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ACC>Ri::J° CERTIFICATE OF LIABILITY INSURANCE DATE (MMIOO/YYYY) <br />L �-01/25/2024 THIS CERTIFICATE IS ISSUED.AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE OOES 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(les) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and condi.tions c,f 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 CONTACT NORTHEAST AGENCIES INC/PHS NAME: PH.ONE (866) 467-8_730 IFAX 01214608 ·(AJC, No, Ext): (A/C, No); The Hartford Business Service Center 3600 Wiseman Blvd E-MAILSan Antonio, TX 78251 ADDRESS: INSURER($) AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Underwriters Insurance Company 30104 St. Mowgli, PLLC INSURERS: 2005 N POll':JTE DR STE 8 INSURERC: DURHAM NC 27705-7004 iNSURERO: iNSURER E: I.NSURERF: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 13ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUJREMENT, 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, EXC.LUSIONS AND CONDiTIONS OF SUCH.POLICIES. LIMITS SHOWN MAY HAVE BEEN,REDUCEDcBY PAID CLAIMS. <br />INSF TYPE OF INSQRANCE AODL SUBR POLICY NUMBER POLICYEFF POLICY EXP LIMITS LTR <br />A <br />A <br />COMMERCIAL GENERI\LtlABILITY -:=JcLAtMS-MADE 0occUR General Liability <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />�POLICY □ PRO· • • JECT OTHER: OLoc <br />AUTOMOBILE LIABILITY - <br />- <br />- <br />- <br />- <br />ANY AUTO AL.L OWN.ED � SCHEDULED AUTOS AUTOS .HIRED t--NON-.OWNED AUTOS AUTOS - <br />UMBRELLA LIAB �OCCUR Ci.AIMS, EXCESS LIAB MADE PEDj I RETENTiON $ <br />WORKERS COMPENSATION <br />. AND EMPLOYERS' llAB.ILITY ANY YIN PROPRIETOR/PARTNER/EXE�UTIVE [ OFFICER/MEMBER EXCLUDED? ("'andatory In NH) If yes, describe un.der DESCRIPTION OF OPERATIONS below Pet Groom�r's· Professional Liability <br />INSR <br />NIA <br />WvD IMMIDDNVVVI IMMIDD/V VYVl EACH OCCURRENQE $1,000,000 DAMAGE TO RENTED PREMISES iE, occurrence\ $1,000,000 MED EXP (Any one person) $10,000 01 SBA.BD1ZUS 01/25/2024 01/25/2025 PERSONAL (!. ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS · COMP/OP AGG $2,000,000 <br />COMBINED SINGLE LIMIT If', accident\ BODILY INJURY (Per person) BODILY INJURY. (Per accident) PROPERTY DAMAGE (Per accident) <br />EACH OCCURRENCE AGGREGATE <br />IPER I STATUTE I OTH-ER <br />E.L. EACH ACCiDENT E.L. DISEASE -EA EMPLOYEE <br />E.L. DISEASE • POLICY LtMiT <br />01 SBA BD1 ZUS 01/25/2024 01/25/2025 Included in Business $1,000,000/ Liability Llmit(s) $2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Those usual to the lnsured's Operations. <br />CERTIFICATE HOLDER Orange· County Animal Shelter 1601 EUBANKS RD CHAPEL HILL NC 27516 <br />ACORD 25 (201�/03) <br />CANCELLATION SHOULD ANY OF THE ABOVE .DESCRIBED POLICIES BE CANCELLED l;!EFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE cr�a:ckf� <br />© 19Q8-2015 ACORD CORPORATION. All rights reserved, The. ACORD naine and logo are registered marks of ACORD <br />DocuSign Envelope ID: D435B1B0-AAD8-43E3-B4F5-4C091CB686E7