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Insurance Certificates � ® DATE (MMIDDIYYYY) A CERTIFICATE OF LIABILITY INSURANCE 1 9/1/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME Direct All In to Email _ _ Arthur J. Gallagher Risk Management Services, Inc. PHONE AX.N�: 300 S. Riverside Plaza, Suite 1900 tAICFla No. Fx - -- E-MAIL Chi — Certificates@ajg.com Chicago IL 60606 ADDRESS; — INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Lexington Insurance Company - 19437 INSURED ARTHJGA113 INSURER B: XL Specialty Insurance Company '37885 Arthur J. Gallagher & Co., et al., including INSURERC: Gallagher Bassett Services, Inc., et al. INSURER D: Two Pierce Place Itasca IL 60143 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 83236992 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN R T YPE OF ADDL SUBRI POLICY EFF POLICY EXP LIMITS F INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS -MADE OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) S PERSONAL & ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY PRO- ACT T LOC PRODUCTS - COMP /OP AGG $ OTHER: f COMBINED SINGLE LIMI I $ AUTOMOBILE LIABILITY (Ea accident) ANY AUTO BODILY INJURY (Per person) S _ 1 UT8S NED UTOSULED BODILY INJURY (Per accident) S NON -OWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS (Per accident) S — UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ PER OTH WORKERS COMPENSATION STATUTE ER AND EMPLOYERS' LIABILITY y / N ANY PROPRIETOR /PARTNER /EXECUTIVE I I NIA E.L. EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? (Mandatory in NH) E E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Errors & Omissions 017011158 9/1/2015 9/1/2016 Aggregate $20,000,000 B Excess Errors & Omissions ELU14069815 9/1/2015 9/1/2016 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) i APP I' E10 AGE MENT • . t :'' e f ', Cicy it W' /A Cf- -Pi � lp ` , • t/ 1 I A1lCH,/ � JJiit O'+I CANCELLATION CERTIFICATE HOLDER `) . . 1417 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County, Florid Z :ZI 14d 91 d3S S1OZ ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Room 1 -213 Key West FL 33040 U$Ado33d 80.E CIT11.d AUTHORIZED REPRESENTATIVE z J © 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD