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AtVIfa[s (7L.K 1 11 [� ■ �. ■ .� - --- <br /> L r,� �■ .� .v[1 1 1.. Vr L111aIL.1 1 II4QN1VA1V1t0C 1:_= . et <br /> g12jQ17; <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RMO TS WON TtlE@tF R1 •• �;A <br /> • <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAOEE wont*%V = _ <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN NE 1%%t)1Nt 114%ba `(%),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 rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> Willie of Ohio, Inc. NAME <br /> - <br /> PHONE FAX <br /> c/o 26 Century Blvd. (PJC No exn 877-945-7378 (AC No)• 888-467-2378 <br /> P. 0. Box 305191 nnnRFSS- certificates@willis.com <br /> Nashville, TN 37230-5191 <br /> INSURER(SFAFFORDINGCOVERAGE NAIC# <br /> INSURER A:Travelers Property Casualty Company of Am 25674-002 <br /> INSURED <br /> INSURER B: Lexington Insurance Company 19437-001 <br /> The Goodyear Tire & Rubber Company - <br /> 1144 East Market Street INSURER C: <br /> Akron, OH 44315 <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:17641959 REVISION NUMBER: <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 ADO'L sueR POLICY EFF POLICY EXP <br /> QTR TYPE OF INSURANCE IMSRn VWn POLICY NUMBER <br /> IMMIDDIMCf] tMINIOQ/YYYYt LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY PREMISES(Eao�rence) $ <br /> CLAIMS-MADE OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> . GElIcL AGGREGATE LIMIT APPUESPER: PRODUCTS-COMP/OPAGG S <br /> RO- <br /> POLICY PI CT LOC - $ <br /> A AUTOMOBILE LIABILITY TC2JCAP144T5602 2/1/2012 2/1/20-13 (Esaccide t)ING.ELIMIT $ 1,000,000 <br /> X ANY AUTO BODILYINJURY(Perperson) $ <br /> ALL OWNED SCHEDULED - <br /> AUTOS AUTOS BODILYINJURY(Peraccident) $ <br /> HIRED AUTOS NON-OWNED PROPERTY a A DAMAGE 'S <br /> AUTOS <br /> $ <br /> $ UMBRELLALIAB X OCCUR 62785192 8/1/2011 8/1/2012 EACH OCCURRENCE $ 1,000,000 <br /> X EXCESS UAB CLAIMS-MADE AGGREGATE $ 1,000,000 <br /> DED RETENTIONS <br /> WORKERS COMPENSATION WCSIATU- UIH- <br /> AND EMPLOYERS'LIABILITY TORY LIMITS ER <br /> Y/N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N/A EL.EACH ACCIDENT S <br /> OFFICER/MEMBER EXCLUDED? <br /> IMandatorylnNH) EL.DISEASE-EA EMPLOYEE S <br /> ffy es,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Addltonal Remarks Schedule,If more space 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 AUTHORIZED REPRESENTATIVE <br /> Consumer Service Department <br /> 140 West Flagler Street Suite 902 <br /> Miami, FL 33130-1561 <br /> C011:3685151 Tp1:1401391 Cert: 6 19 01988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />