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I — 'i OPID: KL AC'RO- • CERTIFICATE OF LIABILITY INSURANCE °A 11/20/12 lvzgnz THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 1 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IIMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT 800.338-1391 NAME: -% 701 Market 886 21-3173 PHONE FAX ®B 701 Market SL,Ste.1100 nrc.NO.EVC IWC,No): St.Louis,MO 63101 EJIAL Kevin P.Woolley PRODUCER CUSTOMER ID a:MILLE-6 INSURER(S)AFFORDING COVERAGE Na1C p INSURED Miller,Legg &Associates, Inc. WSURER A:Hartford Accident 8 Indemnity 22357 DBA: Miller Legg ENSURER e: 5747 N.Andrews Way Ft.Lauderdale, FL 33309 ENSURER C: ENSURER D: I INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1 INTR I TYPE OF INSURANCE IADsa wnI POLICY NUMBER IIMMIDOI YIIIMIA O.YW)I LOUTS A IGENERAL LIAaam' EACH OCCURRENCE I S 1,000,000 X I COMMERCIAL GENERAL LIABILITY 84SBWBU0728 11/01/12 11101113 PREMISES(Ea a LD I5 I I I CWMSJAADE I A I OCCUR MED EXP(My one Person) 15 10,000 X I CONTRACTUAL PERSONAL ADVINIVRY IS 1,000,000 X IXCU PROFESSIONAL LMB EXCL GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPKJP AGG $ 2,000,000 IP�LICYIXIPRLaT I�LDG IS aUTOMOBAE LIABa.RY COMBINED SINGLE LIMIT I$ 1,000,000 AU A XI ANYro 84UEGNM2047 11/01/12 11/01/13 (Ea accident) BODILY INJURY(Per person) I S II ALL OWNED AUTOS BODILY INJURY(Per amdenl)I$ I SCHEDULED AUTOS PROPERTY DAMAGE XIISRED AUTOS I(Per acoderE) IS X NON-OWNED AUTOS I S X UMBRELLA LIAR I X OCCUR EACH OCCURRENCE I s 5,000,000 EXCESS UAB I I CLAIMS-MADE AGGREGATE S 5,000,000 W A 845BBU0728 11/01/12 11/01/13 X 1 DEDUCTIBLE $ RETENTION 5 10,000 1 S WORKERS COMPENSATION WC STATU- 0TH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNERIEXECUTNE NIA E.L.EACH ACCIDENT 5 M OFFCEREMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEEIS �I If yes.desvit*under WW DESCRIPTION OF OPERATIONS below E .DISEASE-POLICY LIMIT I S A A IVALUABLERPAPERS I 84SBWBXU0728 11101/12 I 11/01/13 LIMIT RISK 125,000 DESCRPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Addldonal Ramada Schedule,N more space Is required) FOR PROPOSAL PURPOSES ICERTIFICATE HOLDER CANCELLATION MILLER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miller,Legg&Associates,Inc. ACCORDANCE WITH THE POLICY PROVISIONS. DBA: Miller Legg 5747 N.Andrews Way AUTHORIZE-0 REPRESENTATIVE 1 Ft.Lauderdale, FL 33309 /� ---- ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and Iron are moistered marks of ACORD IProGrass RFP No. 12-10-03 57