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DocuSign Envelope ID: 1COFA69C- 6757 -43BD- 8570- E9C8F4DE644E <br />DRAPADE -01 KCOLLINS <br />,a►caEtlo° CERTIFICATE OF LIABILITY INSURANCE DATE 1116 <br />�--�� <br />811712016 <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(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 endorsements ). <br />PRODUCER <br />CONTACT <br />NAME: <br />Ames & Gough <br />PHONE (703) 827 -2277 1(703) 827 -2279 <br />AIC Nu Exl : _ -- <br />8300 Greensboro Drive <br />ADDRESS, admin @arnesgough,com <br />Suite 980 <br />McLean, VA 22102• <br />• <br />INSURER(S) AFFORDING COVERAGE <br />NAtC 9 <br />INSURER A:' Continental Casualty Company (CNA) A, XV <br />20443 <br />f <br />_ <br />INSURED <br />INSURER B: <br />CLAIMS -MADE ❑OCCUR <br />INSURER C <br />Draper Aden Associates, Inc. <br />INSURER D: <br />2208 South Main Street <br />Blacksburg, VA 24060 <br />INSURER E: <br />MED EXP (Anyone person) <br />INSURER F r <br />• <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 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 />EXCLUSION$ AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR TYPE OF INSURANCE IN pL SWVD POLICY NUMBER MWDD[YYYY MM1DDfYYYY LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />CLAIMS -MADE ❑OCCUR <br />PREMISES( occurrence ) <br />$ <br />MED EXP (Anyone person) <br />. <br />• <br />_ <br />PERSONAL & ADV INJURY <br />_$,- _._�.._ <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />GENERALAGGREGATE <br />$ <br />POLICY r_1 JE D F] LOC <br />PRODUCTS - COMPIOP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea ao:tdent <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />H <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Peraccident <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />r <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />HCLAIMS-MADE <br />AGGREGATE <br />$ . <br />EXCESS LIAR <br />DED I I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS" LIABILITY YIN <br />STATUTE EORH <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />\ <br />E,L EACH ACCIDENT <br />$ ' <br />OFF ICERIMEMBER EXCLUDED? <br />NIA <br />E.L DISEASE - EA EMPLOYE <br />$ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Professional Liab. <br />AEH288351149 <br />0519412016 <br />0511412017 <br />Per Claim Limit 5,000,000 <br />A <br />Professional Liab. <br />AIEH288351149 <br />05/14/2016 <br />05/9412017 <br />Annual Aggregate 10,000,000 <br />DESCRIPTION Or OPERATIONS I LOCATIONS I VEHICLES (ACORD 161, Additional Remarks Schedule, may be attached If more space Is required) ' <br />CERTIFICATE HOLDER CANCELLATION <br />FOR PROPOSAL PURPOSES ONLY <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />031988 -2014 ACORO CORPORATION. All rights reserved. <br />ACORD 25 (2414101) The ACORD name and logo are registered marks of ACORD <br />