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1 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO MGM U1 WARCA1. • n <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE OOVERA E opoikKB W - "114:.- <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE MUM EMATAN,AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)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 rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> • <br /> PRODUCER CONTACT <br /> NAMF• <br /> Willis of Obio, Inc. PHONE <br /> c/o 26 Century Blvd. ,. .*..a 87 -9.5- 8 F. .. 888-• .7-_37: <br /> P.. 0. Box 305191 AnnRFea• certificates@willis.com <br /> Nashville, TN 37230-5191 INSURER(S]AFFORDINGCOVERAGE <br /> Nac:} <br /> INSURER A:Travelers Property Casualty Company of 25674-002 <br /> INSURED INSURERS:Lexington Insurance Company 19437-001 <br /> The Goodyear Tire & Rubber Company <br /> 1144 East Market Street INSURERC: <br /> Akron, OH 44316 <br /> INSURER D: <br /> INSURER E <br /> I INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:17641959 " 'REVISION NUMBER: <br /> I THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> MSRTYPBOFMSURANCE r <br /> • ADD%SUBS POLICY NUMBER POLICY EFF POUCY EXP <br /> .LTB. 11 Imo ,pxMmnnvrn rMMmnmrvY1 LIMITS <br /> _ <br /> GENERAL LIABILITY EACH OCCURRENCE S <br /> COMMERCIAL GENERAL UABIUTY PREM ) S <br /> CUWISS-MADEn OCCUR MED EXP(Any one person) S <br /> PERSONAL A ADV INJURY S <br /> GENERAL AGGREGATE $ <br /> . GEtitt AGGREGATEUMTrAPPLIES PER: PRODUCTS-COMP/OP AGG $ , <br /> — <br /> I POUCY n_;F n LOC i S <br /> A AUTOMOBILELIABILITY TC2JCAP144T5602 2/1/2012 2/1/2013 ICAMBRIEDZimm um T $ 1,000,000 • <br /> X ANYAUTO BOODILYINJURY(Perperson) $ <br /> ALL OWNED .SCHEDULED <br /> BODILY INJURY(Per accident) $ <br /> AUTOS <br /> HIRED AUTOS ■NON-0WNED r HOpy DAMAGE S <br /> Per S <br /> B UMBRELLA LIAB X OCCUR 62785192 8/1/2011 8/1/2012 EACHOCCURRENCE S <br /> 1,000,000 <br /> X EXCESS UAB • CLAIMS-MADE AGGREGATE S 1,000,000 <br /> DED RETENTIONS S <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS'UABIUTY Y�� Taw [32 , <br /> ANY PROPRIETORIPARTTIEWDlFCUTNET�7 N/A EJ..EACHACCIL S <br /> OFFICER/MEMBER EXCLUDED? <br /> L_J <br /> FraoESnndda f EL DISEASE-EA EMPLOYEE S <br /> BDCRIIPPTTIIOOeNOFOPERATIONS below E.LDISEASE-POLICY LIMIT S <br /> DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(Attach Aunt 101,Addltonal Remarks Schedule,If more spans Is required) <br /> The above Excess Liability policy is excess of the following self-insured retentions: $25,000,000 <br /> CSL Each Occurrence Product Liability and $3,000,000 CSL Each Occurrence General Liability. <br /> Garage Keepers Legal Liability Included under Auto Liability coverage. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Metropolitan Dade Consumer Service AUTNORlZEDREPRESENTATIVE <br /> Consumer Service Department <br /> 140 West Flagler Street Suite 902 <br /> Miami, FL 33130-1561 <br /> Coll:3685151 Tp1:1401391 Cert: 6 19 ©1988-2010 ACORD CORPORATION.AII rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br /> �, ar, <br /> ',,, .1 i <br /> .mss ._- <br />