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�` a® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM12122120201YYYY1 <br />15 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <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 INSURERS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 endorsement(s). <br />PRODUCER <br />AOn Risk services central, Inc. <br />SME IL office <br />200 East Randolph <br />Chicago IL 60601 USA <br />CONTACT <br />NAME: <br />(IUC No,Exll: (866) 283-1122 (FPAJC No ; (100) 363-0105 <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC 1♦ <br />INSURED <br />INSURERA: continental casualty Company <br />20443 <br />Government Finance officers Association <br />203 N. Lasalle street <br />Suite 2700 <br />INSURERB: Valley Forge Insurance Co <br />20508 <br />INSURERC: The Continental Insurance company <br />35289 <br />Chicago IL 60601-1210 USA <br />INSURERD: Landmark American ins Co <br />33138 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 570060614298 RFVIRinm NIIMRFR- <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. Limits shown are as requested <br />INSR <br />L€R <br />TYPE OFINSURANCE <br />ADD!, <br />INSD <br />SUBRI <br />WVO <br />POLICY NUMBER <br />POLICY EFF <br />MMfDD1YYYY <br />POLICY EXP <br />MMIDDiYYYY <br />LIMITS <br />C <br />X <br />COMMERCIAL GENERAL LIABILITY <br />7 <br />EACH OCCURRENCE <br />$1, 000 , 000 <br />CLAMS -MADE OCCUR <br />DAMAGE TO RENT <br />PREMISES Ea occurtence <br />$300,000 <br />NED EXP (Any one person) <br />$15,000 <br />PERSONAL& ADV INJURY <br />$1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY PRO,JECT LOC <br />GENERAL AGGREGATE <br />$2 , 000, 000 <br />PRODUCTS-COMPlOPAGO <br />$2,000,000 <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />6020303303 <br />08/01/2015 <br />08/01/2016 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$1, 000 , 000 <br />BODILY INJURY (Perperson) <br />X ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY {Par accident) <br />PROPERTYDAMAGE <br />Per accident <br />HIREDAUTOS NON -OWNED <br />ALTOS <br />A <br />x <br />UMBRELLA LIAB <br />I x OCCUR <br />6020303320 <br />08/01/2015 <br />08/01/2016 <br />EACH OCCURRENCE <br />$5,000,003 <br />EXCESS LU <br />CLAIMS -MADE <br />AGGREGATE <br />$5,000,006 <br />DED X RETENTIONS10,000 <br />B <br />WORKERS <br />ORKE SCOMRS'APEN YTIONAND YIN <br />EMPLOER <br />ANYPROPRIETORI PARTNER l EXECUTIVE <br />OFFICERIMEMSER EX=OLD7 15 <br />N f A <br />wc620303334 <br />08/01 2015 <br />O8/01/2016 <br />X STATUTE OTH <br />E.L. EACH ACCIDENT <br />$I, 00O,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$1 , 000, 000 <br />(Mandatory in NHI <br />If yes, describe under <br />TT. DISEASE -POLICY LIMIT <br />$l , 000, 000 . <br />DESCRIPTION OF OPERATIONS below <br />❑ <br />E&O-MPL-Primary <br />LHR752537 <br />claims Made <br />08/01/2015 <br />08/01/2016 <br />Professional Liab <br />Deductible <br />$3,000,000: <br />$10,0001 <br />i <br />DESCRIPTION OF OPERATIONS !LOCATIONS! VEHICLES (AGGRO 1111, Additional Remarks Schedule, maybe attached if more space is required) <br />i <br />t <br />r <br />1 <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE INILI, BE DELIVERED IN ACCORDANCE WITH THE. <br />POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />01988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />d`s <br />m <br />N <br />co <br />m <br />O <br />U` <br />u7 <br />