INTEBUS-02 BLEDSMA
ACORD DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 7/26/2022
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 policy(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 endorsements).
CONTACT
PRODUCER
Hylant - Southeast Michigan PHONE [AC, No): (734) 741-1850 (A/C, No, Ext): (734) 741-0044
24 Frank Lloyd Wright Dr, Ste J4100
Ann Arbor, MI 48105 ADDRESS: [email protected] INSURERS) AFFORDING COVERAGE NAIC #
INSURER A : Lloyd's
INSURED INSURER B:
International Business Information Technologies, Inc. DBA INSURER C:
Lefta Systems
10950-60 San Jose Blvd., Suite 101 INSURER D:
Jacksonville, FL 32223 INSURER E :
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
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
INSR POLICY NUMBER
LTR 2,000,000
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE
DAMAGE TO RENTED 250,000
X CLAIMS-MADE OCCUR ESL0639496094 7/25/2022 7/25/2023 PREMISES (Ea occurrence) 10,000
X Retro Date 7/25/2016 MED EXP (Any one person)
on 67 2,000,000
PERSONAL & ADV INJURY
GENERAL AGGREGATE 3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRET 2,000,000
POLICY LOC PRODUCTS - COMP/OP AGG S
POLLUTION LIAB 2,000,000
OTHER:
COMBINED SINGLE LIMIT 2,000,000
A AUTOMOBILE LIABILITY (Ea accident)
ESL0639496094 7/25/2022 7/25/2023 BODILY INJURY (Per person)
ANY AUTO
AUNTS ONLY BODILY INJURY (Per accident) $
X AIRES ONLY X Percide DAMAGE $
UMBRELLA LIAB OCCUR EACH OCCURRENCE An on en
EXCESS LIAB CLAIMS-MADE AGGREGATE
DED RETENTION $
TERH
* LIABILIT
YIN
E.L. EACH ACCIDENT $
NIA
E.L. DISEASE - EA EMPLOYEE S
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S ESL0639496094 7125/2022 7/25/2023 Each Claim 4,000,000
A Cyber Liability 4,000,000
A Professional Liabili ESL0639496094 7/25/2022 7/25/2023 Each Claim DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ACCORDANCE POLIOSION THEREOF NOTICE WILL BE DELIVERED IN To whom it may Concern
AUTHORIZED REPRESENTATIVE
Nicholar R Nylant
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