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DocuSign Envelope ID: 1 F5180CC-F9F6-4D55-A9A8-581 CB73213A5
<br /> ---"I
<br /> ACORN' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> 1/1/2022 12/30/2020
<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 /> ACT
<br /> PRODUCER Lockton Companies NAME:
<br /> 444 W.47th Street,Suite 900 PHONE FAX
<br /> A/C,No,Ext: A/C,No):
<br /> Kansas City MO 64112-1906 E-MAIL
<br /> (816)960-9000 ADDRESS:
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A: Zurich American Insurance Company 16535
<br /> INSURED INNOVATIVE INTERFACES,INC. INSURER B: Indian Harbor Insurance Company 36940
<br /> 1360571 1900 POWELL STREET,SUITE 400 INSURER C: American Guarantee and Liab.Ins.Co. 26247
<br /> EMERYVILLE CA 94608
<br /> INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 16727620 REVISION NUMBER: XXXXXXX
<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 ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY N N GLA 5946351-12 1/1/2021 1/1/2022 EACH OCCURRENCE 1,000,000
<br /> CLAIMS-MADE�OCCUR PREMISESa occ E e,,, 1,000,000
<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 /> POLICY PRO-- FX LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY N N GLA 5946351-12 1/1/2021 1/1/2022 COMBINED
<br /> a ac',,a tSINGLE LIMIT $ 1,000,000
<br /> Ix
<br /> ANY AUTO BODILY INJURY(Per person) $ XXXXXXX
<br /> OWNED SCHEDULEDBODILY INJURY(Per accident $ XXXXXXX
<br /> AUTOS ONLYM
<br /> AUTOSHIRED
<br /> ONLY AUUTOS ONLY (PROPERTY
<br /> e accident)
<br /> cid nDAMAGE $ XXXXXXX
<br /> $ XXXXXXX
<br /> C X UMBRELLA LIAB X OCCUR N N AUC 4220193-00 1/1/2021 1/1/2022 EACH OCCURRENCE $ 10,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000
<br /> DED RETENTION$ $ XXXXXXX
<br /> A AND EMPLOYERS'LIABILITY Y/N N WC5946352-12 1/1/2021 1/1/2022 X STATUTE I I OER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N/A EL EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1,000,000
<br /> B TECHNOLOGY/ N N MTP003987108 1/l/2021 1/1/2022 $5,000,000 EACH CLAIM
<br /> PROFESSIONAL/CYBER $5,000,000 AGGREGATE
<br /> LIABILITY
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I 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 /> 16727620 AUTHORIZED REPRESENTATIVE
<br /> FOR INFORMATION PURPOSES ONLY
<br /> f ?
<br /> ACORD 25(2016/03) ©1 88-2015 ACORD CORPORATION.All rights reserved
<br /> The ACORD name and logo are registered marks of ACORD
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