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DocuSign Envelope ID: 7918E906- 4978- 4DF3- 996D- 879CB7628380 <br />�,__ ►� T F V- A T= i:--, I IA 011 117V F BATE (MI.IR71)hYS r) <br />J k.e <br />1112212017 <br />M8 CERTIFICATE IS 15SUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RfGHTS UPON THE CERTIFICATE HOLDER. THIS <br />('F- PTIMATE DOES NOT AFrIRMATiVELY OR NEGATIVELY AMIiND, EXTEND OR ALTER TF€t~ COVERAGE AFFORDED BY THI1 POLICIES <br />11EI -001, 71413 CERTIFICATE OF In SURANOF DOES NOT C -ONSi' UTE A CONTIRAOT 13ET CN THE ISSUING INSURER(6), AUTHORIZED <br />P[�Pi ESIFNTATIV> OR PRODUCT AND THE OrRTIFICATE HOLDER. <br />IMPORTANT, If the t`arfiftate holder is an ADDITICSiJAL INSCIE2EtD� tha pnlEcy(IOS} r,us# be endorsed. 1( SUJ3I� 14;ATtbf+I IS WAIVE0, 5u*lat to <br />the terms and zonditiorm Of the polia;y, oertRlll poAclet3 may require an andorsament• A Stattiment Dn ibis wrilricate does not on)nfer rights to the <br />Partifi ate holder In lieu of such epdarvarnent 3 . <br />i±p(It Cl� C€ A 1a COX <br />'Pital IHSurant6 & Nnanclal Serviroa, Inc- P "0N a t9- 71AI I3 i rc rdo : 918 5710834 <br />'01 Lake 80onQ rmif Ao L, acox itaf frSs.Cur11 <br />-- <br />lIt$ 200 (NSuRER(0) AFFORD €140 COVERAGE rJRIC A <br />►Ic�j�}n _— <br />NO 27607 IN4Q9I!AA. Philadel €pia 100ra11ca Coarpan (M <br />iu[ZED <br />Mecfiso €ut�otss Inc <br />100 N Churol St <br />suite 11 <br />7 <br />,WLKAULti CERTIFICATE NUMBER: REVISION NUMBER: <br />FHIS 15 TO CERTIFY THAT 71•1C POLICIES OF INSURANCE L1ST51) HlwhOVV ")W - SEEN F8 &D TO TIME IN5UFI86 NAMED A80VU FOR TFM POLICY PERIOD <br />INDrOATFD. NOTwiTHSTANOINO ANY REOIJIREfdIENT, TERM OR GOh DITION OF ANY N -FRAQT OR OTHER I3CiOt1MEwT will+ RzSPP;C -r TQ VVRICH THIS <br />'ERTIFIQATZ MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE PffOF.DED 33Y THE POLICIES D =RIFSED NEREIN 15 SUBJECT TO ALL THE TERM$, <br />,,Y.r: LUSIONS AND ONGITIONS OF SUCH POLIOrES. LIMITS SHf1WN MA'F trAVF Rr=FN Rr=nl IY'Fn aY PAln P.r. AmBc <br />TVI OF INSURANCE <br />R <br />POLICYi'3IMER <br />POL10YEFF <br />N4 1613! <br />P LIC �X <br />Ri!�rriulYY�Y <br />LWITS <br />G €WzFALMAMI11 <br />' CdViMEFtGIRLG1 =td2ft:ALIjAEt1?,IT'Y <br />CLAlPA6 PnAEsE lle7lj OCCUR • <br />N <br />N <br />PHF)€(1742* <br />14J2?l tE17 <br />99,1221201£3 <br />EACH rrs G11RREttiGE <br />$ 100000D <br />-�iFlt .rt <br />s 10Q00[I <br />MW ExP qn Pnr ^_raol} <br />$ I70Q <br />MRSONAL AeVtNJURY <br />a 100dbbb <br />HXS` <br />GENERALAGGRECA-M <br />S 200D006 <br />��Ar ,(3ne- r.RTEt- Ih�kT'APPU�s;Pera: <br />°CrUGY <br />f?Rtlt11JGY5- r,Un�l;�f'RCd <br />� 2(€0ti0E]4 <br />AUT{3=BILE <br />1 <br />LEABI41'FY <br />ANYAUTO <br />lFfrdU4Nl n Ac � ulm <br />I I1nC4 AUTO AU OS uo <br />I <br />- <br />u etr4Ep TINVLE €941 <br />80MLY INJURY (PorpsrFon) <br />4 <br />boolLY lyd,Iuklf (PurasoldsR(t <br />> 14Ti1AGP <br />S <br />JA <br />€JFj�itiGItA6IA4 <br />rxcCSSLIAt <br />OC,CI18 <br />GLgIMMAAk <br />EAGHOCGURREN' <br />A[aOIcATB <br />S <br />( 6 RLT514 Flo N <br />S <br />1NORrERS CUMPErNSATXXI <br />AND FMPL'0Yen5' LM 1WTY YIN <br />PHI P t0PP.IETQR1FA fNERrxECUTIVE <br />OrrICEMAEM6CF(�xr7 -WEU4 <br />iM>ipdr krxy eri N!� <br />Ir yyes Ueecsibe t3R� <br />i7ES�$fi?I N OPi IfAA rrON3 ha ov <br />NIA <br />N <br />1159-1'1222017 <br />11/22/2017 <br />11122T2M <br />I <br />' s lIt I IoTfi- <br />El, EAQt•IA(:rIDFAT <br />..— <br />$ 100 )0 <br />I±.L.(316EASE- EAEt�I'iOY�- <br />S 100000 <br />m- <br />E4.01$AMF • POLICY LIMIT <br />500000 <br />PrGfassionat Llability <br />N <br />%! <br />PHPKI74845 <br />19/�J2E1 ix <br />11,000,000 <br />11122J�0i13 <br />each ocrAirrence <br />2,Ot70, ©0l) aggregztte <br />P.IPTItiN qF QE�c.RATIO]d5lLOBAYIbH81 Vr:HIt;LEB (Attpoh t�('AP.p 401, Atldlti6r15.T RornsrEse eClxdul�, If mufQopacs is feSul�ad} 'u <br />SHOULD ANY OF THE ABOVE DF,90RISED P01 -10105 �� GANCE =LLEO BF -TORE <br />TM D PIRATION 'BATE~ THEREOF!, NOTICE VVILL RE DEL(VP -Reb IN <br />Natloltal 5uppller Cfearinghouse ACCORDANCE Wl`TH TH E KLICY PROV18i4N5. <br />Post Offlco Box 100142 A€1THOR1290 Ri'PA�$ ATRiE <br />Gulumbla SC 29242 I , <br />26 j20'1 <br />0 IM -2010 AC <br />-P)e 1OOR1) name and logo are regisferej marks of'ACORD <br />Z /M 39Vd N01in-lOSIC13H E6089669EE <br />rermrved, <br />60:04 BT[ZI� -13/ O <br />