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01 <br /> 11 <br /> IIIATE <br /> ACO CERTIFICATE OF LIABILITY INSURANCE • <br /> ° D°"YYY' <br /> �� 7nr_ols 6/3012017 <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 /> 111 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 /> Ill this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). -- <br /> PRODUCER LOCK-]ON COMPANIES CONTACT <br /> _NAME: <br /> 444 W.47TH STREET,1,SUI l E 900 PHONE FAX <br /> IAIC N4.-EatC I(A/C No): <br /> KANSAS CITY MO 64112-1906 E-MAIL <br /> ($16)960-9000 ADDRESS:— <br /> ® INSURERS)AFFORDING COVERAGE _ I NAIL A <br /> INSURER A:LM Insurance Corporation 33600_ <br /> INSURED PERKINS+WILL.INC. INSURER B:Endurance Risk Solutions Assurance Co 43630 <br /> 1078545 ATTN:RICHARD NEMIE7 H INSURER C:Lloyds&London Co __ <br /> 111 2 BRYANT STREET INSURER o:1_iber['Mutual Fire Insurance Com an' 23035 <br /> SAN FRANCISCO CA 94105 } -- <br /> INSURER E: <br /> — i <br /> INSURER F: <br /> 111 <br /> COVERAGES •" CERTIFICATE NUMBER: 11480890 REVISION NUMBER: XXXXXXX <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> II ILTRI TYPE OF INSURANCE <br /> --------- •AODL BUBRI POLICY EFF j POLICY EXP I _ <br /> LTR INSD(ww t POLICY NUMBER (MM/DO/YYYY)I IMAIMD/YVYYI I LIMITSI) X I COMMERCIAL GENERAL LIABILITY I N N T I <br /> I'(3 6610667870_T 7 7/1/2017 7/1/2018 EACH OCCURRENCE 13 1,000,000 <br /> I CLAMS-MADE OCCUR , I-AsAMAG�ro BEN7� <br /> Y_ i I :PREMISES(_Ea occurrence) I 3 1,000,000 <br /> iI(___ .--.__ ___ MED EXP(Mr one person) S 10,000 <br /> ® i _ I PERSONAL a ADV INJURY j$ 1,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER. j I <br /> I GENERAL AGGREGATE IS 2,000,000 <br /> I POUCY H PR6 L OC LI I PRODUCTS-COMP/OP AGG i 3 2,000,000 <br /> i OTHER: 1 i i j$ <br /> ® <br /> I) I AUTOMOBILE LIABILITY ; N N AS2661066787017 7/1/2017 7/1/2018 j CErtEDISINGLE IIMIT I$ 1,000.000 <br /> ANY AUTO1 BODILY INJURY(Per person) I$ XXXXXXX <br /> OWNED SCHEDULED I Ier accNent)I <br /> AUTOS ONLY AUTOS , I BODILY INJURY P( i$ XXXXXXX <br /> x HIRED NON-OWNED ' i f PROPERTY DAMAGE I S <br /> AUTOS ONLY _.'AUTOS ONLY ' ! ; <br /> 7/1,2017 7111201$ (Pp accident), <br /> 1 XXXXXXX <br /> IIII S XXXXXXX <br /> B — UMBRELLIAB LB L�OCCUR N N EXC 10007382702 EACH OCCURRENCE 13 5,000,000 <br /> �X EXCESS LIAB I CLAIMS-MADEI l ; 1 I AGGREGATE 3 5,000,0001 <br /> I DED I I RETENTIONS i i I i 5 XXXXXXX <br /> A I WORKERS COMPENSATIONj PER OTH- <br /> jANDEMPLOYERS'LIABILITY N. WC5 106(,787037 i 7/1/201 7 17/1/2018 i,•:STATUTE i ER <br /> vi it <br /> IANY PROPRIETORPARTNER/EXECUTIVEI I ] Q00000 <br /> RLM <br /> I OFFICEEAIBER EXCLUDED, N I i N 1 A j I I E.L.EACH ACCIDENT- S _ - <br /> I(Mandatory in NH) I I i I E.L.DISEASE..EA EMPLOYEE 5 1,000,000 <br /> ® III yes.describe under i <br /> I DESCRIPTION OF OPERATIONS below I I I I ! I E.L.DISEASE-POLICY LIMIT S 1,000,000 <br /> C I PROFESSIONAL. I N ; N LUUSAn01441 7/1/2017 7/1,201$ 82.000.000 PER CLAIM/52,000,000 <br /> LIABILITY I I AGI REG.ATE <br /> I <br /> ® DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more spacers required) <br /> FOR INFORMATIONAL PURPOSES ONLY. <br /> 111 <br /> ® CERTIFICATE HOLDER CANCELLATION <br /> 11480890 <br /> SAMPLE 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 /> ® AUTHORIZED REPRESENTAT <br /> I <br /> ® ©1988 015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> Perkins+Will Qualifications for Architectural+Interior Design Services 121 <br />