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AC-ORbF <br />l CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDfYYYY) <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 pollcy(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 800-875-8395 FAXNo):989.607-6802 <br />No. Exti: <br />ADDRESS: lisa_stoner@ajg.com <br />INSURER S)AFFORDING COVERAGE <br />NA1C # <br />INSURER A: Nautilus Insurance Company <br />17370 <br />License#: BR- 79 411 <br />INSURED DORE&AS-02 <br />Dore &Associates Inc. <br />P.O.Bax 338 <br />INSURER B ; A_meriSure Insurance Company <br />19488 <br />INSURER c: Great Divide Insurance Company <br />25224 <br />INSURER D: CNA Insurance Companies <br />20435 <br />Bay City, Mi 48707 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 2113214765 RFVISIr]N 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. <br />ILTR <br />TYPE OF INSURANCE <br />A <br />SUER <br />POLICY NUMBER <br />MM)DDmYV FF <br />MNOD�YY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />ECP203582913 <br />9/16/2024 <br />9/16/2025 <br />EACH OCCURRENCE <br />$2,000,000 <br />A"- (RENTED <br />PREEMISESMISES Ea occurrence) <br />$100,000 <br />X <br />MED EXP (Any one person) <br />S 5,000 <br />10,000 <br />PERSONAL & ADV INJURY <br />S2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY I JECT LOC <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS -COMPIOPAGG <br />$2,000,000 <br />5 <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />CA21251830007 <br />1/30/2024 <br />1130t2025 <br />Ea accfde0t IN LE LIMIT <br />51,000,000 <br />ANY AUTO <br />BODILY INJURY (Per person) <br />5 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident ) <br />S ^ �� <br />X <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />S <br />S <br />A <br />X <br />UMBRELLALIAB <br />X <br />OCCUR <br />FFX203583013 <br />9/1612024 <br />9/16/2025 <br />EACH OCCURRENCE <br />S10,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />$ 10,000,000 <br />DED I I RETENTIONS <br />5 <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETORIPARTNER/EXECUTIVE <br />OFFICER/MEMBEREXCLUDED9 <br />N t A <br />WCA204465910 <br />9/16/2024 <br />9/16/2025 <br />X PER OTH- <br />STATUTE _ ER <br />E.L. EACH ACCIDENT <br />51,000,00D <br />E.L. DISEASE • EA EMPLOYEE <br />--------- <br />S 1,000,000 <br />(Mandatory in NH) <br />Ir ye5, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />S 1,000,000 <br />D <br />A <br />Leased & Rented Equipment <br />Pollution Liability <br />C 7039508524 <br />ECP203582913 <br />ECP203582913 <br />5126/2024 <br />9/16/2024 <br />5/2612025 <br />9/16/2025 <br />S380,000 Limit <br />$Z000,000 Limit <br />$1.000 Deductible <br />Deductllbe <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <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 />B1DDING PURPOSE ONLY AUTHORIZED REPRESENTATIVE <br />O 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />