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~0 CERTIFICATE OF LIABILITY INSURANCE OATE(MMlDDIYYYY) <br />ACORO 71311201z 4125/2012 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TNIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y THE POLICIES <br />BELOW. THIS CERTiFICATE OF INSURANCE DOES NOT CONS7ITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESHNTATIVE OR PRODUCHR, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certfficate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A stacement on this certiftcate does not confer rights to the <br />certificate holder tn tieu of such endorsement(s). <br />PRODUCER Lockton Insurance Brokers, LLC NAME <br />A!C No : <br />725 S. Figueroa Sveet, 35th FI. P"°NE A <br />CA License #OFI5767 E•IAAiL <br />Los Angeles CA 90017 A~ ORess! <br />(213) 689-0065 INSURER 5 APFORDING COVERA6E NAIC t <br />tNsuRFxn:Chartis5 ciai InsuranceCom an 26883 <br />INSUREO BVSURfR 8: <br />1077381 NCM DemoliGon and Remediation, LP <br />Attn: Ms. Tina Bumell iNsupx c: A C ianC 1] 150 <br />9090 N. Stemmons Freeway, Suite C INSURER n:New Ham shire Insurance Com an 23841 <br />Dallas TX 95247 INSllRER E: <br />...T~uaufiete. 171177r7 REVISIONNUMBER: xxxxxxX <br />GOVEKAGtAJ I.JILtN u1 %.n ~c....... . <br />TIFY THAT THE POLICIES OF 1NSURANCE LISTED BELOW HAVE BEEN 155UED TO 7HE iNSUREO NAMED ABOVE FOR THE POLICY PERIOD <br />THIS IS TO CER <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 1MTH RESPECT TO 1NHICH TH1S <br />TWITHSTANDING ANY REQUIREAAENT <br />, <br />INDICATED. NO <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB.IECT TO ALL THE TERMS, <br />MAY BE ISSUEO OR MAY PERTAIN <br />T <br />, <br />E <br />CERTIFICA <br />EXCLUSIONS ANb CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CWMS, <br />INSR <br />LTy <br />TYPfOFINSURANCE <br />SUBR <br />POLICYNUMBER <br />POUCY EFF <br />MMIDDM/W <br />POLICY EXP <br />MM/DD/YYYV <br />LIMITS <br />EruLu~+eiurr <br />7/14/2011 <br />7/3120I2 <br />- <br />A <br />o~ <br />N <br />N <br />PROP147-67260 <br />DAMAGE TO RENTED <br />MMERCIAL GENERyL11p81UTY <br />w/Asb/Lead/Mold <br />Poll <br />PREMISES (Ea ocarrer~ce <br />$ 1000000 <br />A <br />I_• ~ <br />R <br />. <br />MEDEXP An am eraan <br />5 10,000 <br />~CU <br />CLAIMS-MADE ~,J <br />x <br />GL410,000 DC(I. <br />PERSONAL 8 ADV INJURY <br />S],OOO,OOO <br />X <br />/Claims Made <br />f <br />P <br />GENERALAGGREGATE <br />E 2000.000 <br />. <br />ro <br />S PER <br />' <br />PRODUCTS - COMP/OP AG <br />S 2,000,000 <br />GE <br />. <br />l AGGREGATE LIMIT APPUE <br />N <br />POUCY xl PR4 LOC <br />a <br />g <br />AUTOMOBILE LIABILITY <br />N <br />N <br />CA 763-3849(AOS) <br />7/1412011 <br />713I/2012 <br />~Ea acdaenq <br />s 1,000,000 <br />p <br />CA 192-4840(NfA) <br />1932264(HI) <br />7/14/2011 <br />7/1412011 <br />7/31/2012 <br />7131/2012 <br />BODILYIWURV(Paperaon) <br />S J( <br />D <br />X <br />A~'n'AUTO <br />IOWN£D <br />AI <br />SCHEDULED <br />BOOILYINJURY eraccidenl <br />$ <br />xxxxxx <br />X <br />. <br />AUTOS <br />X <br />AUTOS <br />X <br />X <br />NON-ONMED <br />PROPERTY DAMAGE <br />E ]()(xxxxX <br />HIRED AUTOS <br />AUTOS <br />Comp/Coll <br />s 1,000 <br />X <br />LTM <br />A <br />X <br />UMBRELLA UAB <br />X <br />occuR <br />N <br />N <br />PROU147-67284 <br />7/14/2011 <br />7/31/2012 <br />FACH occuarteNCE <br />$ 2$ 000 000 <br />A <br />EXCESS LlAB <br />CLAIMS-MAOE <br />Poll w/Asb/Lead/Mold <br />AGGREGATE <br />E <br />q <br />Prof. Claims Made <br />DED X RETENTIONS 10,000 <br />S Xxxxxxx <br />WO <br />RKERSCONPENSA710N <br />' <br />N <br />'71WCf8876400(inc1.U$L&H) <br />4/30/2012 <br />4/30/2013 <br />X TORYLIMITS <br />ER <br />C <br />UA8ILITY <br />AND ENPLOYERS <br />YIN <br />& Itemed. LP <br />NCM DClt10 <br />LEACHACCIOENT <br />E <br />E <br />0 <br />C <br />ANYPROPRIE70RfPARTNEWEXECUTIVE <br />. <br />H) <br />i <br />1 <br />USL8 <br />CI8876500 <br />4/30~012 <br />4/30/2013 <br />. <br />1,000,0 <br />0 <br />C <br />OFFICERJMEMBER EXCIUDED7 N <br />N/A <br />c <br />( <br />nc <br />. <br />71W <br />C <br />(MandaWry in NH) <br />NCM Cottiracpng Group LP <br />E.L DISEASE - EA EMPLOYEE <br />S] QQO,OOO <br />I(yea. descabe untler <br />DESCRIPTION OF OPERATIONS belaw <br />El. DISEASE - POLICY LIMR <br />S 1,000,000 <br />DESCRIPTON OF OPERATION51 LOCATONS ! YEHICLES (Altach ACORD 101, Additionsl Namailcs SchWUk, if more apace Is requlred) <br />CERTIFICATE HOLDER <br />SHOULD ANY OF 7HE ABOVE DESCRIBED POLiCIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NO71CE WILL BE DELIVERED IN <br />ACCORDANCE YVITH 7HE POUCY PROVI310NS. <br />11127767 AUTMDaZED RERESENTATIVE <br />Evidence of Coverage <br />TX <br />eRl,% ACORD 26 (2010/05) The ACOIiD name and iogo are reyistereA t~uHka of RD 988- 0 COR ORATION. All rights Peserved <br />