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DocuSign Envelope ID: 744F8ADB-CD3C-429C-BA9E-C4FEEC3lA417 <br /> DATF(M1AMD11'YYY) <br /> CERTIFICATE OF LIABILITY INSURANCE D7128J2015 <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(fes)must be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terns 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). c <br /> PRODUCER CONTACT rd...E: <br /> Aon Risk Services, Inc. of Washington, D.C. PRONE ($b6} 283 7122 Fax (800) 363-0105 i <br /> Aon Risk Servies Central, Inc. (AJC.No.Ext]: AIC,Na„ To <br /> Chicago IL office E-ur,[L 'o <br /> 200 East Randolph ADDRESS: _ <br /> Chicago IL 50601 USA <br /> INSURER(S)AFFORDING COVERAGE IIAIC 9 <br /> INSURED INSURERA: National Union Fire Ins Co of Pittsburgh 19445 <br /> ,%=ImJS Consultinq Services, Inc. INSURERB: <br /> 808 Moorefield Park Drive, suite 205 <br /> Richmond vA 23236 USA WSURERC: <br /> WSURER D: <br /> INSURERE: - <br /> INSURER F; <br /> COVERAGES CERTIFICATE NUMBER: 570056714505 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 15 SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested <br /> LTR TYPE OFWSURANKE INSO YN0 POLICYNUMBER MWCD NYYYI-_JVVAWffYY1 LJVITS <br /> COMVERCIA-GENERAL LIABILITY EACH OCCURRENCE <br /> CUS?AS!AADE F]OCCUR <br /> PAVAGET RENTErerrce <br /> MED EXP(Anyona Person) <br /> PERSONAL&ADV INJURY 'n <br /> M <br /> C EN LAGGREGATE LIVIT APPLIES PER. GENERAL AGGREGATE <br /> POLICY ❑PEa �LOC PRODUCTS-COMPJOPAGO '0 <br /> 0 <br /> OTHER: ° <br /> AUTOV..CB]LE LLABILITY COf d8NED SINGLE L17iT <br /> a.adent <br /> ANYAUTO BODILY INJURY(Per Person) O <br /> Z <br /> ALLOWNED SCHEDULED BODILY INJURY(Peracddwo aQ <br /> AUTOS AUTOS fp <br /> FJIREDAU70S Z`�`-O'NNED PROPERTY DAIAAGE O <br /> AUTOS Per acod em) <br /> W <br /> t! <br /> Qr <br /> UHBRELLALIAB H OCCUR EACH OCCURRENCE U <br /> EXCESS LIAR CLAP,!S4 ADE AGGREGATE <br /> DED I RETENTION! <br /> VIORRERS COMPENSATIONAND _ PER STATUTE OTH- <br /> EMPLOYERS'LABILITY Yf N ER <br /> ANY PROPRIETOR!PARTNER I EXECUTIVE E.L.EACHACCIDENT <br /> 0FFtCEkT-'Z?1TER EXCLUDED? ❑NIA <br /> (Mandatory In NTT) E.L DISEASE-EA EMPLOYEE <br /> Ues,desenbe under <br /> SCRiPTIO??OF OPERATION S be}a,v F-L.DISEASE-POLICY UMJT <br /> A F&O-PL-primary 014247388 08/01/2014 08/01/2015 Agg/Per Oct: $1,000,000 <br /> SIR applies per policy teri os & condi ions <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORO 101,AddrJonal Remarks Sehadula,maybe attached If more space Is required) <br /> RE: New contract FY14-16. >t <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRJBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THFREOF, NOTICE YJTLL BE OELIWRED III ACCORDANCE WITH THE <br /> POLICY PROVISIONS 55 <br /> orange County AUTHORVrD REPRESENTATIVE <br /> 200 South Cameron street <br /> Hillsborough He 27278 USA �- <br /> ©1988-2014 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2414101) The ACORD name and logo are registered marks of ACORD <br />