2021-176-E Risk Management-Mullens Coughlin - Legal Fees

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DocuSign Envelope ID:97E7FB2F-4A49-4E05-994C-9FDFA565D6C7 DATE(MM/DD/YYYY) ,a�oRo® CERTIFICATE OF LIABILITY INSURANCE 11/25/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain w/ p y, policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT '6 NAME: AOn Risk Services Northeast, Inc. PHONE FAX New York NY Office (A C.No.E.t): (866) 283-7122 (A/c.No.): (800) 363-0105 'a one Liberty Plaza E-MAIL 2 165 Broadway, Suite 3201 ADDRESS: New York NY 10006 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Federal insurance Company 20281 Mullen Coughlin LLC INSURER B: 426 W. Lancaster Ave Suite 200 INSURER C: Devon PA 19333 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570085044156 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, Limits shown are as requested INSR ADDL SUBR POLICY EFF EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (POLICY (POLICYMM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE Q OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) MED EXP(Any one person) PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY ❑PRO- JECT ❑LOG PRODUCTS-COMP/OP AGG C, W OTHER: o r AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) " O OWNED S AUTOS N CHEDULED BODILY INJURY(Per accident) Z AUTOS ONLY PROPERTY DAMAGE iC HIRED AUTOS NON-OWNED (Per accident) U ONLY AUTOS ONLY t Ol UMBRELLA LIAB OCCUR EACH OCCURRENCE L) EXCESS LIAB CLAIMS-MADE AGGREGATE DED I RETENTION WORKERS COMPENSATION AND PER STATUTE I IOTH- EMPLOYERS'LIABILITY ER Y/N ANY EXECUTIVE OFFICER/MEMBER ❑ E.L.EACH ACCIDENT EXECUTIVE OFFICER/MEMBER N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT A Employed Lawyer 82483299 11/01/2020 11/01/2021 EA Claim/Agg $5,000,000 Claims Made SIR $50,000=_ SIR applies per policy terms & condi tions �L DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Self-Insured Retention (SIR) applies per policy terms and conditions. 1 Insurer Participation: Primary $5min layer: 82483299 100.00% - Federal Insurance Company (Chubb)- Claims Made 3 $5min xs $5min: LPE903967601 100.00% - AXA XL (Greenwich Insurance Company)- Claims Made $5min xs $10min: MKLVPL0004417 z-M CERTIFICATE HOLDER CANCELLATION �y J SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE VN Sir [�'-F49d e`/GlOfG V i>fiGYCGY�C///��910. �a INN ©1988-2015 ACORD CORPORATION.All rights reserved ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD