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FORMS + ATTACHMENTS© Professional Architecture Services for Government Center Lobby+Gateway Park I �'.N SONG&AS-01 CSINKS '`�� CERTIFICATE OF LIABILITY INSURANCE o/CP. DATE snoi 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 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR_PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 ACT Ames 8 Gough PHONE FAX 8300 Greensboro Drive (MC,No,Eat):(703)827-2277 I Wc,Noy(703)827-2279 Suite 980 itabs,admin@amesgough.com McLean,VA 22102 INSUREWS)AFFORDING COVERAGE NAIL d INsuRERA:ACE A++(XV) 22667 INSURED INSURER B: Song 8 Associates Inc. INSURER C: 1545 Centrepark Drive North INSURER D: West Palm Beach,FL 33401 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. INSR ADOL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE MSD YAM POLICY NUMBER (MMIDD/YYYYI fMM/DD/YYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S _ I CLAIMS-MADE n OCCUR DAMAGE TO RENTED I 1 PREMISES fEa occurrence) S - MED EXP(Any arra Person) S _ PERSONAL&ADV INJURY S 541.AGGREGATE pURMpIT.APPLIES PER GENERAL AGGREGATE S POLICY n JEL? n LDC PRODUCTS-COMP/OP AGO S . iOTHER: S AUTOMOBILE LIABILITYfEe COMBINEDSINGLE OMIT $ — AUTO BODILY INJURY(Per person) S OWNED SCHEDULED _AUTOSg�� ONLY _AUUTµOSSyyN� pBOOpDILY INJURY M(Per accident) S —AUTOS ONLY AUTOS ONLYY IPen e�wRg.I GE S S UMBRELLA LIAB _OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED I I RETENTION S S WORKERS COMPENSATION I STATUTE I I ER AND EMPLOYERS' A ApNFYp PROPRIET�ORj�IPARTNERIEXECUTTVE IY I NI E.L EACH ACCIDENT S OFFlCCEERAIMM EXCLUDED? N I A Il m desc0e I E.L DISEASE-EA EMPLOYEE S DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S A Professional Liab. G25603345 001 10121/2017 10/21/2018 Per Claim 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Ra ats SchNWa,may be attached If more space Is regebed) PROFESSIONAL LIABILITY AGGREGATE LIMIT:$5,000,000 I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION WILL BE DELIVERED IN proposal purposes ACCORDANCE WITH THE OCYTHEREOF. iAUTHORIZED REPRESENTATrAE ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I SONG +ASSOCIATES 76 I