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CAeo <br />HIJCOX <br />HISCOX INSURANCE COMPANY INC. (A Stock Company) <br />233 North Michigan Avenue, Suite 1840 Chicago Illinois 60601 <br />Certificate of Commercial General Liability Insurance <br />This certificate is issued for informational purposes only. <br />It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to <br />any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not <br />change the terms, exclusions or conditions of such policies. <br />Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of <br />any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits <br />provided at the policy inception. Subsequent paid claims may reduce these limits. <br />Named Insured: <br />Insurer Name: <br />Policy Number: <br />Type of Coverage: <br />Policy Effective Date: <br />Limits of Insurance <br />Each Occurrence: <br />Luis Martinez <br />Hiscox Insurance Company Inc. <br />UDC -1473612 -CGL -14 <br />Occurrence <br />July 16, 2014 <br />Policy Expiration Date: <br />July 16, 2015 <br />Damage to Premises Rented to You: <br />Medical Expense: <br />Personal &Advertising Injury: <br />General Aggregate: <br />Products/Completed Operations <br />Aggregate: <br />General Aggregate Limit applies per: <br />$ 1,000,000 <br />$ 100,000 Any one premises <br />$ 5,000 Any one person <br />Is 1,000,000 <br />$ 2,000,000 <br />Products -completed operations are subject to the General Aggregate <br />Limit <br />Policy <br />Description of Endorsements/Special Provisions <br />Not applicable <br />Authorized Representative <br />July 17, 2014 <br />Date <br />APPROVED AS TO Fr <br />Laura A. Rossini <br />Assistant City Attorney <br />CG DS 01 01 10 Includes copyrighted material of Insurance Services Office, Inc., with Page 1 <br />its permission. © ISO Properties, Inc., 2000 <br />