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A`� �� D.TE (RIMIODmrY) <br />�EF� i Ir=1�w j E uF CIA6�CI Y jNSurcp►I4c:E rTl,-'U1-i <br />THIS CERTIFIC-TE IS ISSUED AS - M-TTER OF INFORMATION ONLY AND CONFERS RU RIUHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICA I E DUES NOT APFIRMA a IVI•I• r UR NEGATIVELY AMEND, EXTEND OR ALTMI! THE COVERAGE AFFORDED BY THE POLICIES <br />BCCOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUirw A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />Rr-PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the ceRlneate holder is an ADDI 1019AC INSURED, the policy(les) must have ADDI I (ORAL INSURED pre.i=ierom e,r be a-aer�uH. <br />If SUBROGATION IS WAIVED, subject to tie terms and ■unditieroa of the peiley, eertalm poliviec rn. y require .n errdorz� erot. A ;tatc... amt o.-, <br />thio aortifiaote do�3 rout evnfe. pigRts to the eortinouty holder in lies of such endo _arn.nt(z). <br />PRODUCER EUCK I UN CUM YANIEN <br />CONTACT <br />NAME: <br />444 W. 471 Fl S I REET, SUI I E 900 <br />PHONE FAX <br />AIC N■ <br />ItArv37v3 Ci r l mU u; 1 I Z- i 97u <br />E-MA1L <br />�El6) y60-ywv <br />1 1/3019 <br />5l=Rv CVRREMR 3 1,000,000 <br />I135R...(-3).. amim-cVTZFOlpE row..■ <br />IRaoRE..^: imyelers PrRp"LaSUogy c. arA-epic.. 15G /4 <br />INZURER 0: The PhOCnix 1n— ('�,�„. 2D52j <br />a24!1H3l�i�- �+Vlll}LSi1)� <br />IRceRee <br />i.nr�D3%Arirvu, .. <br />1342222 <br />_ i I I S%Y )6 I H J 1 KEE I <br />.RSC. -'roe: CO <br />UANIA REACH FL -1.3-112 <br />INSURER D. <br />INSURER E : <br />INSURER F: <br />COvERAOEs FIRC015 CERTIFICATE NUMBER: 14442948 <br />REVISION NUMBER: AAAAAAA <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 />IReie.,Tee. RoTWIT19S-nMDIRG nRT REOUIRERIERT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THaI!S� <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRI_En 19ErzEh. 1. uQ[�aEC� To —I! TRE TEnMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />rm <br />-Pe er I .eeRllRee <br />ADDL <br />5 eR POLICY EFF <br />POCluT NUMBER M IYYYY <br />POLICY EXP <br />MMMD1YYYyI <br />MRJ73 <br />A <br />X commenctIM13E,.ERrrLLIABILnY <br />„ <br />660 -106=L300 -TIL -18 l 112018 <br />1 1/3019 <br />5l=Rv CVRREMR 3 1,000,000 <br />PREMISES (Ea murm"ce)1 000 006 <br />CLAIMS -MAGE X OCCUR <br />.-.ev MF 1-.Y.me Person) <br />... _ <br />PERSONAL dADV INJUR- S 1000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ , 0OO 00U <br />POLICY ❑'ee El LOC <br />PRODUCTS -COMPlOPAGG $ L 000 00U <br />+ <br />OTHER <br />B <br />AUTOM0131LELIADJUTY <br />N <br />N <br />810-1062L300•COF-18 �rIRe�6 <br />-I,_e�! <br />I�eosln eeeh„ uu0O1U0 <br />BODILY IMURYIPuparaen-' S AAAAAAA <br />ANY AUTO <br />OWNEDSCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Pw Edon:] $ AAAAAAA <br />A HIRED AUTOS ONLY A AUTOS ONLOY <br />Wer accidenO PROPERTY OHMAGE $ XXXXXXX <br />S AAAAAAA <br />C <br />X <br />UMBRELLA LOW <br />X <br />OCCaR <br />N <br />N <br />US00074143LE18A 1.112018 <br />L'1f201T <br />EMM ocUMMIMUE IS 5.000.000 <br />,eolRvsT e s 5.000.000 <br />EXCESS eus <br />ce'e 5 esmE <br />Bea A FMVEMMON; Sv <br />: XXXXXXX <br />WORKERS COMPENSATION <br />-NO Eler�u � eR� B..elerrr YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBEREXCLUDED? <br />R•^ <br />NOT APPLICABLE <br />STATUTE ERH-- <br />EL EACH ACCIDENT S XXXXXXX <br />(Mandatory In HH) <br />QESCWnd <br />E.LDISEASE- EAEMPLOYEE $ XXXXXXX <br />� RION OF 6PERAT10NS b.Iw. <br />E.L. DISEASE - POLICY LIMIT S A A A A AX <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additl.w_I Rom-pke 5.hedele,,w_ be r=uh.d if nI_w cpw k r.gelp.d) <br />T fi;5 CERT 1F1enT E;55 ER..cI5-9 -I! PRE ivla. c7ERTI FICATES. Proof of Insurance <br />CER i MICA l E RUEDr_R CANCECIt 11019 <br />,>R4'Cw>:a <br />Lukes Larld.e. viii& 1,,-,v. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />2711 S W 36th Street <br />THE EnPIev�TIOR 13-71!R=REoP. No -Rel! .lEr= HE evEl-cRw In <br />ivania oeacR r JJJiL <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTA <br />TO i 98WOi s ACORD CORPOKA I JUN. All lights reserves. <br />mCUR1925 (20 187031 3 Re AwRa name ano logo are reglsterea marKs oT ACuR) <br />],.Ke3' Lanahic.atp;zlg, Inc. <br />