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DocuSign Envelope ID:C6E15713-B3F4-473E-AACD-3CA1AD487309 _bit 2
<br /> PLANTEC-01 VSIMMONS
<br /> '4�aRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> 1/23/2019
<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 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 CONTACT
<br /> NAME:
<br /> US Underwriters PHONE
<br /> 6720-B Rockledge Dr. (A/C,No,EXt):(202)468-8324 FAX No):(301)581-4111
<br /> Suite 400 ADDRESS:info@govtechinsurance.com
<br /> Bethesda,MD 20817
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:Sentinel Insurance Company 11000
<br /> INSURED INSURER B:Hartford Insurance Group 00914
<br /> Planet Technologies,Inc. INSURERC:GovTech RRG 13973
<br /> 20400 Observation Dr.#107 INSURER D:Hiscox Insurance Company 10200
<br /> Germantown,MD 20876
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1
<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 /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR IN SD WVD
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE OCCUR 42SBABB1112 1/1/2019 1/1/2020 DAMAGE TO RENTED 1,000,000
<br /> PREMISES Ea occurrence $
<br /> MED EXP(Any oneperson) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY PECOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER:
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> Ea accident $
<br /> ANY AUTO 42SBABB1112 1/1/2019 1/1/2020 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> X HIRED X NON-OWNED PerOac R DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY
<br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000
<br /> EXCESS LIAB CLAIMS-MADE 42SBABB1112 1/1/2019 1/1/2020 AGGREGATE $ 10,000,000
<br /> DED X RETENTION$ 10,000
<br /> B WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> YIN 42WECEM0151 1/1I2019 1l1/2020 1,000,000
<br /> ANY PROPRIETOR PXCLUDE/EXECUTIVE N/A E.L.EACH ACCIDENT $
<br /> (Mandatory in NH)EXCLUDED? 1,000,000
<br /> E.L.DISEASE-EA EMPLOYEE $
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT
<br /> C Professional Liab PLO18-1005 1/1/2019 1/1/2020 Per Event 2,000,000
<br /> D Cyber Liability MPL1766708.19 1/1/2019 1/1/2020 Per Claim&Aggregate 2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Coverage is provided per policy language and forms as of the effective dates represented.This certificate does not supersede the policy terms and
<br /> conditions.
<br /> Crime-Policy 42TP029127.18
<br /> Limit:$1,000,000
<br /> Hartford Insurance
<br /> 1/1/2019-1/1/2020
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Evidence of Insurance Purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> p y ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> AUTHORIZED REPRESENTATIVE
<br /> ULD'3 I -
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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