DEPARTMENT OF PROFESSIONAL AND OCCUPATIONAL REGULATION                                                COMMONWEALTH OF VIRG...
CERTIFICATE OF INSURANCEThe company indicated below certifies that the insurance afforded by the policy or policies number...
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Ins. and va cert.

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VA Cert. n Ins.

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Transcript of "Ins. and va cert."

  1. 1. DEPARTMENT OF PROFESSIONAL AND OCCUPATIONAL REGULATION COMMONWEALTH OF VIRGINIA NUMBER EXPIRES ON 3600 West Broad Street, Richmond, VA 23230 04-30-2009 Telephone: 1 (804) 367-8500 3380 000160 BOARD FOR ASBESTOS, LEAD, AND HOME INSPECTORS CERTIFIED HOME INSPECTOR ANDREW K LING 5201 BLOSSOM HILL DRIVE HAYMARKET, VA 20169 ;Z. DeBoer. DirectorALTERATION CF THIS DOCUMENT. USE AFTER EXPIRATION. OR USE HY PERSONS OR FIRMS OTHERTHAN THOSE NAMED HAY RESULT IN CRIMINAL PROSECUTION UNDER THE CODE OF VIRGINIA, (SEE REVERSE SIDE FOR NAME AND/OR ADDRESS CHANGE) 1 /X 4"1 /Ar ., ,A9.-
  2. 2. CERTIFICATE OF INSURANCEThe company indicated below certifies that the insurance afforded by the policy or policies numbered anddescribed below is in force as of the effective date of this certificate. This Certificate of Insurancedoes not amend, extend. or otherwise alter the Terms and Conditions of Insurance coverage contained in anypolicy numbered and described below.CERTIFICATE HOLDER: INSURED: ANDREW LING ANDREW LING DBA TOP HOME INSPECTIONS DBA<TOP HOME INSPECTIONS 5201 BLOSSOM HILL DRIVE 5201 BLOSSOM HILL OR HAYMARKET. VA 20169 HAYMARKET. VA 20169-3162 POLICY NUMBER POLICY POLICY LIMITS OF LIABILITY TYPE OF INSURANCE & ISSUING CO. EFF. DATE EXP. DATE (*LIMITS AT INCEPTION) LIABILITY 53-BO-146099-3001 04-04-07 04-04-08 [X] Liability and NATIONWIDE Any One Occurrence $ 1.000.000 Medical Expense MUTUAL FIRE Personal and INSURANCE CO. Included in Above - Any One Person or Advertising Injury Organization [X] Medical Expenses ANY ONE PERSON $ 5,000 [X] Fire Legal Any One Fire or Explosion $ 50.000 Liability General Aggregate* $ 2.000.000 Prod/Comp Ops Aggregate* $ 1.000,000 [ ] Other Liability AUTOMOBILE LIABILITY [ ] BUSINESS AUTO Bodily Injury (Each Person) [ ] Owned (Each Accident) [ ] Hired Property Damage [ ] Non-Owned (Each Accident) $ Combined Single Limit $ EXCESS LIABILITY Each Occurrence Prod/Comp Ops/Disease [ ] Umbrella Form Aggregate* 5 STATUTORY LIMITS [ ] Workers BODILY INJURY/ACCIDENT S Compensation Bodily Injury by Disease and EACH EMPLOYEE [ ] Employers Bodily Injury by Disease Liability POLICY LIMITShould any of the above described policies be cancelled before the DESCRIPTION OF OPERATIONS/LOCATIONSexpiration date, the insurance company will endeavor to mail VEHICLES/RESTRICTIONS/SPECIAL ITEMSwritten notice to the above named certificate holder. but failure to RESIDENTIAL & COMMERCIALmail such notice shall impose no obligation or liability upon the PROPERTY INSPECTIONScompany, its agents. or representatives. MEMBER-NOVA-ASHIEffective Date of Certificate: 04-04-2007 Authorized Representative: Nationwide InsuranceDate Certificate Issued: 03-01-2007 Countersigned at: Neil Pollock, Agent Manassas. VA 20110-5423

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