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<br />CERTIFICATE OF LIABILITY INSUR^ANCE
<br />COVERiqGES NUMBER: wz64277a0 REVISION NUMBER:
<br />Evidqce of Inssilce
<br />SHOULD AHY OF THE ABOVE O€SCRIAED POLICIES BE CANCELLEO BEFORE
<br />THE EJ(PIRATIOI.I DATE THEREOF. I{OTICE WILL BE DELIVEREO IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUIHORIZEO REPRESEIITA T'/E
<br />g"Ufn t2out ..a-
<br />@ 198E.2016 ACORD CORPORATIOT{. All rights resewed.
<br />The ACORD name and logo are reglster€d marks of ACORD
<br />sR ID: 23228082 hrcfl: 2719361
<br />OA1E IMM'DDIYYYY)
<br />J.O/2s/2022
<br />THIS CERTIFICATE 15
<br />'SSUED
<br />AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENT}, EXTEND OR ALTER THE COVERAGE AFFORDFD BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF
<br />'NSURANCE
<br />OOES NOT CONSTTTUTE A CONTRACT BETWEEN THE ISSUING TNSURFR(SI, AUTHORIZEO
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
<br />IMPoRTANT: lf the certificate hotder is an ADDTTIONAL INSURED,the policy{ie5) must have ADDfn0NAL INSURED provisions
<br />of the policy, cerlain policies may require an endorsem€nl.
<br />or be endorsed,
<br />A st8tement onlf SUBROGATION lS WAIVED, subject to the tarms and conditions
<br />thiS certificate does not confer righls lo ihe cerliflcate holder in lieu of such endorsement{sl.
<br />PRODUCER
<br />tlillie To*e(e Wateon NaEtheaeL, Inc
<br />c/o 26 cgntury Blvd
<br />P.o. Bex 305191
<br />Nashville? TN 3?2305r9f USA
<br />ut$uRE0
<br />Safety Klgen Systw Inc
<br />ed Lts affiliet€!
<br />{2 tqnqvateE Drlve
<br />No*ell. MA 02061
<br />Wi,l.lis foH€rs t{ahson Certificate Cenle!
<br />BELOW HAVE BEEN ISSUED TO THE INSUREO NAMED ABOVE FOR THE POIICY PERIOD
<br />INOICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONIRACT 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 CONOITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY FAIO CLAIMS,
<br />TYPEOF Llltrs
<br />THIS rS CERTIFY THAT THE POLICIES OF
<br />A
<br />COM'l.IERCIAL OENgRAL UABILIW
<br />ctATMgMADE i X 'occun
<br />GFN'L AGGREGATE LIMIT -tr'
<br />x
<br />x xcu
<br />X Contractuaf.
<br />PER:
<br />LOCnoucv |_itffi
<br />500,00!
<br />xL /at /2023
<br />PRODUCTS " COMP/OPAGG
<br />MEg EXP (Aoy ons p€@n)s
<br />2 . 000.00(
<br />r0,000
<br />2'990 ,999
<br />4,0C0,000
<br />AUTOMOSILE LIABIUIY
<br />SCHEDUTED
<br />AUTOS
<br />NONOWNED
<br />AUTOS ONLYx
<br />x
<br />x ANY AUTO
<br />OWNEOxONLYAUTOS
<br />HIRFOx ONLY
<br />tLJ0l/?a22L40067950222r
<br />5, O0O,
<br />tt/or/2023 5
<br />s
<br />s
<br />BOOILY INJURY (Per person)
<br />BOoILY INJURY {Per
<br />I
<br />s 10, 000.000
<br />10,000,000xOCCURIlX I UI{FRELT.ALIAS
<br />EXCESS LIAB r00009558?221 LL/AL/2022 LTIOL/20?3
<br />s
<br />2 ,OOO,
<br />2 ,OOO.
<br />2,000 ,
<br />E,L, DISFJASE. POUCY LMIT
<br />x
<br />F L, EACH ACCIDENT
<br />E.T. DISEASE
<br />lf yes, desbo under
<br />DESCRIPIION OF oPFRATIoNS blnw
<br />No
<br />A
<br />ln
<br />ETPLOYERS' LIAAILITY
<br />COtlFEtlSAnoil
<br />HiA 1000005137 {AOs}tr/o!/2022 lt/aL/2a2!
<br />A workeas colrl)cngacioa t Eepl LiEb
<br />tAK, A2. LA, N.t, NY NC, vT, CTI
<br />Per Seatute
<br />10000051 {o rL/ar12022 LL/Or/2023
<br />'.L.
<br />EACE ACCIDE!{T
<br />f,"r- DrsEAsE - sa E4
<br />E.I,. DISEASE-POL iI.fT
<br />92,000ro0o
<br />$2.000,000
<br />52 ,000.000
<br />DESCRIpTIONOFOPERATIONSTLOCATIOIISTVEHICLES (ACORDl0t,AddltionrlRsma*rschrdulr,mayborllrqhsdifmorclprqaisFqui.od,
<br />SEE ATTACEED
<br />ACORD 25 (2016/03)
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