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AC40RO CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMroDrrrYr) <br />9/11/2025 <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(les) 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 endorsements . <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 8075-$395 FAx o <br />E MAII <br />ADD ss: lisa stoner@ajg.com <br />INSURERS AFFORDING COVERAGE <br />NAIC 0 <br />INSURER A: Nautilus Insurance Company <br />17370 <br />License#: OD69293 <br />INSURED DORE&A5-02 <br />Dore & Associates Inc, <br />P.O.Box 338 <br />INSURER 8 : Amerisure Insurance Company <br />19488 <br />INSURER C : Great Divide Insurance Company <br />25224 <br />INSURER D : <br />Bay City, Mi 48707 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER:1428593222 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 <br />TYPE OF INSURANCE <br />DL <br />BR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />A <br />i <br />X <br />I COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />I <br />ECP2035829-14 <br />9/16/2025 <br />9/16/2026 <br />EACH OCCURRENCE <br />$2.000,000 <br />PREMISES Eaoccurrence) <br />$100,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL S ADV INJURY <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY PRO- <br />JECT F__] LOG <br />OTHER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMPIOP AGG <br />$ 2,000,000 <br />$ <br />B <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />CA21251830107 <br />1/30/2025 <br />1/30/2026 <br />OMfN D SINGLE LIMIT <br />Ea (dent <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Par t <br />$ <br />$ <br />A <br />X <br />UMBRELLA LIAB <br />EXCESS LIAR <br />X <br />OCCUR <br />CLAIMS -MADE <br />FFX2035830-14 <br />9/16/2025 <br />9/16/2026 <br />EACH OCCURRENCE <br />$10,000,000 <br />AGGREGATE <br />$10,000,000 <br />DED I RETENTION <br />$ <br />c <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANYPROPRIETOR/PARTNERIEXECUTIVE ❑ <br />OFFICERIMEMBEREXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N / A <br />WCA2044659 <br />9/16/2025 <br />9/16/2026 <br />X 0 H- <br />3 ATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more span Is required) <br />01-1i111l 1 aLPS-I It.3ilelrie13i1 <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 AUT40RIIZEDREPRESENTATIVE <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />