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DocuSign Envelope ID:730BOEA2-D934-4504-B42A-928DAE22F3F6 <br /> DRAPADE-01 MOLLIN <br /> S <br /> DATE 4 1YYY)CERTIFICATE OF LIABILI TY INSURANCE 8/11712p116 <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 endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: _ _ _ ___ <br /> Ames&Gough PHONE (7t)3)827-2277 1(703)827-2279 <br /> 8300 Greensboro Drive AIC Nu Exc: Arc H�- _-- <br /> Suite 980 DDRESS,adtnin @arnesgough,com <br /> McLean,VA 22902 <br /> INSURER(S)AFFORDING COVERAGE NAtC 9 <br /> _ INSURER A:'Continental Casualty Company(CNA)A,XV 20443 _ <br /> INSURED INSURER B: <br /> I <br /> Draper Aden Associates,Inc. INSURER c <br /> 2206 South Main Street INSURER D <br /> Blacksburg,VA 24060 INSURER E: <br /> INSURER F r <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 NSp SWVD POLICY NUMBER MWDDIYYYY MMIDDIYYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> �6�T411AA� <br /> CLAIMS-MADE OCCUR <br /> PREMISES( occurrence) $ <br /> MED EXP(Anyone person) __$,-_._�.._ <br /> PERSONAL&AOV INJURY $ . <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERALAGGREGATE $ <br /> POLICY r_1 JE 6 LOC PRODUCTS-COMPIOP AGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accidenq $ <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS Peraccident <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS L1A6 HCLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ - <br /> WORKERS COMPENSATION SA EORH <br /> AND EMPLOYERS'LIABILITY Y 1 N . <br /> ANY PROPRIEFORIPARTNEWEXECUTIVE MIA <br /> E,L EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory In NH) E.L DISEASE-EA EMPLOYE $ <br /> If yes,desorlbe Under <br /> DESCRIPTION OF OPERATIONS helow E.L.DISEASE-POLICY LIMIT $ <br /> A Professional Liab. AEH288351149 0519412016 0511412017 Per Claim Limit 5,000,000 <br /> A Professional Liab. AEH288351149 0519412016 05/9412017 Annual Aggregate 10,000,000 <br /> DESCRiPTEON OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may he attached If more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> FOR PROPOSAL PURPOSES ONLY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE , <br /> 031988-2014 ACORD.CORPORATION. All rights reserved. <br /> ACORD 25(2494/09) The ACORD name and logo are registered marks of ACORD <br />