`�® CERTIFICATE OF LIABILITY INSURANCE 11/18/2020 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 endorsement(s). CONTACT Sterling S. Parker PRODUCER NAME: Trisure,an Alera Group Company PHONE FAX Ne);(919 467 4987 4325 Lake Boone Trail,Suite 200 (Arc,E-MAILE s (919)469-2473 ) IL s arker trisure.com Raleigh,NC 27607 ADDRESS. p INSURERS AFFORDING COVERAGE NAIC# INSURER A:Cincinnati Specialty Underwriters Ins.Co. 13037 INSURED INSURER B:Travelers Property Casualty Company of America 25674 Independent Animal Rescue INSURER C: P.O.Box 14232 INSURER D Durham,NC 27709-4232 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 CEDRT FICATE MAY BESTANDING OR MAY PERITRAIN, THE TINSURANCE OAFFORDED NDITION FBYNTHE POLICIES Y CONTRACT ODEOSCRI EDTHER OHEREIN IS SUBJECT TO ALCUMENT WITH RESPECT TO WHICH THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE SD VD POLICY NUMBER M IDD Y)Y /DD 1,000 000 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1 DAMAGE TO RENTED 100,000 CLAIMS-MADE ❑X 11/17/2020 11/17/202 OCCUR CSU 0091936 PREMISES Ea occurrence1 $ MED EXP(Any oneperson) $ PERSONAL&ADV INJU 5 GENERAL AGGREGATERY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: $ 2,000,00U 000,000 PRO LOC PRODUCTS-COMP/OP AGG $ POLICY❑ 2, JECT ❑ $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident $ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS PROPERTY DAMAGE HIRED NON-AWNED Per accident $ AUTOS ONLY AUTOS ONLY $ 1,000,000 B X UMBRELLA LIAR X OCCUR EACH OCCURRENCE 5 CUP1N547889 1/31/2020 1/31/2021 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ _. DED X RETENTION$ 5.000 _ $ WORKERS COMPENSATION ST H ATUTE ER AND EMPLOYERS'LIABILITY Y/N E.L.EACH ACCIDENT $ ANY PROPRIETOP!PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NFFII1 E.L.DISEASE-EA EMPLOYEE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is an additional insured as respects General Liability when required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County Animal Services ACCORDANCE WITH THE POLICY PROVISIONS. 1601 Eubanks Rd Chapel Hill,NC 27516 AUTHORIZED REPRESENTATIVE U. ACORD 25(2016/03)I owl ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD