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ACOR" CERTIFICATE OF LIABILITY INSURANCE <br />`.. <br />DATE (MM DDM YY) <br />06/2512016 <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(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 />CONTACT <br />NAME: <br />Hiscox Inc. <br />520 Madison Avenue <br />PHON o t . (868) 202 -3007 A XC No): <br />AE-MAIL COntag hiscox.COm <br />DDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAICN <br />32nd Floor <br />INSURERA: Hiscox Insurance Company Inc <br />10200 <br />New York, NY 10022 <br />INSURED <br />INSURER B <br />X <br />INSURER C: <br />$ 5,000 <br />Applied Creative Training, Inc.. <br />INSURER D: <br />PERSONAL &ADV INJURY <br />310 Mastodon Drive <br />INSURER E, <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />1 INSURER F: <br />$ S!T Gen. Ag . <br />Ingleside IL 60041 <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 />HER <br />LTR <br />TYPE OF <br />ADDL <br />UBR <br />POLICYNUMBER <br />POLICY EFF <br />M D/YYYV <br />POLICY EXP <br />MIDDY YYY1 <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ® OCCUR <br />CGL is on BOP Form <br />UDC - 1573434 - BOP -16 <br />04124/2016 <br />04124/2017 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />-D-AM-AG Ea occurrence ) <br />PREMISES A A ( aoc ED <br />$ 50,000 <br />X <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />$ 0 <br />GENL AGGREGATE LIMIT APPLIES PER <br />X POLICY PRO- JECT ❑ LOC <br />OTHER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMP /OP AGG <br />_ <br />$ S!T Gen. Ag . <br />_ <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIREDAUTOS NON -OWNED <br />AUTOS <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />__ <br />$ <br />BODILY INJURY id <br />(Per accent ) <br />$ <br />PR0PER1YDAMAGE <br />(per accident <br />_ <br />$ <br />UMBRELLA LIAR <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />BED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY Y/N <br />ANYPROPRIETORIPARTNERIEXECUTIVE ❑ <br />OFFICERIMEMBEREXCLUDED? <br />(MandatorylnNH) <br />If yes descnbe under <br />DES OF OPERATIONS below <br />N/A <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />— <br />E.L. DISEASE - EA EMPLOYEE <br />— <br />$ <br />E . DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br />O 1988.2014 ACORD CORPORATION. All ph s r d. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACCI fir SE P 2. 2B1 <br />OIL <br />F0 IV BY: <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 />O 1988.2014 ACORD CORPORATION. All ph s r d. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACCI fir SE P 2. 2B1 <br />OIL <br />F0 IV BY: <br />