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AMERCON-12 <br />CERTIFICATE OF LIABILITY INSURANCE <br />KREYNOLDSI <br />DATE (MMIDDIYYYY) <br />12/8/2022 <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 />PRODUCER License # 20443386 I CONTACT Ann Ross <br />NAME: <br />Hub International Great Plains <br />245 E. Roselawn Avenue <br />Suite 31 <br />Saint Paul, MN 55117-1940 <br />INSURED <br />AMERICAN CONSULTING SERVICES INC <br />AMERICAN ENGINEERING TESTING INC <br />AMERICAN PETROGRAPHIC SERVICES INC <br />550 CLEVELAND AVE N <br />ST PAUL, MN 55114-1804 <br />(71ONN , Ext): (651) 288-5137 Ira, No}:(651) 286-0560 <br />a o�lEss: ann.ross@hubinternational.com <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A : The Phoenix Insurance Company <br />INSURER B : The Travelers Indemnity Company of America <br />INSURER C : Travelers Property Casualty Company of America <br />INSURER D :The Travelers Indemnity Company <br />INSURER E : Continental Casualty Company <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />25623 <br />25666 <br />25674 <br />25658 <br />20443 <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 SUER POLICY EFF <br />I...TR TYPE OF INSURANCE INSD WVD POLICY NUMBER [MMIDDIYYYYI WIM DD/YYYYI <br />A X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR P630539K8896PHX23 1/1/2023 1/1/2024 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY X <br />OTHER: <br />B AUTOMOBILE LIABILITY <br />X ANY AUTO <br />OWNED <br />AUTOS ONLY <br />HIRED <br />AUTOS ONLY <br />PRO- <br />JECT <br />LOC <br />SCHEDULED <br />AUTOS <br />AUUTNO OWNONED <br />LY <br />C X UMBRELLA LIAB X OCCUR <br />EXCESS LIAB CLAIMS -MADE <br />DED I X I RETENTION $ 0 <br />D WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E PROF/POLL LIABILITY ECH254066939 <br />E RETRO: 070287 ECH254066939 <br />8102L6457122343G <br />YIN <br />NIA <br />CUP3K2260092343 <br />UB9H9151012343G <br />LIMITS <br />EACH OCCURRENCE $ <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) $ <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />PRODUCTS - COMP/OP AGG $ <br />2,000,000 <br />1,000,000 <br />10,000 <br />2,000,000 <br />4,000,000 <br />4,000,000 <br />COMBINED SINGLE LIMIT 2,000,000 <br />(Ea accident) $ <br />111/2023 1/1/2024 BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />IPROPERTY DAMAGE <br />(Per accident) $ <br />EACH OCCURRENCE $ <br />1/1/2023 1/1/2024 AGGREGATE $ <br />X I STATUTE I 1 OTERH- <br />1/1/2023 1/112024 I E.L. EACH ACCIDENT <br />E.L. DISEASE - EA EMPLOYEE <br />E.L. DISEASE - POLICY LIMIT <br />1/1/2023 1/1/2024 EACH CLAIM <br />1/1/2023 1/1/2024 AGGREGATE <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RENEWALS: contracts@teamAET.com <br />CERTIFICATE HOLDER <br />ILLUSTRATION CERTIFICATE <br />CANCELLATION <br />$ <br />10,000,000 <br />10,000,000 <br />1,000,000 <br />1,000,000 <br />1,000,000 <br />10,000,000 <br />15,000,000 <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 />Otleti <br />.vmo <br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />