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,JC Rte V CERTIFICATE OF LIABILITY INSURANCE °;T;;;"°°°;5"'
<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 policypes) must be endorsed. It SUBROGATION IS WANED, 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 endorsement(s).
<br />PRODUCER
<br />Klein Agency, LLC.
<br />CONTACT
<br />NAME,
<br />1x9: (410) 832-7600 I PAXN., (410)832-1649
<br />P.O. Box 219
<br />EKED
<br />ADDRESS,
<br />Timonium DID 21094
<br />NSURERA3Iartford Fire Insurance
<br />INSURED _�—__ ____.____—_�_..,-_._
<br />NSURERB$artford insurance CO — _
<br />_casualty
<br />NsuRERcEartford Underwriters Ins Cc
<br />Bowman Consulting Group, Ltd.
<br />NSURERD•RLI Insurance CwVamy
<br />3863 Centerview Drive,
<br />WSURERE.
<br />Suite 300
<br />Mm 0(P (A, one Palaarr) S 10,000
<br />Chantilly VA 20151-3287
<br />rnlr9oAr_cQ rCDITICU`ATC ullaaoCo.l R-1 A All wn F, k. omnclnu a1115fiOCo•
<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 WTH 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 />TYPEOFINSURANCE
<br />ol., R NUMBERPOLICY
<br />ia6om{1905MMYpy,
<br />LIMITS
<br />Justin Klein/MB097ER -�
<br />X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRBJLE S 1,000,000
<br />A
<br />I CLAIMS -MADE I X-1 OCCUR
<br />{
<br />_
<br />DAMAGE TO REtJfiD _.... -.... _
<br />PRBdISFS (Ea oeeurrmce) S 300,000
<br />30UUNVJ9957
<br />10/6/2015 110/6/2016
<br />Mm 0(P (A, one Palaarr) S 10,000
<br />X Cantraatual Liability
<br />I
<br />I
<br />PERSONAL 6 ADV INJURY S 1,000,000
<br />GENL AGGREGATE APPLIES PER:
<br />j
<br />GENERN_AGGREGATE S 2,000,000
<br />P OIT
<br />POLICY 1 X'._I JECT I ILOC
<br />I
<br />PRODUCTS. COMPIOP AGO S 2,000,000
<br />OTHl3t
<br />S
<br />AUTOMOBILE L14BIUTY
<br />_ SINGLE LIMIT S 1,000,000
<br />BODILY INJURY ft Person) 6
<br />H
<br />X ANY AUTO
<br />BODILY INJIRY(Per acdd.4 S
<br />ALL OW4ED ED ASCHED SCHEDULED
<br />UTOS
<br />30UZWJ9749
<br />10/6/2015 110/6/2016
<br />ED
<br />X R
<br />PROPERTY DAMAGE S
<br />HIRED AUros _ AUTlOS
<br />5
<br />I
<br />X UMBRELLA LIAR % OCCUR
<br />(
<br />EACH OCCURRENCE S 119 000 000
<br />AGGREGATE S 26,000,000
<br />H
<br />.EKCESSLIAB CLARAufAADE�
<br />.3DXHUVJ7593
<br />10/6/2015 10/6/2016
<br />S
<br />RETENTION S
<br />V.11— F.=
<br />WORKERS COMPENSATION
<br />(
<br />I
<br />X i PER I OM.
<br />AND EMPLOYERV LIABILITY YIN
<br />i
<br />I'!
<br />..._LSIALUTF_ I.__.,.ER
<br />ANY PROPRIETORIPARTNERIE)IECUTNE —II
<br />OFFICERIMEMBER
<br />`i{NIA
<br />S
<br />EL EACH ACCIDH7T S_ 1,000000_
<br />C
<br />EXCLUDED? IN
<br />(Mandatory In NH) -'{
<br />SON912112870
<br />10/6/2015 10/6/2016
<br />EL. DISEASE -EA EMPLOYEES 1,000,000
<br />M
<br />DESCRIPTION OF OPERATIONS b.1—
<br />EL DISEASE -POUCY LIMIT S 3.000.000
<br />D
<br />Liability
<br />ROP0021965
<br />10/6/2015 10/6/2016
<br />Fnch Claim $5,000,000
<br />lProfessional
<br />A99M92te $8,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES {ACORO 101. AddMonal ROMSMSSchedule, maybe touched N Mora Space Isnqutrsd)
<br />See Attachment for specific additional :n=ed wording.
<br />®1988-2014 ACORD CORPORATION. A8 rights reSerVed.
<br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD
<br />INS0251a71dntt
<br />55
<br />P105
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />• Insured's Sample Certificate
<br />1234 Mast Main Street
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Anytown 12345
<br />AUTHORIZED REPRESENTATIVE
<br />Justin Klein/MB097ER -�
<br />®1988-2014 ACORD CORPORATION. A8 rights reSerVed.
<br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD
<br />INS0251a71dntt
<br />55
<br />P105
<br />
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