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2020/01/01 Bureau Veritas North America, Inc. Certificate of Liability Insurance CERTIFICATE OF LIABILITY INSURANCE DATE(MM/2019 Y, �- ,2/3,/ a,9 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 po€icy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain 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 d Aon Risk Services Northeast, Inc. NAME- Aon Risk Services Northeast, Inc. (AIC.Nu.Elrl]: 866-283-7122 FAX 800-363-0105 E-MAIL NY NY Office A1C.No. C One Liberty Plaza ADDRESS: _ 165 Broadway, Suite 3201 New York NY 10006 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: AllianZ Global Risks US Insurance Co. 35300 Bureau Veritas North America, Inc, INSURERB: Hartford Fire Insurance Co. 19682 180 Promenade Circle, Suite 150 Sacramento CA 95834 USA INSURERC: Hartford Underwriters insurance Company 30104 INSURERD: Trumbull Insurance Company 27120 INSURERS: Hartford Ins Co of the Midwest 37478 INSURERF: Sentinel Insurance Company, Ltd 11000 COVERAGES CERTIFICATE NUMBER:570079936970 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW 14AVE 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 MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested LTR TYPE OF INSURANCE INSb vivo POLICY NUMBER MM+DDIYYYY (MWDOIVYYYI LIMITS X COMMERCIAL GENERAL LIABILITY US L EACH OCCURRENCE $2,000,000 CLAIMS-MADE El PR OCCUR EMISES t:ao noa $1,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $2,000,000 r GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 6 POLICY ❑�E� co FY�LOC PRODUCTS-COMP/OPAGG $2,000,000 a)) OTHER: o a AUTOMOBILE LIABILITY 10 AB 541202 01/01/2020 01/01/2021 COMBINED SINGLE LIMIT $2,000,000 n r- AU$ Ma oldenis C X ANYAUTO 10 AB S41203 01/01/2020 01/01/2021 BODILY INJURY(Per person) Z OWNED SCHEDULED HI BODILY INJURY(Per accident) y AUTOS ONLY AUTOS HIREDAUTOS NON-OWNED PROPERTY DAMAGE ONLY AUTOS ONLY Par accident V w N UMBRELLA LIAB HOCCUR EACH OCCURRENCE V EXCESS LIAB CLAIMS-MADE AGGREGATE FED F RETENTIOIJ D WORKERS COMPENSATION ANEY 1OWN541200 01/01/2020 202I X PER STATUTE OTH- EMPLOYERS'LIABILITY �N A05 ANY PROPRIETOR/PARTNER/EXECUTIVE $1,000,000 E OFFICER/MEMBER EXCLUDED? N N/A 1OWNS41200 01/01/2020 01/01/2021 E.L,EACH ACCIDENT (Mandatory in NH) AK ID NY E.L.DISEASE-EA EMPLOYEE $1,000,000 If es.describe under DESCRIPTION OF OPERATIONS beWw E.L.DISEASE-POLICY LIMIT $1,000,000 A I Archit&Enq Prof USF00244020 01/01/2020 D1/61/2021 Each Claim $1.000,000 Claims Made Aggregate $1,000,000 SIR applies per policy ter is & condi ions DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate Holder is included as Additional Insured in accordance with the policy provisions of the Business Auto Coverage & General Liability Coverage policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. kl k City of Meni fee 29714 Haun Road AUTHORIZED REPRESENTATIVE n� YYY4aaaJJJ Menifee CA 92586 USA ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD