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fy <br />CERTIFICATE OF LIABILITY INSURANCE DAT "'ODYyy) <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( ss) Imust 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 endorsernent(s). <br />PRODUCER <br />CONTAcr <br />N ALRE <br />0.11A <br />1415,30)TH S�RE-. 1,�) <br />�­­­­­­ ­­ -1 F1 A jr, -1 <br />PHONE <br />ALA % fAtj: N <br />EIFP <br />E W A kL <br />z 0 C)!5 <br />["POIL-ItY <br />(MWDQYYYY1 WMMC)fyy_yYi Limits <br />A COMMERCIAL GENERAL LABILiTY FR1111 1 IQU'1`8 <br />1 0,,t) i, 20 16 0XI 1,(201 <br />INSURER A N)l Gbnalos,ar3ncc D139.3 <br />iNSLIRE0 <br />INSURER 3 The Frovelers s,,1e.mnq Coripary <br />SEMENS !NDUS f Rr, K� <br />- ­ . ...... <br />AUJILDINJI,'r:-QHN()LQ(,'�IC: 5 <br />INSURER C #r1A IAr P�aperCy ""aaj;Aty Co ofkiiorca eIi CT <br />PARKWA'� <br />INSURER D <br />BLFFALO GROI/E, 11. FQE81) <br />1(110 060 <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER, NYC -0I)72,9,)1309 REVISION NUMBER: <br />TMS IS TO CERTIFY THAT TH;E POLKAES ()F INSURANCE LISTED BELOW HAVE BEEN NSSUED To TIRE INSURED NAMED ASOVE FOR THE POLICY PEROD <br />INDICATED N()TV0THs,rAN0]NG ANY REQUIREMENT, TERM OR I.",ONMflOIN OF ANY <br />COwRACT OR OTHER OCCUMENT NTH RESPECT TO wHw,H rHIIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERrANN THE INSURANCE AFFORDED BY THE POLIOES DESCIRMED HEREN IS SUBJECT TO ALL THE <br />TERMS, <br />EXCLUSIONS AND CONDffIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA0 CLAIMS <br />........... . ... <br />AOOL�SUBRI <br />EIFP <br />LTR PIPE OF INSURANCE INSO WVC I POLCY NUMBER <br />["POIL-ItY <br />(MWDQYYYY1 WMMC)fyy_yYi Limits <br />A COMMERCIAL GENERAL LABILiTY FR1111 1 IQU'1`8 <br />1 0,,t) i, 20 16 0XI 1,(201 <br />W,�UPRENCF- <br />0100 00 <br />x <br />_bAMxP1"rFT_r) 7r9TT_D_­­_ <br />OCCIAk <br />000 <br />1(110 060 <br />ffRSONAI & ArJV INJURY <br />1 000 000 <br />(3EN1 AGCREGAni 0,10 APPI !ES PII�R J j <br />GENER <br />i0 LI' <br />X_� PRO -LCAT. <br />jECT <br />If, F4 <br />1 "R(AAJC,'rS COMP'OPAGG I <br />NCL <br />C AUTOMOBILE LIAMUTW !T,`,2,CAP,440L34A 6 <br />10,01,26'6 I �Jl 1 211'7 <br />-7—OMBINED SINGLE UNUT <br />2,; 0,000 <br />X ANYAU10 <br />W)Oq Y �NJIJRY �Pqr pem.O 5 <br />X --SCHEDuLEIJ <br />A AU TOS <br />80CILY NAiRY �Pefacoduli) <br />.... ..... . .. <br />NA <br />PNON,OWNED <br />AIJTOS <br />UMBRELLA WAS <br />EAcil OcMJRRENCC <br />EXCESS SAS CLAMIS-MAD <br />E <br />-- - ------- <br />... ... <br />i;FjCNTH)N <br />CWORK ERS COMPENSA TION T02juB;*,146A2,11, 16 iACS� <br />2016 2017 <br />x 1,.P1,`R <br />R <br />L 12 ' '_1 <br />if AND EMPLOYERS' LIASPLI TY Y I N <br />MKU674,V)�_,�8J16 �AL MA OR &wl�i <br />OFP �CE'RW MSE"R N1 i A <br />�010' �1001 <br />0, 0 T 20 1 <br />E L EACHACCOENT <br />S <br />1000.1000 <br />�Mandatiary Ill NH� hA) <br />F, � ENSEASE EA EMPq OYES <br />5 <br />'x)0 <br />Ip desmi)e wdqy <br />DPWP'hON ()F OPIERAIIGNS ,14fqw <br />LE DISEASE POLICYUNW <br />100011"4110 <br />CEscRIP'noN OF OPERATIONS fLOCArtiONS i VEHICLES CACORD 101, AOOHional Ramarki Schedule, i'nay <br />be altarhed if ino,il space, is requlmd) <br />RE 1 1,,032CO'015 P4()JEC'l 31AG 70,138FIR OJECF NAME 9CA6,,ES, CI F'< QF SAIJA ANA POl <br />IU: DEPT <br />S,'E"i: At AC;',1IT D <br />CERTIFICATE HOLDER <br />I T'rJi-"30� I A ANA M 93 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />20 �1,j9V(,,�'E'V'ER PtAZ4 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />W <br />34,', MIfA 1'•A 1 ACCORDANCE WITH THE POLICY PROVISIONS, <br />AUrHORIZED REPRESENTArtlVE <br />of Marsh USA Inc <br />Man shy Mu0erjee <br />@ 198,8-2014 ACORD CC$ZPCFfAMtT7Aff-''rights —reserved. <br />ACORD 25 (2014/01) The ACORD name and Iogo are registered marks of ACOR 7 <br />e /4 <br />