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<br />A CERTIFICATE OF LIABILITY INSURANCE
<br />DATE123/201YYY)
<br />ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO Mfi!ICH THIS
<br />1/23/2019
<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 />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(les) 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 />this certificate does not confer rights to the certificate holder in lieu of such ondorsemen s .
<br />PRODUCER D CT Daniel R. Gunter
<br />Thompson Plane an Executive Liability Group PHONE FAX
<br />628 W. Jackson Blvd. lith Floor AIC, No, Ext): (312) 239.2S9O IA/c, Nai:(312) 263.1551
<br />Chicago, IL 60681 E- 6s; dgunter@thompsonflanagan.com
<br />INS_URERtS} AFFORDING COVERAGE NAICR
<br />_... INSURER A:The Continental Insurance CoLnpan 35289
<br />INSURED INSURE : American Casualty Company of Reading, Pennsylvania 20427
<br />�( AvenuHoldings, LLC INs RERo..RSUIIndemnity .22314
<br />2411 Dulles Corner Park Suite 80 INs fio:Axis insurance Com an 37273
<br />Hemdon, VA 20171
<br />INSURER E:
<br />INSURER F:
<br />r:r)VFRAr;FS CFRTWICATF NI III 0F1/ICIr1N nil IRARGo-
<br />THIS 1S 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
<br />ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO Mfi!ICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
<br />THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />INSR ADOL SUER
<br />TYPE OF INSURANCE POLICY NUMBER
<br />POLICY EFF POLICY EXP
<br />/pp (MIM LIMITS
<br />^EACHOCCURRENC_F
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />1,000,000
<br />CLAIMS -MADE Z OCCUR 6043362567
<br />112412019 1/2412020 DAMAGE TO RENTED
<br />ce
<br />1,000,000
<br />,J3FMISEStEaoCSt4
<br />ED EXP (Any onVperson $
<br />15,060
<br />PE SONALBADV RY
<br />1,000,006
<br />GENT AGGREGATE LIMIT AP'PLI�ES PER:
<br />�fP,NERAL AGGRF A7E $
<br />2,000,000
<br />POLICY jECT U LOC
<br />2,000,000
<br />PRODUCTS-COMPIOPAGG S
<br />OTHER:
<br />B
<br />AUTOMOBILE LIABILITY
<br />COMBINEDSINGLE LIMIT $
<br />1,000,000
<br />ANY AUTO 6043362570
<br />1/24/2019 1124/2020 BOOILY INJURY (Por ereon $
<br />OWNED SCHEDULED
<br />AU�pT�EOpUU
<br />$ONLY Ap7N, OS
<br />6(OtUILY 4NJURY tear accitlenC $
<br />_
<br />X A()TOX AU'tISONLV
<br />PPgOracGden�AMA(:E
<br />S ONLY
<br />$
<br />A
<br />X UMBRELLA LIAB X OCCUR
<br />EACH OCCURRENCE $
<br />10,000,000
<br />EXCESS UAE CLAIMS -MADE 6043362584
<br />1/2412019 112412020 AGGREGATE s
<br />10,000,000
<br />DED X RETENTIONS 10,000
<br />WORKECTH-
<br />NSATION
<br />�( PEA ERL
<br />AND EMPLOYERSELIABILIIW
<br />6043362536
<br />Y�
<br />1/24/2019 1/24/2020
<br />1,000,000
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />L, EACH ACCIDENT $
<br />ppFFICER/MEMBER EXCLUDED? NIA
<br />(Mantlstory In NNHH�I
<br />1,000,000
<br />If yes,d core Voter
<br />EL. DISEASE, EA EMPLOYE 5
<br />_
<br />1,000,000
<br />DESCRIPTION OF OPERATION
<br />F. ,DISEASE -P LI YLIMiT
<br />C
<br />„balmy
<br />Professional Liabili LCY774107
<br />1/24/2019 1/24/2020 Limit
<br />5,000,000
<br />D
<br />Directors & Officers MCN620510/01/2019
<br />1/24/2019 1/24/2020 Limit
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS t LOCATIONS t VEHCLES (ACORD tai, Additional Remark$ Schedule, maybe attached if mora space is required)
<br />Per the cancellation wording listed on this form, the policy provisions include at feast 30 days' notice of cancellation exccgpt for non-payment of premium.
<br />///? FF -lie/
<br />MVI/ Ser-vl@5 "s Aot✓
<br />f4vg td ArlI
<br />L.:_.! APPROV6
<br />may; Bw� br
<br />CERTIFICATE HOLDER CANCELLATION ff
<br />}�.
<br />If i7p ) - Hn OI r/ -TIO V111 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />tv�7` �n l`•/ I ,/- )`W ION ACCORDANCE WITH THE POLICY PROVISIONS.THE EXPIRATION DATE E WILL BE DELIVERED IN
<br />(y» l.i tk 5 0`/L g (,ter'/_) A,, ,r�
<br />�kr11111111 , r''k), r (-" AUT ED REPRESENTATIVE
<br />of Coverage • " v '�/.j''�',`xs��4a�
<br />ACORD 25 (2016/03) i"' ©1988.2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
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