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2197095 Peter OToole LLC Certificate of Insurance (page 1 of 1) 121152015 02:55:19 PM <br />CERTIFICATE OF LIABILITY INSURANCE 1°"12`1&2015 <br />12/152015 <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />IMPORTAMr. If the Certificate homer Is an ADDITIONAL INSURED, the pollaytles) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endomemsntfs). <br />NUTMEG INSURANCE AGENCY <br />INCIPHS <br />8711 University Drive East <br />Charlotte, NC 20813 <br />INSURED <br />Peter OToole LLC <br />3314 R Street NW <br />Washington, OC 20007 <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 BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />Im <br />TYPE OF NBURANCE <br />DDL <br />CUB <br />PWCY NUMB <br />P <br />B%P <br />LIMITIk <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 1,000,ODD <br />✓ COMMERCIAL GENERAL LIABILITY <br />CLAIMS4ME 7OCCUR <br />PREMI E Ea ac E e <br />S 1.000,ODD <br />MED EXP aM Pawn) <br />S 10,000 <br />PERSONAL a ADV INJURY <br />$ 1.000,000 <br />A <br />48 SOU UP31M <br />19152015 <br />12(13018 <br />OENERALAGGREGATE <br />S 2,000,000 <br />GE <br />PRODUCTS <br />$ 2.000.000 <br />_N% <br />7 maT LOC <br />S <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea acd0em) <br />$ <br />ANY AUTO <br />BODILY INJURY (Pa pawn) <br />S <br />ALLOWNEDAUTOS <br />BODILY INJURY (Per aoddene <br />S <br />SCHEDULE0AUr08 <br />HIREDAUTOS <br />PROPERTY DAMAGE <br />(PeraedEalt) <br />S <br />$ <br />NON- OWNEDAUTOS <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACHOCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMSMADE <br />DEDUCTIBLE <br />$ <br />RETENTION <br />WORKERS COMPENSATION <br />I WCS OTIT <br />PR- <br />ANDEMPLOYFAB'LIABILITY YIN <br />MY PROPRIETORIPARTNERIE)ECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICERa1EMBER EXCLUDED? <br />NIA <br />E.L. DIBFJ�SE -EA EMPLOYE <br />3 <br />(M-Mm In me <br />if dasrAba under <br />DESCRIPTION OF PE TIONS below <br />E.L. 0ISEASE- POLICY LIMIT <br />S <br />DES CWPTWNOFOPERATIONBILOCATIONSIVEHMLES IAttaeh ACORD1o1,AddaenMPw rIm Saa M,Nmmeepmislpulnd) <br />CERTIFICATE HOLDER CANCELLATION <br />Insured's Copy <br />SHOULD ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORRED REPRESENTATIVE <br />A <br />®1988- 2014ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD <br />