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A"Cornm-11] k10=VMnI nc4 ATE (MM+DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE DATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT, If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer ri g hts to the certificate holder in lieu of such endorsements . PRODUCER License # 20443386 CT Ann Ross HUB International Mountain States Limited Sui E. Roselawn Avenue Suite 31 Ertl j651) 28$-5137 wC,Nu 551 286.0560 L ann.ross hubinternational.com E55 Saint Paul, MN 56117-1940 INSURER ($) AFFORDING COVERAGE NAIL* INSURER The Phoenix Insurance Company 25523 INSURED AMERICAN CONSULTING SERVICES INC INSURER B The Traveler Indemnity Company of America 25666 INSURER C Traveler Property Casualty Company of America 25674 AMERICAN ENGINEERING TESTING INC INSURER D The Travelers Indemnity Company 25658 AMERICAN PETROGRAPHIC SERVICES INC 660 CLEVELAN❑ AVE N ST PAUL, MN 55114-1804 INSURER Continental Casualty Company 20443 INSURER F THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AODL SU POLICY NUMBER POLICY EFF POLICY I"LTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE r OCCUR P630539K8896PHX21 1/112021 1/112021 111/2021 1l112022 1/112022 111.12022 EACH OCCURRENCE f 2,000,000 F,gDAMAGE TO RENTED S 1,000,000 MED EXP (Any ane $ 10,000 PERSONAL & ADV INJURY f 2,000,000 GENT_ AGGREGATE L MIT APPL ES PER: POLIGY [�] JECT LOC OTHER: GENERAL AGGREGATE 6 4,000,000 PRODUCTS - COMPIOP AGG 11 4,000,000 COMBINED SINGLE LIMIT i 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO OWNED 'SCHEDULED AIURRT��OppS ONLY ryAgUTµOpSyyN� AUTOS ONLY AUTOg O►,IL� 8102L6457122043G Xi BODILY INJURY Per BODILY INJURY Per accident i I� aPCO ento) E $ EACH OCCURRENCE i i 10,000,000 C X UMBRELLA LOB EXCESS LIAB x OCCUR cLAiMs-MAo 'CUP3K2260092043 UB9H9151012043G ECH254066939 �ECH254066939 AGGREGATE s 10,000,000 DED I XC I RETENTION $ 0 $ D WORKERS COMPENSATION AND EMPLOYERS° LIABILITY Y I NSTATUTE ANY PROPRIETOWARTNERIExECUFIVE OFFICZE?1,MEM EXCLUDED? ® i an ory m If yes, describe under DESCR PTION OF OPERATIONS below N 1 A 11112021 11112022 x PER OTH- ER E.L. EACH ACC DENT f 1,000,004 E.L. DISEASE - EA EMPLOYE 1,DOO,000 i E.L DISEASE -POLICY LIMIT 1,000,000 i E E PROFIPOLL LIABILITY RETRO 7-2-87 1/112021 111/2021 1/112022 11112022 EACH CLAIM AGGREGATE 10,000,000 15,000,000 OF OPERATIONS r LOCATIONS I VEHICLES (ACORD 101, Addtional Remaalcs Schedule, may be attached if mare space is required) : contracts@amengtest.com CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Illustration Only THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN y ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103j O 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD