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Accw?H CERTIFICATE OF LIABILITY INSURANCE
<br />III
<br />DATE!
<br />01 /09/2DIYY)
<br />07/09/2014
<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(tes) 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 />Hub intern
<br />international Northeast Limited- Ll
<br />ltltl Sunnyside Blvd
<br />CONTACT
<br />NAME:
<br />.LK:,Jl,a,lt 536 -496 7600 _______�� _ pic�NO 516 -096 -4040
<br />E•! M'
<br />ADOREE S
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIL# M
<br />Woodbury NY 11797
<br />INSURERA: Hartford Fire Insurance Co.
<br />19602
<br />EACH OCCURRENCE
<br />INSURED Cus #90373
<br />INSURER B:
<br />51,000,000
<br />INSURER C:
<br />$10,000
<br />B9FG, LLC
<br />INSURERD;
<br />GENERALAGGREGATE
<br />c/o Focus Financial Partners LLC
<br />025 Third Avenue, 27th P1
<br />PRODUCTS. COMPIOP AGO
<br />$3,000,000
<br />New York, MY 10022
<br />INSURER E:
<br />A
<br />INSURER F :
<br />LIABILITY
<br />ANY AUTO
<br />ALLOIAN5D SCHEDULED
<br />AUTOS NON,OWNED
<br />HIRED AUTOS 8 AUTOS
<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 />IyTfi l
<br />TYPE OF INSURANCE iATtffL"F5Ue0i�"
<br />INSR
<br />d II
<br />—"`-
<br />POLICYNUMBER
<br />POLC EFF
<br />MMIODY"
<br />PO E
<br />MW YYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY
<br />DCLAIMS-MADE 1--xiOCCUR
<br />w _
<br />G —ENI'L AGGREGATE LIMIT APPLIES PER:
<br />POOCV 7� PRO- w1 LOO
<br />JFCT
<br />10mmJT9543
<br />01/01/2014
<br />01/01 /2015
<br />EACH OCCURRENCE
<br />$1,000,000
<br />PREMISES Be occurrence,
<br />51,000,000
<br />MED EXP(Any one person)
<br />$10,000
<br />PERSONAL B AOV INJURY
<br />$1,000,000
<br />GENERALAGGREGATE
<br />$3,000,000
<br />PRODUCTS. COMPIOP AGO
<br />$3,000,000
<br />_
<br />S u
<br />A
<br />AUTOMOBILE
<br />'�
<br />_,
<br />8
<br />LIABILITY
<br />ANY AUTO
<br />ALLOIAN5D SCHEDULED
<br />AUTOS NON,OWNED
<br />HIRED AUTOS 8 AUTOS
<br />IODUNJT9543
<br />01/01/2014'01/01
<br />/1015
<br />Ea exlkenDt `"I GLELIMIT
<br />$110001004. __ -
<br />BODILY INJURV (Pet ponnn)
<br />S
<br />BODILY INJURV IPeramidenN
<br />$
<br />PROPERTY DAMAGE
<br />S
<br />S
<br />A
<br />;
<br />(III -111
<br />(UMBRELLA UAB
<br />EXCESS LIAR
<br />8
<br />OCCUR
<br />MADE
<br />I
<br />10HHUJT4532
<br />01/01/2014
<br />I
<br />01/01/2015
<br />EACH OCCURRENCE
<br />$10,000,000
<br />F—acLAIMS
<br />AGGREGATE
<br />$10,000,000
<br />DEC I X I RETEINTIONSIO 000
<br />S
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS LIABILITY
<br />ORIPARNERANY PROPRIET IE%EOUTIVE YI❑N
<br />OFFICER /MEMBER EXGLUDEO9
<br />(Myandatory In NHl
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />IOWBAG3832 :101/01/2014
<br />I
<br />01101/2D1S
<br />g TQR U OT�H,
<br />E.L. EACH ACCIDENT
<br />51;000,000
<br />E.L. DISEASE•EA EMPLOYE
<br />S1, 000, 000
<br />EL. DISPJSE• POLICY LIMIT
<br />$1,000,000
<br />i
<br />I
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mone space In required)
<br />Evidence of insurance
<br />lity of Santa Ana
<br />0 Civic Center Plaza
<br />aorta Ana, CA 92701 -4058
<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 />AUTHORIZE REPRESENTATIVE
<br />27.1 '11 .
<br />to]
<br />ACORD 25 (2090105) The ACORD name and logo are registered marks of ACORD
<br />rights reserved.
<br />Doc47356730 Cartholder Nt 69
<br />P ermea rc �� �c9 �'-jL) ''
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