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ACORQM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 07/10/2013 <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 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 lieu of such endomemengs). <br />PRODUCER <br />Bell Insurance Agency <br />16980 Dallas Parkway <br />Dallas, TX 75248 <br />NAME: Candy Goehri ng <br />" .972.581.4915 A/C No :972.581.4916 <br />ADDRESS: cgoehri ng0bel 1 group. can <br />WSURMS) AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Massachusetts Bay <br />22306 <br />INstmo Halff Associates, Inc. <br />1201 N. Bowser <br />Richardson, TX 75081 <br />INSURER B., Al l meri ca Financial Benefit <br />41840 <br />INSURER C: The Hanover Ins. Co. <br />22292 <br />INSURER D: ACE American Ins. Co. <br />22667 <br />INSURER E.. <br />X <br />INSURER F; <br />$ 1 ONO 0 <br />COVERAGES CERTIFICATE NUMBER: 13/14 Master <br />SMIL Prof REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE I INSURANCE LISTED LOW 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 <br />LTR <br />TYPE OF INSURANCE <br />AWL <br />em <br />tMID <br />POLICY NUMBER <br />POLICY LIFIF <br />M WDDIYYYY <br />M <br />LIMITS <br />A <br />GENERAL <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE a OCCUR <br />Contractual Li ab . <br />ZDDAOS12780711212013 <br />07/12/2014 <br />EACH OCCURRENCE <br />S 1,000 O <br />X <br />PREMISES Ea occurrence) <br />$ 1 ONO 0 <br />MED EXP (Any one person) <br />$ 10 00 <br />X <br />PERSONAL a ADV INJURY <br />s 11 000, 00 <br />GENERAL AGGREGATE <br />S Z 000, 00 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY X j ROT- LOC <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />$ <br />S <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />AUTO OISNNED PULED <br />OS <br />X HIRED AUTOS X � -OWNED <br />AUTOS <br />AMAOS1300 <br />07112!2013 <br />07/12/2014 <br />C SINGLE LIMIT <br />Ea aoeideM <br />S 1,000.M <br />BODILY INJURY (Per person) <br />S <br />BODILY INJURY (Per accident) <br />$ <br />Per accident <br />S <br />s <br />C <br />X <br />UMBRELLA LIAR <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAMAS -MADE <br />UHDAOS 128 <br />07/1212013 <br />07/12/2014 <br />EACH OCCURRENCE <br />S S'000,000 <br />AGGREGATE <br />$ S , M $ OO <br />OED I X I RETENTIONS 1N <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS LIABILITY YIN <br />OFF PIPROPRI DER PARTNNERIE EC�� <br />(Mandatory In NH) <br />If yes describe under <br />DESCRIPTION OF OPERATIONS bNow <br />N 1 A <br />W2DA029649 <br />07/1212013 <br />07112/2414 <br />X I TORY LMT S ER <br />E.L. EACH ACCIDENT <br />$ 1, 000 0 No <br />E.L. DISEASE - EA EMPLOYEE <br />$ 10000,000 <br />E.L. DISEASE - POLICY LMT <br />$ 1,000, <br />D <br />Professional Liability <br />aims Made Policy <br />EONG2167384 <br />07/12/2013 <br />07/12/2014 <br />$S,000,000 Per Claim Limit <br />$5,000,000 Aggregate Limit <br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (Attach ACORD 101, Additlo" Remarks Schedu* K mom space is required) <br />OR INFORMATION ONLY <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 />AUTHORIZED REPRESENTATIVE <br />S M P L E C E R T I F I C A T E Thomas J. Ashlev /CANDY <br />®1988 -2010 ACORD CORPORATION. All riahts reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />