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/-- y ° r DATE �n�(pp,YYYY)"""" <br /> DocuS�nvelopeID:3B89DDCF-489D-4FD8-ADD3-0135D80D7084 (ABILITY INSURANCE 0/1!/2016 <br /> .ia ._, I le I 11 "I-Ir, . II 1 <br /> Insurance Plus 800-222-1110 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Willis of New York, Inc., Brookfield Place ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 200 Liberty Street, 6th Floor <br /> New York, NY 10281 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A. Aspen Specialty Insurance Company 10717 <br /> Michael A Savino Report all claims to Insurance Plus Program via e-mail at <br /> 505 Long Leaf Drive Ins. #96597 ProfessionalLiabilityClaims @aspen-insurance.com <br /> Chapel Hill, NC 27517 INSURER e <br /> INSURER C <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTAN DING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> LTR INSR©, TYPE OF INSURANCE DATE POLICY EXPIRATION LIMITS <br /> INSR ADD'L POLICY EFFECTIVE Y) ppyTE{<�IIYIlDglYYYY) <br /> GENERAL LIABILITY EACH OCCURRENCE $2,000,000 <br /> 08/17/2016 08/17/2017 PREMISES <br /> DAMAGE TO RENTED <br /> X COMMERCIAL GENERAL LIABILITY <br /> OCCUR #LRAFVTX15AOM SES(Fa occurrence)rrrenCe) $100,000 <br /> CLAIMS MADE X MED EXP(Any one person) $NIA <br /> A PERSONAL&ADV INJURY $2,000,000 <br /> GENERAL AGGREGATE $3,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $2,000,000 <br /> X POLICY JECT LOC BUS.PERS.PROP.AGG/DED $1,000/ $250 <br /> AUTOMOBILE LIABILITY <br /> COMBINED'SINGI E LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Per aCCdent) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AU1 O EA ACC $ <br /> - - OTHER THAN ..... .._. ..... <br /> AUTO ONLY: AGG S <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE <br /> RETENTION $ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE 7 E L EACH ACCIDENT $ <br /> OFFICEPJMEMBER EXCLUDED? <br /> (Mandatory iIn NH) E.IL,DISEASE EA EMPLOYEE $ <br /> If yes,describe under <br /> RE IALPR•VI,ISN . Iow Ei:.l...DISE'ASE'-POLICYL.IMI"r $ <br /> A OTHER Professional Liability #LRAFVTX15AOM 2,000,000 per occurrence I$3,000,000 annual <br /> 08/17/2016 08/17/2017 ac1Uregate <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> Not Applicable <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Not Applicable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE gyp-,j 4 / <br /> ACORD 25(2009/01) ©1988.2009 ACORD CORPORATION. All rights reserved. <br /> INS025(2000 01)' The ACORD name and logo are registered marks of ACORD <br />