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<br />Aker ff CERTIFICATE OF LIABILITY INSURANCE
<br />DW22120ATE,DD YI
<br />06(22/2020
<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 paiicy(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 Center rights to the certificate holder in lieu of such undorsement(s).
<br />PRODUCER
<br />MARSH USA INC.
<br />1060 CONNECTICUT AVENUE, SUITE 700
<br />WASHINGTON,OC 2003G8366
<br />CONTACT
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<br />PRONE x
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<br />_ INSURER(SI AFPQRpiNq COVERAGE
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<br />INSURERA; AGE Amaivican lasurareGD�gplany
<br />22667
<br />INSURUD SgNSURER
<br />rca, Inc,InG.
<br />B r A G Etlmaa Lid.
<br />NSUftsRc: AC£Finl mlenvri uls Co
<br />20702
<br />12930 Waddoale Drive
<br />Suite 600
<br />Hasdat VA 20170
<br />INSURER0
<br />-
<br />NURER E
<br />INSURER F
<br />THIS I$ 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 CCNDrUON 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 />-Allen
<br />INSR
<br />TYPE OF INSURANCE
<br />suaa
<br />POLICYNUMRCn
<br />MMIOD F
<br />MOL ExP
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<br />LIMITS
<br />A
<br />MMERCIALGENERAL LIABILITY
<br />tcm
<br />CLAIM I -WIDE � OCCUR"
<br />G23656456009
<br />10751f201S
<br />,%
<br />=31/2020•
<br />EACH OCCURRENCE
<br />S IM.000
<br />PH M .0 Ixu
<br />S SCO,C00
<br />MED E%P {An one mr
<br />S
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<br />PERSONAL$AIEINJUR'
<br />S 2,600,60Q
<br />GENLAGGREGATE LIMIT APPLIES PER.
<br />X. POLICY ❑ JkC7 LDC
<br />GENERALAGOREGATE
<br />S 2,000,W0
<br />PRODUOTS-COMP(OPAGG
<br />g 2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOeILCLIAMLITY
<br />TAi.H25265%
<br />10fJH2019
<br />10td112020
<br />COMBINED SINGLE LIMIT
<br />g i,000,tx0
<br />X
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOSONLY AUTOS
<br />HIRED NON -OWNED
<br />AUrp.%ONLYAUTOS ONLY
<br />BODILY INJURY (Per person)
<br />S
<br />BODILY INJURY IN, avadml)
<br />S
<br />P PERTY OAMAG
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<br />9
<br />UMBRELLALIAR
<br />OCCUR
<br />EACHOCCURNENCE
<br />S
<br />E%CE39 LIAR
<br />CIAIMKMADE
<br />J,
<br />AGGREGATE
<br />S
<br />pEO RETENTIOPIs
<br />S
<br />A
<br />A
<br />C
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'LABILITY
<br />ANYPPOPRIETORIPARTNEIVE%ECUTME YIN
<br />OFICER(MEMBEREXCLUDED9 ID
<br />(Mandatory In NNl
<br />II yes, dacndaa and.,
<br />DESCRIPMONOFOPERAT ri5belnw
<br />t!/A
<br />'NLR674:;618A LAOS}
<br />WCUC67456269(OH)
<br />SCFC6745S227 (WI)
<br />00t30Y1020
<br />067J0/2020 f'
<br />10 4220 1
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<br />i 112020
<br />10IS1tN20
<br />X .PER Om.
<br />.L. EAON CCIOENi
<br />A T
<br />S w 1,0W,GQ0
<br />EL DISEASE-EAVJPLOYEE
<br />$ 1,000,C00
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<br />E.L.DI.SEASE-POLICYOMIT
<br />g 1A00,000
<br />B
<br />SERCO SROUP PRGFSSSIONAL
<br />796263I
<br />1013117019
<br />10MI 020
<br />LIMIT
<br />W W-�1,000,006
<br />(UMI, SHOWN IS IN
<br />1
<br />'GREAT BRITISH P0UNOS}'
<br />RETENTION
<br />DOOM
<br />DESCRIPTION OF OPERATIONS I LOCATION$ I VEHICLES (ACORO 101, Additional Romgrks Schoduls, may be ausshad it m,o sesoa in required) y
<br />The CI�, %alkera, employees, assets, volunleen and ropresonlairDS are included as Additional Insurad under Ise General Lmbaly and Auto Liability PORT Where required by µij(ten conhwi, Coverage Ia
<br />Primary and Mon-ConInbutory. Tha L4nbmllsExceas LFublliry policy provides cover go near the undndying Csraral Liability and Auto Jab lily pclI 30 Days Nance of Canniattan and Notion of Material Change
<br />applies as required by written conaaGL
<br />City a(Sado Ana /" `- M
<br />Risk Management Division y/ �.r}! )4 t MANAGEMENT DIVISION SHOULD ANY IOTHE ATE T DESCRIBED N TICE POLICIES WILL
<br />CANCELLED RED IN
<br />ttiE EXPIRATION GATE THEREOF, NOTICE WILE BE DELIVERED IN
<br />20 Gvlc Center PIaTa ��q@ ACCORDANCE WITH THE POLICY PROVISIONS,
<br />Santa Ana, CA OZ701 4 2W
<br />AUTHORRF.D REPRESENTATIVE
<br />..e..,.,. ..- al Mamh VSAbm.
<br />A (A-VECIQ MenSSId Mukhorjae
<br />014S8-2016 ACORD CORPORATION, All rlahts reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
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