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DocuSign Envelope ID:2C98A942-6292-49C3-81F6-C8CD7BC59159 <br /> DRAPADE-01 MOLLIN S <br /> DATE Y)CERTIFICATE OF LIABILITY INSURANCE 8/117120116 <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 (703)827-2277 J �[703)827-2279 <br /> 8300 Greensboro Drive AIC Na Ext: Arc Ho- _-- <br /> Suite 980 ADDRESS:adtnin@amesgough,com <br /> McLean,VA 22102 <br /> INSURER(S)AFFORDING COVERAGE NAtC 9 <br /> INSURER A:Continental Casualty Company(CNA)A,XV 20443 <br /> INSURED f INSURER B• - <br /> f <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 /> YEXP <br /> ILTR TYPE OF INSURANCE gp Syyyp POLICY NUMBER MM IYYYY MMIIDDIYYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE-MADE OCCUR _l$AINAPREMISES( occurreace) $ <br /> MED EXP(Anyone person) __$�,---�.._.x_.__ <br /> PERSONAL&AOV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ <br /> POLICY❑JEC6T- LOC PRODUCTS-COMP/OP AGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Par person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS Peraccident <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR HCLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ - <br /> WORKERS COMPENSATION PER STATUTE ER <br /> AND EMPLOYERS'LIABILITY Y 1 N <br /> ANY PROPRIETORIPARTNEWEXECUTIVE ❑ N 1 A E,L EACH ACCIDENT $ <br /> OFFtCER/MEMBER EXCLUDED? <br /> (Mandatory In NH) E.L DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS helow E.L.DISEASE-POLICY LIMIT $ <br /> A Professional Liab. AEH288351149 0511412016 0511412017 Per Claim Limit 5,000,00o <br /> A Professional Liab. AEH288351149 05/14/2016 05/14/2017 Annual Aggregate 10,000,000 <br /> DESCRiPTiON of OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may he attached If more space Is reyuirad) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> I'OR PROPOSAL PURPOSES ONLY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> 01988.2014 ACORD.CORPORATION. All rights reserved. <br /> ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD <br />