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DATE (MMIDDIYYYY) <br />�"�"" CERTIFICATE OF LIABILITY INSURANCE 3/18/2019 <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("es) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br />NAME; <br />McClain -Matthews Insurance i^hbwi." 317296 7500 ® """ FAX 317-298-75,11 <br />10 <br />6329 Hollister Drive rtAI°"'O ®® <br />Indianapolis, IN 46224 Ykt}DRES._ <br />INSURED <br />MM Home's Restoration, LLC <br />1502 N. Olney Street <br />Indianapolis, IN 46201-1458 <br />INSURERISI, AFFORDING COVERAGE <br />INSURER A: Western Reserve Mutual Casualt <br />INSURER C : <br />INSURER D <br />NAIC # <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 A POLICY NU LIMITS <br />15 NUMBER M5/27/2018 MID <br />Xdt'suBe¢' <br />X_� COMMERCIALOG GENERAL LIABILITY <br />... <br />EACH OCCURRENCE <br />.. . <br />OO OOO <br />WCS 1341668410 019 <br />A <br />o _. ,.. _ � <br />CLAIMS �„ OCCUR <br />DAMAGE TO RENTED <br />$ <br />50,000 <br />-MADE <br />PREMISES (Ea occurrence} <br />.,..... ....... .......... ..,. <br />MED EXP (Any one person) $ <br />5000 <br />PERSONAL & ADV INJURY $...... <br />1,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ <br />2,000,000 <br />POLICY PRO <br />LOC <br />PRODUCT' U $ <br />COMP/OP AGO <br />2, D���� �D .��D <br />OTHER <br />$ <br />AUTOMOBILE LIABILITY <br />tLMMF $ <br />accident), <br />�� ... <br />ANY AUTO <br />BODILY INJURY (Per person) <br />.. OWNED SCHEDULED <br />( <br />BODILY INJURY (Per accident) $ <br />AUTOS ONLY AUTOS <br />C HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPER iY DAMAGE'$ <br />[Par a cidenl,P.... ... � .... <br />UMBRELLA LIAB C OCCUR 1 <br />EACH OCCURRENCE <br />EXCESS LIAR j <br />CLAIMS -MADE <br />AG GREGATE... <br />1 IHO RETENTION $ <br />is <br />�._.. <br />,WORKERS COMPENSATIONPER <br />d) I <br />1 AND EMPLOYERS` LIABILITY YIN <br />_ STATI ITE _ IL I!Z ! _ <br />;ANY PROPRIETOR/PARTNER/EXECUTIVE <br />EL EACH ACCIDENT f $ <br />+OFFICER/MEMBER EXCLUDED? NIA <br />,(Mandatory in NH) <br />EL DISEASE EA EMPLOYEL,, $ <br />i If yes, describe under <br />-- -- - --- -. .. <br />DISEASE LIMIT <br />1 DESCRIPTION OF OPERATIONS below <br />E_L POLICY $ <br />I <br />I <br />i r <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />CERTIFICATE HOLDER CANCELLATION <br />Building Millennium Consultant Construction LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />P.O. BOX 20787 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Indianapolis, IN 46220 <br />AUTHORIZED REPRESENTATIVE <br />Karl P 3 ue o u <br />©1988-2015 ACORD CORPORATION. All rights reserved <br />. <br />d. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />