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F o CERTIFICATE OF LIABILITY INSURANCE 26/20M/DD/YYYY) <br /> 8/26/2013 <br /> RTIFICATE 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(jes)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 NAME: <br /> Hylant Group Inc-Ann Arbor PHONE FAX <br /> 24 Frank Lloyd Wright Dr J4100 E-MAIL - - A/c No: - <br /> Ann Arbor MI 48105 ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER Aflartford Fire Insurance Co 19682 <br /> INSURED NORT-61 INSURER B:Hadfgr_d Casualty <br /> Insurance <br /> Point and Pay, LLC INSURER C:Twin City Fire Insurance Co 29459 <br /> 250 Stephenson Highway INSURER D: P it <br /> Troy, MI 48084 7 <br /> INSURER E: Union F 44 <br /> INSURER F:Illinois National Insurance Co 23817 <br /> COVERAGES CERTIFICATE NUMBER:698071936 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 /> ILTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DDY EFF MM/DD� LIMITS <br /> A GENERAL LIABILITY 35UUNJE7106 12/31/2012 2/31/2013 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $300,000 <br /> CLAIMS-MADE X� OCCUR MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY r7 PRO LOC $ <br /> A AUTOMOBILE LIABILITY 35UUNJE7106 12/31/2012 2/31/2013 Ea accident 1 000 000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY Per accident $ <br /> AUTOS AUTOS ( ) <br /> NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS AUTOS Per accident $ <br /> B X UMBRELLA LIAB X OCCUR 35XHUJE6752 12/31/2012 2/31/2013 EACH OCCURRENCE $4,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 <br /> DED X I RETENTION$10,000 $ <br /> C WORKERS COMPENSATION 35WEBP2831 12/31/2012 2/31/2013 X I WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY YIN <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 <br /> OFFICER/MEMBER EXCLUDED? 17 N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 <br /> D Excess Umbrella ZUP14S76772 /12/2012 2/31/2013 $4,000,000 Limit <br /> E Crime 015714250 12/31/2012 2/31/2013 $3,000,000 Limit <br /> F E&O 033813164 /20/2012 1 2/31/2013 $2,000,000 Limit <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Alisa Cornetto, RN, COHN-S, CCM, CLNC, MSCC, CLCP ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Orange County NC. AUTHORIZED REP ESENTATIVE <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />