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DocuSign Envelope ID:CF88711B-EC21-4B19-9D93-F2D593C7F3CA
<br /> A ��0 CERTIFICATE OF LIABILITY INSURANCE DATE(M 07/10//2019 Y)
<br /> 019
<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 Lisa Mehus
<br /> NAME:
<br /> North Risk Partners-Bearence PAHi�NNo Ext: (651)379-7800 C,No): (651)379-7801
<br /> 2010 Centre Pointe Blvd. E-MAIL Lisa.Mehus@northriskpartners.com
<br /> ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Mendota Heights MN 55120 INSURERA: Phoenix Insurance Co. 25623
<br /> INSURED INSURER B: Travelers Property Casualty Cc of America 25674
<br /> DC Group,Inc. INSURER C: Travelers Casualty&Surety Company of America 31194
<br /> 1977 W River Road N INSURER D:
<br /> INSURER E:
<br /> Minneapolis MN 55411 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: CL1942488370 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 /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR ADDLSUBR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY)
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> DAMAGE To CLAIMS-MADE � OCCUR PREMISES Ea occurrence)l
<br /> $ 300,000
<br /> X Ind contractual liab MED EXP(Any one person) $ 10,000
<br /> A 6303J971980 05/01/2019 05/01/2020 PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY � PRO FX LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> JECT
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> (Ea accident)
<br /> X ANYAUTO BODILY INJURY(Per person) $
<br /> B OWNED SCHEDULED 8109M245388 05/01/2019 05/01/2020 BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED �/ NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY /� AUTOS ONLY (Per accident)
<br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 20,000,000
<br /> B EXCESS LIAB CLAIMS-MADE CUP4J104789 05/01/2019 05/01/2020 AGGREGATE $ 20,000,000
<br /> DED I X RETENTION $ 10,000 $
<br /> WORKERS COMPENSATION X PER
<br /> STATUTE OTH-
<br /> ER
<br /> AND EMPLOYERS'LIABILITY Y/N
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
<br /> B OFFICER/MEMBER EXCLUDED? NIA UB3J995387 Ex.ND,OH,WA,WY 05/01/2019 05/01/2020
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> Crime-3rd Party-$10K Ded Crime Single Loss Limit 3,000,000
<br /> C Stop Gap Liab-OH,WA,ND,WY 106727680 05/01/2019 05/01/2020 Stop Gap#UB3J995387
<br /> EaAcc//BI Dis-EE/Limit 1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
<br /> Orange County ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> PO Box 8181
<br /> AUTHORIZED REPRESENTATIVE
<br /> Hillsborough NC 27278
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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