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FS AMONN OO HIE:
<br />7111 710 013II
<br />KEITAND -01 CDIXON
<br />AFRO• CERTIFICATE OF LIABILITY INSURANCE
<br />DA /2712014
<br />vz7/zola
<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 tights to the
<br />certificate holder In lieu of such endorsoment e .
<br />PRODUCER
<br />Ames & Gough 8300 Greensboro Drive
<br />Suite 980
<br />McLean, VA 22102
<br />CONTACT
<br />NAME:
<br />.( tC NN. EnLI 3 827 -2277 A
<br />AI 70 A/c No: 703 827 -2278
<br />EMAIL
<br />ADDRESS_
<br />GENERA-LIABILITY
<br />INSUREARS1 AFFORDING COVERAGE
<br />HAD
<br />INSURER A: Travelers, Indemnity Company Of Connecticut
<br />26682_
<br />_
<br />INSURED
<br />INSURER B: Travelers Indemnity Company
<br />26658
<br />Keith and Schnare, P.A.
<br />INSURER C: Hanover Insurance Company
<br />22292
<br />INSURER D: Travelers Casualty 8 Surety Company of America
<br />31194
<br />6500 North Andrews Avenue
<br />Ft. Lauderdale, FL 33309 -2132
<br />INSURER E; Continental Casualty Company (CNA) AjXV
<br />20443
<br />INSURER F:
<br />COVERAGES CERTIFICATE NIIMRFR- RFVIRInsd MUUCCC•
<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 VYITH 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 />TA
<br />TYPE OF INSURANCE
<br />AO
<br />40BRI
<br />POLICY NUMBER,
<br />DEYEI-
<br />MMUDDffvr`Y1
<br />OD Y EXP
<br />IMMIDDUYYYYI
<br />LIMITS
<br />GENERA-LIABILITY
<br />EACHOCCURRENCE
<br />S 1,000,08
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS MADE OCCUR
<br />660.1C229558
<br />08/1412013
<br />08/1412014
<br />aR>xACESRE TrED
<br />PREMISES IES Orarte J
<br />f 100,00
<br />MEO E %P (Anyone person)
<br />$ 5,08
<br />PERSONALS ADV INJURY
<br />S 1,000,00
<br />GENERAL AGGREGATE
<br />f 2,000,08
<br />X11 LAGGRErrGAX� LIMIT APPLIES PER'.
<br />JEC X POLICY ^ PR_ X LOG
<br />PRODUCTS COMPIOPAGG
<br />f 2,000,00
<br />S
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />810- 117SR478
<br />08114/2013
<br />08/1412014
<br />N
<br />(Ee saMmO
<br />1,000,00
<br />BODILY INJURY LPer person)
<br />$ 1,000,00
<br />ALL OWNED SCHEDULED
<br />AUTOS
<br />m BODILY INJURY (Per edenp
<br />s 1,000.00
<br />_
<br />NON-OWNED
<br />HIRED AUTOS _ AUTOS
<br />PROP RY7 —
<br />PER AQ (DENT) ENT)_
<br />f 1,000,00
<br />f
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />S 5,000,08
<br />C
<br />J(
<br />EXCESS LIAR
<br />CLAIMS-MAOE
<br />UHR- 9644021 -01
<br />0811412013
<br />08114/2014
<br />AGGREGATE
<br />s 6,000,08
<br />OED X�RETENTIONS 18080
<br />f
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS LIABILITY
<br />ANY PROPRIETOR/PARTHERIEXECUTIVE YIN
<br />OFFICERMEMBER EXCLUDED? a
<br />N/A
<br />UB- 3943TS93
<br />08/14/2013
<br />0811412014
<br />X V.0 STA U OTH
<br />EL EACH ACCIDENT
<br />S 1,000,00
<br />—
<br />E.L. OIBEASE EA EMPLOYEE
<br />f 1 ,000,08
<br />MnIdelPry In NMI
<br />II yysa, deecnoa under
<br />DESCRIPTIONOFOPERATIONSbelow
<br />- --
<br />E.L. DISEASE - POLICY LIMIT
<br />f 1,000,00
<br />E
<br />Professional
<br />AEH 00 609 12 27
<br />03101/2014
<br />03/01/2016
<br />Per Claim 2,000,00
<br />E
<br />Liability
<br />AEH 00 609 12 27
<br />03/01/2014
<br />0310112015
<br />Aggregate 4,000,00
<br />DESCRIPTION OF OPERATIONS l LOCATIONS / VEHICLES (ANecl, ACORD 101, AddRR..I RmeMe ScNeeuM, 11 mono specs b npulnen
<br />W TVee-ZOTU AUVKU UUKYORATION. All rights reserved,
<br />ACORD 25 )2010/05) The ACORD name and logo are registered marks of ACORD
<br />KILow A} i�iINARSa�n Page 2
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Evidence of Coverage
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />I
<br />W TVee-ZOTU AUVKU UUKYORATION. All rights reserved,
<br />ACORD 25 )2010/05) The ACORD name and logo are registered marks of ACORD
<br />KILow A} i�iINARSa�n Page 2
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