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A� ®® CERTIFICATE OF LIABILITY INSURANCE <br />DAT03/282018) <br />03/28/2018 <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 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 confer rights to the certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />Marsh Sponsored ProgramsPHONE <br />a division Of Marsh USA Inc. <br />PO Box 14404 <br />NAME: Marsh Sponsored Programs <br />1.877.320.9393 FAX 515.365.0895 <br />Ext): Ext: AJC No: <br />E-MAIL <br />ADDRESS: riskmanagement@marshpm.com Vendor ID: 31459 <br />INSURERS AFFORDING COVERAGE NAIC# <br />Des Moines, IA 50306.9686 <br />INSURERA: Old Republic Insurance Company 24147 <br />INSURED Customer #: EXP106034 <br />CRAIG A. SMITH & ASSOCIATES <br />INSURERS: <br />INSURER C: <br />7777 Glades Road Suite 410 <br />INSURERD: <br />Boca Raton, FL 33434 <br />INSURER E: <br />$ <br />INSURER F: <br />AUTOMOBILE <br />IxANY <br />■M�1rI�!7i�d�. 01291171"±Iv l=JIUth1:17! <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />I SD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />COMMERCIALGENERALLIABILITY <br />CLAIMS -MADE OCCUR <br />EACHOCCURRENCE $ <br />D AG O RENTED <br />PREMISES Ea occurrence $ <br />MED EXP (Any one person) $ <br />PERSONAL &ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑PRO ❑LOC <br />JECT <br />OTHER: <br />GENERAL AGGREGATE $ <br />PRODUCTS - COMP/OP AGG $ <br />$ <br />A <br />AUTOMOBILE <br />IxANY <br />LIABILITY <br />AUTO <br />OWNED Fy SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />X <br />L106034.18 <br />04/27/2018 <br />04/27/2019 <br />Ea acccciidentSINGLE LIMIT $ 1 000,000 <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />PROPERTYDAMAGE $ <br />Per accident <br />UMBRELLA LIAB <br />EXCESS LIAR <br />HCLAIMS-MADE <br />OCCUR <br />EACHOCCURRENCE $ <br />AGGREGATE $ <br />DED I I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY y / N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N /A <br />I <br />I <br />I <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE- EA EMPLOYEE $ <br />I E.L. DISEASE- POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS ]VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) GPBR: 2QL2 <br />Policy provides protection for any & all operations/jobs performed by the named insured where required by written contract. Certificate holder is an Additional Insured where required by written contract, <br />Waiver of Subrogation included where required by written contract. Insurance is primary and noncontributory. <br />CFRTIFICATF Hf11 nFR CAAICFI 1 AT[f)M <br />Proof of Insurance <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />7777 Glades Road Suite 410 <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Boca Raton, FL 33434 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />CEJ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />7375177 <br />296 <br />