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ACORE, CERTIFICATE OF LIABILITY INSURANCE DATE <br /> Iisoo <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 be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER I8NN£TACT Howard Burkholz <br /> Advisor Agency toc"io Exly 801-451-8880 FAic,No)801-447-3557 <br /> 1361 N Hwy 89 Suite 16 AID644ADRIss Hburkholza@allstate.com <br /> Farmington UT 84025 INSURER(S)AFFORDING COVERAGE NAIL• <br /> INSURER A: Allstate Insurance CO <br /> INSURED Bret Doss Photography INSURER B <br /> 13300 Bot Evrt Hwy Ste 303 INSURER C <br /> Mill Creek WA 98012 INSURER D <br /> INSURER E <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 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 /> 41:01-61751--,___- ____-_. .-._. _.POLICYEFF POLICY EXP <br /> LTR I TYPE OF INSURANCE INSR WVD POLICY NUMBER IIMMiDDIVYYYI!IMSMDDJYYYYI LIMITS <br /> GENERAL LIABIUTV ` '648783144 _ACH OCCURRENCE $2.000,000 <br /> U3r1v2D20 +G3naI2C2� <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $50,000 <br /> PREMIS S{Et ucturrenxl ;.. <br /> CLAIMS-MADE OCCUR ,. MEO EXo(Any o e person; $10.000 <br /> A <br /> PERSONAL&ADV INJURY '.$2,000,000 <br /> GENERAL AGGREGATE S 4.000,000 <br /> GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG S 4,000 000 <br /> XPOLICY' PiFRC¢T LOC 5 <br /> AUTOMOBILE LIABILITY i COMBINED SINGLE LIMIT <br /> CEa accdenq -_. 5 <br /> _--1 ANY AUTO _ i BODILY INJURY O'er person) 'S <br /> ALL OWNED I SCHEDULED <br /> AUTOS AUTOS BODILY INJURY IPef ar_ciderC-> <br /> -__i NON-OWNED PROPERTY DAMAGE <br /> ` ;,HIRED AUTOS __.I AUTOS a jeersEckleoll <br /> c <br /> 'UMBRELLA LIAB Cr CUR EACH OCC.IRRE NIL <br /> EXCESS LAB CLA,M G-MADE /,-H/(-ATE <br /> DEO ' RETENTIONS S <br /> WORKERS COMPENSATION We STAM <br /> 'AND EMPLOYERS'LIABILITY wBv v+T� ,.. <br /> VIN <br /> -ANY PROPRIETOR!PARTNEFUEXECUTNE.Ly-N!A E EA' A ., <br /> OFFICER/MEMBER EXCLUDED? L <br /> (Mandatory In NHI <br /> I II yes describe under -DESCRIPTION OF OPERATIONS bet,. E _,." <br /> A Inland Marine/Equipment Coverage 648783148 03!14;2020 0314,2021 Limit-$30,000 Deductible-$500 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addltional Remarks Schedule.II more space Is required) <br /> For Informational Purposes Only <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE i <br /> Bret Doss THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> - ACCORDANCE WITH THE POLICY PROVISIONS. <br /> I AUTHORIZED REPRESENTATIVE <br /> if:1988.2010 ACORD CO RATION, All rights reserved <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />