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4.4 SR 09-18-2023
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4.4 SR 09-18-2023
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9/14/2023 1:52:21 PM
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9/14/2023 1:50:54 PM
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9/18/2023
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����� <br />ACORO� <br />�._.-� <br />AMERCON-12 <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER ''��'c�wc a av�e-e.�.�uv <br />Hub International Great Piains <br />245 E. Roselawn Avenue <br />Suite 31 <br />Saint Paul, MN 55117-1940 <br />INSURED AMERICAN CONSULTING SERVICES INC <br />AMERICAN ENGINEERING TESTING INC <br />AMERICAN PETROGRAPHIC SERVICES INC <br />550 CLEVELAND AVE N <br />ST PAUL, MN 55114-1804 <br />Ann Ross <br />:xr�: (651) 288-5137 <br />. ann.ross@hubinternational.com <br />INSURER(S) AFFORDING COVERAGE <br />n:The Phoenix Insurance Compai <br />e;The Travelers Indemnity Compar <br />�;Travelers Property Casuaity Comp� <br />�:The Travelers Indemnity Comp; <br />e:Continental Casualty Company <br />F: <br />286-0560 <br />25623 <br />of America 25666 <br />y of America 25674 <br />25658 <br />20443 <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 />INSR 7ypE OF INSURANCE ADDL SUBR pOLICY NUMBER P�LICY EFF POLICY EXP LIMITS <br />LTR N VD MM/DD MlDD <br />A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ Z�OOO�OOO <br />CLAIMS-MADE � OCCUR P630539K8896PHX23 1/1/2023 �/�/2024 DAMAGETORENTED ��QQQ�OQQ <br />PREMISES Ea occurrence $ <br />MEDEXP An one erson $ �0,00� <br />PERSONAL &ADV INJURY $ Z,OOO,OOO <br />GEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE $ 4,000,000 <br />POLICY �X jE� � LOC PRODUCTS-COMP/OPAGG g 4,000,000 <br />OTHER: $ <br />B AUTOMOBILE LIABILITY Ea aBcitleD�SINGLE LIMIT $ Z,OOO,OOO <br />X ANYAUTO 8102L6457122343G 1/1/2023 1/1/2024 BODILYINJURY Per erson � <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br />AUTOS ONLY AU�TOS ONL� PROPERTY DAMAGE <br />Per acc'ident $ <br />$ <br />C+ X UMBRELLA LIAB X OCCUR � � EACH OCCURRENCE $ � O,OOO,OOO <br />EXCESSLIAB CLAIMS-MADE CUP3K2260092343 1/1/2023 1/1/2024 AGGREGATE g �0,000,000 <br />DED X RETENTION $ 0 $ <br />D WORKERS COMPENSATION X <br />AND EMPLOYERS' LIABILITY STATUTE ER,__.,,,__. <br />UB9H9151012343G 1/1/2023 1/1/2024 1,000,000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y� N E.L. EACH ACCIDENT $ <br />OFFICER/MEMBEREXCLUDED? �N N�A <br />(Mandatory in NH) E.�. DISEASE - EA EMPLOYE $ �'���'��� <br />if yes, describe under 1 000 000 <br />DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ ' ' <br />E PROF/POLL LIABILITY ECH254066939 1/1/2023 1/1/2024 EACH CLAIM 10,000,000 <br />E RETR0:070287 ECH254066939 1/1/2023 1/1/2024 AGGREGATE 15,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 707, Additional Remarks Schedule, may he attached if more space is required) <br />RENEWALS: contracts@teamAET.com <br />ILLUSTRATION CERTIFICATE <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 />q���r�` <br />ACORD 25 (2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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