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CERTIFICATE OF LIABILITY INSURANCE DATE {MMIDDYYYY) �� 0312412D14 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 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). PRODUCER NAYE: Allied Insurance Agency Inc. Allied Insurance Agency PHONE , ExL 1: pvc. No): (AIC, No 784 -934 -2890 704 -933 -8120 ADDRESS: alliedins @vnet.net 2113 bale Earnhardt Blvd INSURER (S AFFORDING COVERAGE NAIC # INSURER A: Nautilus Kannapolis NC 28083 INSURED INSURERS: Integan National ® COMMERCIAL GENERAL LIABILITY ❑ CLAIMS-MADE CI OCCUR TJ's Taxi Inc. INSURER c : 8254 Smith Road INSURER D: PREMISES {Pa occurrence} INSURER E: MED EXP (Any one person} S 5,000 Kannapolis NC 28081 INSURER F: %,UVtKAL3rb L:tKIIFIL;AIt NUMkitK: REVISION NUMBER: THIS 15 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 REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR wvn POLICY NUMBER POLICY EFF MMIDWYYYY J POLICY EXP (MMIDDffYYYI LIMITS GENERAL LIABILITY FACH OCCURRENCE S 1,000,000 ® COMMERCIAL GENERAL LIABILITY ❑ CLAIMS-MADE CI OCCUR PREMISES {Pa occurrence} S 50 , 000 MED EXP (Any one person} S 5,000 A ❑ NN045385 09/25/2013 09125/2014 PERSONAL&ADV INJURY $ 1,000,000 ❑ GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER' PRODUCTS- COMPIOP AGG S 1,000,000 ❑ POLICY ❑ PRO- LOC JECT S AUTOMOBILE LIABILITY (Ea accident) S 1,500,000 ❑ ANY AUTO BODILY INJURY (Per perseny S B I� A O SCHEDULED ❑ AUTOS ,AUTOS 2002270890 0812512013 08125x2014 BODILY INJURY (Per acc idenq 5 NON -OWNED ® HIRED AUTOS ❑ AUTOS (Per accident) $ ❑ ❑ 5 ❑ UMBRELLA LIAR ❑ OCCUR EACH OCCURRENCE S ❑ EXCESS LIAR AGGREGATE 5 F] r DED ❑ I RETENTION S 5 W ORKERS COMPENSATION ❑ WC STATU- ❑ OTH- A ND EMPLOYERS' LIABILITY YIN A NY pROPRIETORlPARTNERfEXEGUTIVE OFFICERIMEMBER EXCLVOED F rJ r a EL EACH ACCIDENT _ S E.L. DISEASE - FA EMPLOYEE S (Mandatory in NH) I yes, describe under E.L. DISEASE- POLICY LIMIT 5 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Taxi Service #1)1995Linc #iLNLM82WSXY678076 #2)1992Line #1LNLMBIW7NY681975 #3)1995Linc #1LN1_Nt82W7SY727749 #4)1995Linc #1LNLMB2W2SY654055 #5)1996Lric #11_NLM8 The General Liability is specific to 901 Woodlawn Street Kannapolis NC 28063 CERTIFICATE HOLDER CANCFI I ATInN fAk,UMLJ 45 j2040 WO) © 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD W7TY61 Attachment number 2 F -4 Page 157 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cabarrus County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. Box 787 ACCORDANCE WITH THE POLICY PROVISIONS. Concord, NC 28026 AUTHORIZED REPRESENTATIVE fAk,UMLJ 45 j2040 WO) © 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD W7TY61 Attachment number 2 F -4 Page 157