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CERTIFICATE OF LIABILITY INSURAWalz— <br />�•---- " <br />DATE(MMIDDIYYYY) <br />9/16/2024 <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 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 <br />Arthur J. Gallagher Risk Management Services, LLC <br />5311 Hampton Place <br />Saginaw MI 48604 <br />CONTACT <br />NAME: Lisa Stoner <br />PHONE — FAx <br />AIC No Ext : 800-875-8395 we No : 989-607-6802 <br />ADDRESS: lira stoner a' .cam <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A : Nautilus Insurance Company <br />17370 <br />License#: BR-1791411 <br />INSURED DORE&AS-02 <br />Dore & Associates Inc. <br />y <br />INSURER a: Amerisure Insurance COm an <br />19488 <br />INSURER C r Great Divide Insurance Company <br />25224 <br />P.O-Box 338 <br />-INSURER D: CNA Insurance Comoanies <br />20435 <br />Bay City, Mi 48707 <br />INSURER E; <br />_ <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 211B2347n. REVICInm KnIMFtGG- <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 <br />LTR <br />TYPE OF INSURANCE <br />ADOL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY <br />POLICY EXP <br />MMIDDIYYYYI <br />I LIMITS <br />A <br />X <br />COMMERCIALGENERALLIABILITY <br />CLAIMS -MADE El OCCUR <br />ECP203582913 <br />9/16/2024 <br />9/16/2025 <br />EACH OCCURRENCE <br />52,000,000 <br />DAMAGE'To RENTS' <br />PREMISES Ea occurrenceI <br />$100,000 <br />X <br />MED EXP (Any one person) <br />S 5,000 <br />10,000 <br />PERSONAL & ADV INJURY <br />_ <br />S2,000,000 <br />AGGREGATE LIMIT APPLIES PER <br />POLICY JECT 1:1LOC <br />GENERAL AGGREGATE <br />52,000,000 <br />GEN'L <br />X <br />PRODUCTS - COMPIOP AGG <br />S 2,000,000 <br />$ <br />OTHER' <br />B <br />AUTOMOBILE <br />LIABILITY <br />CA21251830007 <br />1/30/2024 <br />1/30/2025 <br />EOa sB'INEOntSINGLE LIMIT <br />$ 1,000,000 <br />ANY AUTO <br />BODILY INJURY (Per person) <br />S <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />S <br />X <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />(Pet accident) <br />S <br />S <br />A <br />X <br />UMBRELLALIAB <br />X <br />GCCUR <br />FFX203583013 <br />9/16/2024 <br />9/16/2025 <br />EACH OCCURRENCE <br />S 10.000.000 <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />510,000,000 <br />DED RETENTIONS <br />$ <br />C <br />WORKERS <br />AND EMPLOYERS' LABILIITY YIN MPENSATIONWCA204465910 <br />ANYPROPRIETOR/PARTNERIEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N!A <br />9/16/2024 <br />9/1612025 <br />X gTATUTE EERH <br />E.L. EACH ACCIDENT <br />S 1,000,000 <br />E.L. DISEASE • EA EMPLOYEE <br />— <br />$1,000,000 <br />(Mandatory in NH) <br />If yes, describe Under <br />EL. DISEASE - POLICY LIMIT <br />S 1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />D <br />A <br />Leased & Rented Equipment <br />Pollution Liability <br />C 7039508524 <br />ECP203582913 <br />5126/2024 <br />9/16/2024 <br />5/26/2025 <br />9/16/2025 <br />S380,000 Limit <br />S2.000,000 Limit <br />$1,000 Deductible <br />$10,000 Deductibbe <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schndule, may be attached If more space is required) <br />4CK 1 IrIUA 1 C r1ULUCK CANCELLATION <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 />BIDDING PURPOSE ONLY AUTHORIZED REPRESENTATIVE <br />9)1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />