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ACORH CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDNYYY) <br />L/ <br />1 04/20/2016 <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 endorsemends). <br />PRODUCER <br />NAME: Denise Deceit, AIS, CISR, CPIA, ADS, CRIS <br />PHONE 440-826-0404 uc NO: 440-826-1013 <br />Machor Sage Insurance Agency <br />E pABESS 1L ddacek@machor.com <br />7379 Pearl Road <br />INSURERS AFFORDING COVERAGE <br />NAIL$ <br />Middleburg Heights, OH 44130 <br />INSURER A: Fr n Insurance <br />INSURED <br />Snider Recreation Inc. <br />INSURER B: <br />James C Snider <br />INSURER C: <br />10139 Royalton Rd Ste K <br />INSURER D: <br />North Royalton, OH 44133-4473 <br />INSURER E: <br />NSURER F: <br />COVERAGES CERTIFICATE NIIMRFR- mumnnnndDDsnG RFTaCInM MI IIURFR- qn <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 />TR <br />rypE OF <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMI OIYYYY) <br />POLICYEXP <br />IMM/DDVYYIY1 <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENT D <br />PREMISES occurrence)$ <br />MED EXP (Anyone person) <br />$ <br />PERSONAL A ADV INJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- ❑ <br />JECT LOG <br />GENERAL AGGREGATE <br />$ <br />GEN'L <br />PRODUCTS - COMPIOP AGO <br />$ <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />BA 6085713 <br />12/17/2015 <br />12/1712016 <br />Ee sBcuEeDSINGLE LIMIT <br />It 11000,000 <br />BODILY INJURY (Par person) <br />$ <br />X <br />ANYAUTO <br />')MED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident <br />$ <br />X <br />HIRED NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accitlent <br />$ <br />$ <br />UMBRELLA/JAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DEO RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />ANDEMPLOYERS'IJABILITY YIN <br />TATUT OR <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETORIPARTNERJEXECUTIVE <br />OFFICERNEMBER EXCLUDED] <br />NIA <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />(Mandatory in NH) <br />Yes, desam a under <br />E.L. DISEASE- POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space is required) <br />Verification of Insurance <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Verification of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />CORPnRATInN All rinhfo a --rl <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Printed by DAD on Apnl 20, 2016 at 01:02PM <br />