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INVOC-1 OP ID: MA <br />`64 RCERTIFICATE ®F LIABILITY INSURANCE <br />�„� <br />DATE 0410512017Y) <br />a4ro5rzo17 <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 INSURER(S), 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 endorsements . <br />PRODUCER <br />HOLLAND INSURANCE GROUP <br />54081 N. Ironwood Rd., <br />P.O. Box 6458 <br />South Bend, IN 46660-6458 <br />Ray Berson <br />IONT <br />NAME;IT Ray Barson <br />PHONE 574.277.0234 rare NDI: 574-277-0286 <br />Arc o E11W <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A:Acuity insurance Co <br />14184 <br />INSURED INVO Cleaning Services, LLC <br />Waiter McQuade <br />INSURER3: <br />INSURER C <br />INSURER D ; <br />INSURER E : <br />INSURER F : <br />e'_rWF=RAf31=A (-FRTii:ir`ATI= NI IMRI=R• 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 />LTR SR <br />TYPE OF INSURANCE <br />N D <br />WVD <br />POLICY NUMBER <br />MMIUDrff") EFF <br />Mi0NI0UlYYYYI <br />LIMITS <br />A <br />x <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X <br />lIZ13769 <br />02I23l2017 <br />0212312018 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />PREMISES Ea occurrence) <br />$ 300,00 <br />MEO EXP (Any one person) <br />$ 10,000 <br />PERS NALaADVI URY <br />$ 1,000,00 <br />LAGGREGATELIMITAPPLIESPER: <br />❑ PRO ❑JECT LOC <br />M'OTHER: <br />GENERAL AGGREGATE <br />$ 3,000,000POLICY <br />PRODUCTS - COMPIOP AGG <br />S 3,000,00 <br />$ <br />A <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />ON OWNED <br />x HIRED AUTOS X AUTOS <br />E13769 <br />02/2312017 <br />02/23/2018 <br />M I T <br />Ea ace,,anl) <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />S <br />BODILY INJURY (Peme*cklent) <br />S <br />PROPERTYDAMAGE <br />$ <br />$ <br />UMSRELLAUAB <br />EXCESS LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />HCLAIMS-MADE <br />AGGREGATE <br />$ <br />DED <br />I I RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTNE Y� <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatary in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />13769 <br />0212312017 <br />0212312018 <br />�( TAUT!° I E <br />E.L. EACH ACCIDENT <br />$ 500,00 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 500,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 600,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Addtllonal Remarks Schedule, may be attached If more space Is required) <br />r=07ICIr_ATF I4rt1 fIFR (:ANf:PI I ATinm <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF; NOTICE --WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Ray Barson <br />U IUUU-LU14 A4UKU t;UKPOKAi Iv1Y. mii rtgtits rusurvcu. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />