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AC'Ciii?/) DATE ININVOWYVYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 11,23PXY:',n <br /> THIS CFRTIFICATF 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 BELOW THIS <br /> CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR <br /> PRODUCER.AND THE CER TIFICATE HOLDER. <br /> ;MPORTANT: It the certificate holder is an ADDITIONAL INSURED,the policyties) must have ADDITIONAL INSURED provisions or be endorsed, It <br /> SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies May require an endorsement. A statement on this <br /> certificate does not confer rights to the certificate holder in Ileu of such enqprsernerks).. <br /> CONTACT <br /> C,..1,ENT CONTACT CF.NTFR <br /> LDERAT Et:. uAL INS JRANOE COMPANY PHONE <br /> FAX <br /> HOME: 32,,FJ 33-4949 jAici Npx.507,4446-4,664 <br /> NN4 .Pi 55000 E•MAIL <br /> ADDRESS:CUENTCONTACTCENTER(aFEDiNS.CONA <br /> • <br /> iNSURERISI AFFORDING COVERAGE . NA IC <br /> INSURER A^FEDERATED MUTUAL.INSURANCE CC)MPANY 5 <br /> iNSE..REA', 334-649-1. INSURER a' <br /> :MP0EE Nc. INSURER <br /> VARIN tv"F.1A,(IR 4- <br /> INSURER 0; <br /> EL "1V, 982.01 'XX) -4- <br /> INSURER E; <br /> INSURER F: <br /> COVERAOES CERTIFICATE NUMBER;17 REVISION NUMBER:0 <br /> . . <br /> TO <br /> C7.R*TrY TAF. PrX:ICIES OF INSURANCE ;.ISTED PROW 1-10,N.E BEEN ESSUAD TO THE INSURED NAMED ARCVE FOR THE PC'..,ICY QERIOD <br /> NDICATED NOVA T-43,ANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WiT.1 RESPECT TO WHIC-I THIS <br /> CEP,'•.ICATE MA'SE SSUED CR MAY PER TAU', THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SJBJECT TC)ALL THE TERMS,EXCL,..}SIC'NS <br /> AND ,* LIM!IS SHOWN MAY HAVE KY PAID Ct..A.MS <br /> INSP <br /> T,Fg Cr.11S POLiCY Ni.A1F.;fi <br /> X Y E,,,CH OCCURRENCE $1.000,000 <br /> It I CAMAC.3E TO RENTED S 100 COO <br /> psorreilkti. . . _ <br /> MED EXP(Any arc isensci: EXCLUDED <br /> N N 980489.5 03101/2020 93/0'/2021 PERSONAL.S ADS Iti.h.igY 51,000,0(X) <br /> -::P ATE 01,1“ GENERAL AGGREGAT; <br /> PIT- <br /> frac PROM:CI S CON,,i0" $2.000,000 <br /> FrOhin IARIL cry I COMBINED S,IGui:URIC Si,000,C0C <br /> X •;•,,tl, PODIt Y Ill Per <br /> SCI-TCL't FE) <br /> A F NET Al.10S COLY AUTOS N N 9804895 01'0112020 c.171i01,,2021 E0DiLY i`4.1,JR`,tPe. iM <br /> TOT OWNED PROPERTY DAMAGE <br /> os UM,' AU Ton ONES <br /> Per xclOttit <br /> X .111110.1 I A 111All X ICE ill EACH OCCURNERCE 52,0170,C0(,; <br /> A FECESS CLAIIVS•MADE N N 9804896 03101,2020 031V/2021 AGGREGATE $2,000,000 <br /> CEO RETENTON <br /> 4444..4444,40/0-040491P4440044.1404 PER.STATJT E.. 01-1, <br /> AM")PION OVERT'LIABILITY <br /> .44Y PR.C.IPRIFTORiPARTNFFTXii:::UTIVF E .EACH ACCIDENT S1.000,000 <br /> III' 1..XCLJC,L, A N 9804895 03/01/2020 O3f/01,2021 <br /> M.tt/try Diss-At. UNIF,DYEF S1,4;01101.1 <br /> NHI <br /> I, riP,,she <br /> F OLSVAfiE-POLICY LIMIT S1,000,00° <br /> OITr.,,CRTPTICNI OF CPERAMINS <br /> • <br /> ,CRI, -IN 0,-ni.l4AIRPM °nal HILL F5 Acnsr CI, rs,1 Re,makekl, Sl IT ITN&Tc It mot,IE'RCT it res4ta5ed; <br /> STOP CAP (EMPLOYER'S LIABILITY) COVERED STATE(S) WA <br /> ADDITIONAL INSURED ALSO INCLUDES STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR <br /> AUTHORIZATIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> 0 <br /> I Y rr 'SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> WE I MORE AVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> iAlF.;.RETT OVA 09201-41**7 ACCORDANCE WITH THE POUCY PROVISIONS. <br /> AUTHORIZED PRES ATM' <br /> 11444Aq04`.1 )4AMO.A...#1 <br /> 1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 28(2016/03) The ACORD name and logo are registered marks of ACORD <br />