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07% HISCOX HISCOX INSURANCE COMPANY INC. (A Stock Company) 233 North Michigan Avenue, Suite 1840 Chicago Illinois 60601 Certificate of Commercial General Liability Insurance This certificate is Issued for informational purposes only. It certifies that the policies listed In this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits. Named Insured: Insurer Name: Policy Number: Type of Coverage: Policy Effective Date: Limits of Insurance Each Occurrence: Cit Con Hiscox Insurance Company Inc. UDC - 1377817- CGL -13 Occurrence September 15, 2013 Damage to Premises Rented to You: Medical Expense: Personal & Advertising Injury: General Aggregate: Products /Completed Operations Aggregate: General Aggregate Limit applies per: Policy Expiration Date: I September 15, 2014 $ 1,000,000 $ 100,000 Any one premises $ 5,000 Any one person $ 1,000,000 $ 2,000,000 Products- completed operations are subject to the General Aggregate [Until Policy Description of Endorsements /Special Provisions Not applicable Aaartionai insurea status Certificate holder maintains Additional Insured Status if this boxed checked. This certificate does not grant any coverage or rights to the certificate holder. If this certificate indicates that the certificate holder is an additional Insured, the policy(ies) must either be endorsed or contain spe -cific language providing the certificate holder with additional insured status. The certificate holder is an additional insured only to the extent indicated in such policy language or endorsement. Cancellation In the event of cancellation of any policy described above, the Insurer will attempt to mail 10 days written notice to the certificate holder prior to the effective date of cancellation. However, failure to do so will not impose army du�yi.,qgr �pilly upon the insurer, Its agents or representatives, nor will it delay cancellation. At'1(3NE Fat9P9 N f�VI I aura A. Rossini CG DS 0101 10 Includes copyrighted material of Insurance Services Office, In A"Ili'tant City AttOrfiffe 2 its permission. 0 ISO Properties, Inc., 2000