CERTIFICATE OF LIABILITY INSURANCE D1i01eoonvvrl
<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 pollcy(Iss) 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 Gondar rights to the certlncate holder in lieu of such endorsements .
<br />PRODUCER
<br />MARSH USA ING
<br />'I717 Arch Sfleak
<br />Fhiladedd ,PA 19103
<br />CONTACT
<br />NAME:
<br />PHONE FAX
<br />(AID, N rc. Man, NaI
<br />E-MAIL
<br />AIM: Philadelphia ced,@n arshcom 1 Fax: (212) 9480360
<br />M SURERDO AFFORDING C OVERAGE
<br />Ni
<br />INSURER A: Lexington Insuouncia Garpany
<br />19437
<br />CNH8025105-ALL-GAW11 V) UIUV
<br />INSURED
<br />Allied Universal Ta,a., LLC
<br />INSURER B:Omni Insurance Company
<br />22322
<br />INSU PER C: XL Insurance America
<br />24554
<br />(Sea Attached for Additional Earned Insureds)
<br />161 Washington Sirael, Suite 600
<br />Conshohocken, PA IN28
<br />INSURER D: LIo-s$ndloakes-See Amid 101
<br />INSURER E; XL Speandgr Inseence Company
<br />37885
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: CLE-08595216835 REVISION NUMBER' 22
<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. UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />TYPE OF INSURANCE
<br />ADO
<br />5Yogi ER
<br />POLICYNUMBER
<br />MWDDnYYV
<br />MMOD YV
<br />LIMITS
<br />I
<br />Tl�'OIAMERCIAL GENERAL LIABILITY
<br />CLMd4ApE OCCUR
<br />TRACTUAL LIABILITY
<br />OUG95264
<br />1118112018
<br />111010019
<br />EACHOCCURRgJCE
<br />5 16,0W,000
<br />OAEAGETMPUR5ORENCIEDCes
<br />IS00D,g6D
<br />GEN'L
<br />%
<br />MED Rai ny one Persanl
<br />s
<br />$1.75D,00D
<br />PERSONAL& ACV INJURY
<br />3 10,00T1,0t0
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY JEC1:1 LOG
<br />OTHER'.
<br />GENERAL AGGREGATE
<br />E 10,00QOL6
<br />PRODUCTS-COMP/OP ABC
<br />3 10000,0m0
<br />g
<br />AUTOMOBILELIABILITY
<br />X
<br />X
<br />X
<br />ANY AUTO
<br />CAREO SCNEOULEU
<br />AUTOS ONLY AUTOS
<br />HIRED X NOH-OWNED
<br />AUTOS ONLY AUTOSONLY
<br />RADW37818 Be
<br />11AR12018
<br />11101R019
<br />Ee 31HEDtSINGLE LIMIT
<br />S 2,000,0(Q
<br />BODILY INJURY"" Pereon)
<br />$
<br />SILLILY INJURY Ter DCcEeni
<br />E
<br />PROPERTY➢AMAGE
<br />Per cident
<br />E
<br />E
<br />X
<br />UMBRELIALIAB
<br />EXCESS LIAB
<br />X
<br />OCCUR
<br />CLAIMSMADEAGGREGATE
<br />BOWCNI800836
<br />111012018
<br />i1N1i2019
<br />EACHOCCORRENCE
<br />E 10,000,000
<br />g 10,000.000
<br />DEB I I RETENTION
<br />S
<br />0
<br />E
<br />WORKERS COMPENSATION
<br />AND EMPLOYERT LIABILITY Ylrl
<br />ANYPROPRIEPDRIPARTNERUECUTIVE
<br />OFFICER]MEMBEREXCLUOE➢2 li
<br />(M.. bady in NH)
<br />Pyea deacrmaunder
<br />FBQRIPTION OF OPERAFIONSbO.
<br />NIA
<br />RWD3001203412(AOS)
<br />RWR3001204-02(AK SA)
<br />111012018
<br />19012018
<br />11101120/0
<br />111D112019
<br />X PER OT&
<br />STATUTE
<br />&L EACH ACCI➢ENr
<br />g 1,OOD,060
<br />E.L. DISEASE - EA EMPLOYEE
<br />4 1'000,000
<br />EL. DIS£AS£- POLICY LIMIT
<br />$ i3Og0,0a0
<br />DESCRIPTION OF OPERATIONS l LOCATIONS I VEHICLES (ACOPD fei, Additianul Remarks Schedule, may be aIIoched if more $Puce ie requiI
<br />General Liability and ADD Deadly Provides blanket ade25onal inured Gakus to third parties vAlsa required by wham contact The cdveagas head stave Fmvide ed", 0 subro9arce in facuMd thud- parties
<br />whore required by vaTon contract. The coveai fisted above are prunary and noocanh inkey to other coven$es afforded by Dirdsarkee where recurred by writer, contrast
<br />CERTIFICATE HOLDER CANCELLATION
<br />Allied Universal Topco, LLG
<br />161 Washington Sheet, Suds 600
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Conshohocken, PA 19428
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORQED REPRESENTATIVE
<br />of Marsh USA Inc.
<br />Manashl Mud erlee ..}VLAM1rt.Gas.r: r,Svtn,s/yFss, .ey
<br />911888-2016 ACORD CORPORATION. All rights reserved,
<br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD
<br />ALLIED UNIVERSAL JANITORIAL SERVICES 25B-74 �_ Page 42
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