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DocuSign Envelope ID:B156146B-0400-4433-84BD-A56E1DCE5DA7 - <br /> i-'. • FLEXBEN-01 BECKYM <br /> '`�A,�...• - L" CERTIFICATE OF LIABILITY INSURANCE DATEtMM/2017Y) <br /> 03/13/2017 <br /> THIS CERTIFICATE IS ISSUED AS A IVIATTER 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 gaiiiiRCT Rebecca T.Moore <br /> Morgan-Marrow Company PHONE <br /> 21 Manhattan Square {Arc,No,)xI):(757)232-2219 FAX No): <br /> Hampton,VA 23666 a nAhss:BeckyM @m0rganmarr0W.COm <br /> INSURERS)AFFORDING COVERAGE NAIC# <br /> • _._-__- INSURER A:State Auto Property&Casualty Insurance Co. 25127 <br /> INSURED INSURER a:Meridian Security Insurance Company 23353 • <br /> Flexible Benefit Administrators,Inc. INSURER c:Landmark American Insurance Company 33138 <br /> P.O.Box 8188 INSURER D:Federal insurance Company 120281 <br /> Virginia Beach,VA 23450 __•____ _.._-_. w .�. _ _ ____! <br /> INSURER Ems•�_ <br /> . . INSURER F: 1 <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 RESPEOTTO 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 /> 1LTR TYPE OF INSURANCE DD SWVD` POLICY NUMBER I POUCYEFF-I POLICY EXP UNITS <br /> {MOLIC YEPP'I IPOLICY EYY) <br /> A X COMMERCIAL GENERALLfABILITY I 1,000,000 <br /> EACH OCCURRENCE S <br /> I CLAIMS-MADE 1 X I OCCUR 8OP2828079 0111112017 0111112018 DAMAGETEREN7ED 300,000 <br /> I PREMISE�S�Eaoccurrence� S <br /> ___..__ _.... _— ._�_ ,___ MEDEXP(Anyone person) _ $ 10,000 <br /> '_ J PERSONALBADVINJURY•_- S 0 <br /> IGEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE S 2,000,000 <br /> I ]POLICY LJ PRO. LOO PRODUCTS-COMP/OP AGG s 2,000,000 <br /> II OTHER I S <br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> X ANY AUTO ) BAP2396224 01/11/2017 01/11/2018 GODILYINJURY(Per.arson S <br /> OWED t SCHEDULED <br /> , _, AUTOS t AUTOS BODILY INJURY "et accident), S <br /> W HIREp NON WNEp PROPERTY.AMAGE <br /> �_� AiJT'OSONLY , AUTO ONLY t {Peraccidenl 5 <br /> I li I S <br /> A X UMBRELLA LIAB I X OCCUR I I 1 9,000,000 <br /> E EACH OCCURRENCE S <br /> EXCESS LIAO I CLAIMS-MADE CXS2129634 01/11/2017 01/11/2018 II AGGREGATE_ _S 9,000,000 <br /> DED 1 I RETENTIONS i I S f <br /> B WORKERS COMPENSATION X I <br /> AND EMPLOYERS'LIABILITY �,!N STATUTE f I ERH <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE I �NCP2233581 '01/11/2017 01/1'1/2018 EL EACH ACCIDENT S 500,000 <br /> OFFICER/MEMBER R I EXCLUDED? I N I N 1A ; <br /> E.L.DISEASE-EA EMPLOYEE S �_ 500,000 <br /> If yes,describe under 600,000 <br /> DESCRIPTION OF OPERATIONS below • _E.L,DISEASE-POLICY UNIT $ <br /> C Professional/E&O LHR756684 04/01/2016 04/01/2017 Each Claim 1,000,000 <br /> 0 Client Crime/Theft 18241-8996 01/01/2017 01101/2018 .1,000,000 <br /> , <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Sehedufe,may be attached if more apace Is required) j. <br /> 7 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> For Information Purposes Only THE EXPIRATION DATE THEREOF, NOTICE,WILL BE DELIVERED IN <br /> P y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />