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acOR®® CERTIFICATE OF LIABILITY INSURANCE <br />�....-� <br />-DATE <br />02/13/ 019 V) <br />02/13/2019 <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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />HISCOX Inc, d/b/a/ HISCOx Insurance Agency GA <br />g y In <br />520 Madison Avenue <br />32nd Floor <br />CONTACT <br />NAME: <br />PHONND xt (868) 292-3907 A/C Nor: <br />E-MAIL <br />ADDRESS: contact@hiscox.com <br />INSURERS AFFORDING COVERAGE <br />NAIL# <br />New York, NY 10022 <br />INSURER A: Hiscox Insurance Company Inc <br />10200 <br />INSURED <br />LKHC Consulting <br />INSURER B <br />28086 Via Del Cerro <br />INSURER C: <br />INSURER D: <br />San Juan Capistrano CA 92675 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />I <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />JMMIDDIYYYYJ <br />POLICY EXP <br />HMMIDDIYYYY)LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />❑ OCCUR <br />DAMAGCLAIMS-MADE ES(TO RENTED <br />PREMISES <br />PREMISES RENT rrence) <br />$ <br />MED EXP (Any one person) <br />S <br />PERSONALBADV NJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />GEN'L <br />POLICY IRI-JECT a LOC <br />PRODUCTS - COMP/OP AGO <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Peraccident <br />S <br />_ <br />5 <br />UMBRELLA LIAB <br />_ <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />BED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />I PER 1OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />STATUTE ER <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />EL EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDE D9 ❑ <br />NIA <br />— '- - <br />$ <br />(MandatoryinNH) <br />E.L DISEASE - EA EMPLOYEE <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />A <br />Professional Liability <br />UDC-2086768-EO-18 <br />10/20/2018 <br />10/20/2019 <br />Each Claim: $ 1,000,000 <br />Aggregate:$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />ri"I(J II I u <br />CERTIFICATE HOLDER CANCELLATION <br />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 REPRESENTATIVE / <br />@ 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />