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DocuSign Envelope ID:88E4269D-F3C3-446D-8882-E8681643C2C4 <br /> 0 DATE(MMIDDIYYYY) <br /> ,A o►zo CERTIFICATE OF LIABILITY INSURANCE <br /> 06/28/2019 <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), AUTHORIZER <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 ileu of such endors amen t{s). <br /> PRODUCER CONTACT <br /> NAME: <br /> I"IESCO](Inc, PHONE FAX <br /> (888)202-3007 No: <br /> �AJ-, <br /> 520 Madison Avenue E-MAIL contact®hiseox.com <br /> 32nd Floor ADDRESS.New York,NY 10022 INSURERS AFFOROING COVERAGE NAIC# <br /> INSURER A: Hiscox Insurance Company Inc 10200 <br /> INSURED INSURERS: <br /> Friday Lumu INSURER C: <br /> 3201 Perrin Dr <br /> Haw River NC 27258 INSURER D: <br /> INSURER E: <br /> INSURER F: <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 /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL 5 6R POLICYNUMBER MM1DWYYYY MMIDDIYYYY LIMITS <br /> LTR ' <br /> COMMERCIAL GENERALLIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> CLAIMS4AADE OCCUR PREMISES I Ea occurrence $ <br /> MED EXP(Any one person $ <br /> PERSONAL&ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY JE T LOC PRODUCTS-COMPIOPAGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) S <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) S <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS Per accident <br /> $ <br /> UMBRELLA LIA9 OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR I I CLAIMS-MADE AGGREGATE $ <br /> DEL] RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y 1 N STATUTE ER <br /> ANYPROPRIETOPJPARTNERrEXECUTIVE ❑ NIA EL,EACH ACCIDENT $ <br /> OFFICERIMEMBEREXCLUDED7 <br /> (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ <br /> iE yes,describe under <br /> DESCRIPTION OF OPERATIONS below El,DISEASE-POLICY LIMIT $ <br /> A Professional Liability UDC-4203714-EO-19 06/28/2019 06/2812020 Each Claim:$250,000 <br /> Aggregate:$250,000 <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 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 /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AU7HORIZEDREPRESENTATIVE —� <br /> d 1988-2014 ACQRD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />