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000uSign Envelope ID: o1u41oAsoBo44uBE-oBau-7o5euBFuBA15 <br /> TMAHOLD-03 MDLANGE <br /> AC-C <br /> M/fir o �*^mmo»°''�� � �� u K� � 7 � � � U� � U U �� U � �� �� m� � <br /> 1/�n��14 <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 Ou PRODUCER,AND THE os�T|p|c�Tswo�ose. <br /> - ----'— ---------- <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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 CONTACT Michelle Lange <br /> Arthur J.Gallagher |nx�anagemom��m|nos Inc. FAX <br /> ' ' Services, ' 8)584-1433 vuc No): (918)582-1329 <br /> 1300 South Main Street <br /> ' -~~------------- <br /> Tulsa,OK 74119 �G���/MmchmUe1angw@ajg.cmm <br /> INSURER(S)AFFORDING COVERAGE wmr: <br /> INSURERA:Federal Insurance Company 20281___ <br /> INSURED INSURER a: <br /> TMA H |uin LLC INSURER C: <br /> 5100 E Skelly Dr,Ste 900 INSURER 0: <br /> Tulsa,OK 74135 INSURER E: <br /> INSURER F <br /> COVERAGES CERTIFICATE REVISION <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 *soumEwsmT. 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 /> sxcLunmwn�wocowo|nomaoFouoHPnuc|sa.uM/TsoHowwwxr*xvsBsswnsounsoa,Px|ncL^|wa� <br /> o�R--' -------^uoLavmn pouu,sn` ruuo,cm~ ---------'-----' <br /> on TYPE OF INSURANCE INSR WVO POLICY NUMBER Jmmmovrr,L_(MmmoornL LIMITS <br /> GENERAL LIABILITY r^cHoxoo*Rrwcr � <br /> COMMERCIAL onuo'V�'VV��s �mm�uom 12/22/2014 »^w^«'r«m��un---- $ ----- <br /> A ���/vzn�m��n�o* <br /> --- <br /> X CLAIMS-MADE/ws'w^nc / OCCUR mcoExp(Any one person) $ <br /> X Professional PERSONAL u^ovINJURY $ <br /> X Liability GENERAL AGGREGATE n 4,000,000 <br /> GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS com,mr^oo $ <br /> PRO- <br /> POLICY J�� LOC Retention � 50.000 <br /> ------- / SINGLE LIMIT <br /> AUTOMOBILE LIABILITY ������) <br /> ANY AUTO BODILY INJURY(Per parson) $ <br /> ALL OWNED SCHEDULED <br /> BODILY/wwn,(Per n"*�"v $AUTOS <br /> NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS AUTOS PER ACCIDENT) <br /> ~ <br /> vmensLmuxo OCCUR EACH OCCURRENCE <br /> � <br /> ----- <br /> EXCESS LIAB CLAIMS-MADE, AGGREGATE s <br /> v,n RETENTION$ <br /> WORKERS COMPENSATION nr*' <br /> ^wosmpLo,cno'u^a/ur/ '/w TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE EL.EACH ACCIDENT a <br /> OFFICER/MEMBER EXCLUDED? w/x <br /> NH) E.L.DISEASE EA EMPLOYEE $ <br /> o��o��»"���psRATww«below EL.DISEASE POLICY LIMIT $ <br /> --- ' <br /> DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> For|nm,m"mivnOnly ACCORDANCE WITH THE poucvpmO�m/owo. <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />