Attachment_A_-_Insurance.pdf

H o ld e r

Id e n ti fi e r

77777 77707 07070 00777 61616 04557 11107 46717 22720 44750 07663 13445 24170 00072 46045 73670 11220 70637 33122 43323 00726 31555 23146 60307 72151 10601 66031 07624 52444 23655 33076 45707 62624 67710 76727 24203 57720 00777 77770 70007 07007

77777 77707 07070 00735 25677 11545 60007 76111 51246 34465 07462 22775 25635 40075 32633 31352 74100 70332 76217 52204 00712 22272 43073 11107 13323 62431 73001 07123 32634 20631 11070 32326 35316 20000 77756 16335 17655 40777 77770 70007 07007

C e rt if ic a te

N o

CERTIFICATE OF LIABILITY INSURANCE

DATE(MM/DD/YYYY)

12/02/2022

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 endorsement(s).

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.

PRODUCER

Aon Risk Services Central, Inc.

St. Louis MO Office 4220 Duncan Avenue Suite 401 St Louis MO 63110 USA

PHONE

(A/C. No. Ext):

E-MAIL

ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC #

(866) 283-7122

INSURED 23035Liberty Mutual Fire Ins CoINSURER A:

42404Liberty Insurance CorporationINSURER B:

INSURER C:

INSURER D:

INSURER E:

INSURER F:

FAX

(A/C. No.):

(800) 363-0105

CONTACT

NAME:

Keefe Commissary Network, LLC dba Access Corrections 10880 Linpage Place St. Louis MO 63132 USA

COVERAGES CERTIFICATE NUMBER: 570096656318 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 INDICATED. 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. Limits shown are as requested

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

(MM/DD/YYYY)

SUBR

WVD

INSR

LTR

ADDL

INSD POLICY NUMBER TYPE OF INSURANCE LIMITS

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

POLICY LOC

EACH OCCURRENCE

DAMAGE TO RENTED

PREMISES (Ea occurrence)

MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

PRODUCTS - COMP/OP AGG

X

X

X

GEN'L AGGREGATE LIMIT APPLIES PER:

$1,000,000

$1,000,000

$5,000

$1,000,000

$10,000,000

$2,000,000

A 12/01/2022 12/01/2023

SIR applies per policy terms & conditions

EB2651291759062

PRO-

JECT

OTHER:

AUTOMOBILE LIABILITY

ANY AUTO

OWNED

AUTOS ONLY

SCHEDULED

AUTOS

HIRED AUTOS

ONLY

NON-OWNED

AUTOS ONLY

BODILY INJURY ( Per person)

PROPERTY DAMAGE

(Per accident)

X

BODILY INJURY (Per accident)

$1,000,000A 12/01/2022 12/01/2023 COMBINED SINGLE LIMIT

(Ea accident)

AS2-651-291759-072

EXCESS LIAB

X OCCUR

CLAIMS-MADE AGGREGATE

EACH OCCURRENCE

DED

$10,000,000

$10,000,000

$10,000,000

12/01/2022UMBRELLA LIABB 12/01/2023TH7651291759092

RETENTION

X

Products/Completed O

E.L. DISEASE-EA EMPLOYEE

E.L. DISEASE-POLICY LIMIT

E.L. EACH ACCIDENT $1,000,000

X OTH-

ER

PER STATUTEB 12/01/2022 12/01/2023

Workers Comp (AOS) SIR applies per policy terms & conditions

$1,000,000

Y / N

(Mandatory in NH)

ANY PROPRIETOR / PARTNER / EXECUTIVE

OFFICER/MEMBER EXCLUDED? N / AN

WORKERS COMPENSATION AND

EMPLOYERS' LIABILITY

If yes, describe under DESCRIPTION OF OPERATIONS below

$1,000,000

WA765D291759042

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

Evidence of Insurance.

CANCELLATIONCERTIFICATE HOLDER

AUTHORIZED REPRESENTATIVEKeefe Commissary Network, LLC dba Access Corrections 10880 Linpage Place St. Louis MO 63132 USA

ACORD 25 (2016/03)

©1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE

EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE

POLICY PROVISIONS.

AGENCY CUSTOMER ID:

ADDITIONAL REMARKS SCHEDULE

LOC #:

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance

EFFECTIVE DATE:

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSUREDAGENCY

See Certificate Number:

See Certificate Number:

570096656318

570096656318

Aon Risk Services Central, Inc.

570000069604

ADDITIONAL POLICIES

If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits.

INSURER

INSURER

INSURER

INSURER

INSURER(S) AFFORDING COVERAGE

Page _ of _

NAIC #

Keefe Commissary Network, LLC

TYPE OF INSURANCE

POLICY NUMBER LIMITS

WORKERS COMPENSATION

B WC7651291759112 12/01/2022 12/01/2023

Workers Comp (WI)

N/A

ADDL

INSD

INSR

LTR

SUBR

WVD

POLICY

EFFECTIVE

DATE

(MM/DD/YYYY)

POLICY

EXPIRATION

DATE

(MM/DD/YYYY)

SIR applies per policy terms & conditions

ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

Excess Layers

AGENCY CUSTOMER ID:

ADDITIONAL REMARKS SCHEDULE

LOC #:

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance

EFFECTIVE DATE:

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSUREDAGENCY

See Certificate Number:

See Certificate Number:

Aon Risk Services Central, Inc.

570000069604

570096656318

570096656318

Page _ of _

Keefe Commissary Network, LLC

Policy # ZUP31N2130320NF Excess Liability Layer $15M x $10M Policy # CH20EXRZ06VD9IV Excess Liability Layer $25M x $25M Policy # AEC106579703 Excess Liability Layer $25M x $50M

ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.

H ol d er

I d en ti fi er

07070 00777

61616 04557

11107 46717

22720 44750

07663 13445

24170 00072

46045 73670

11220 70637

33122 43323

00722 71115

63102 64307

36111 14641

22475 07264

12444 23255

33076 05703

62224 23310

76727 24203

57720 00777

77770 70007

07007

07070 00735

25677 11545

60007 67100

50246 24575

07462 33665

24635 50075

33732 30253

65000 70322

67307 53314

00703 23372

53173 10007

13333 62520

73001 07023

32625 20731

00071 32337

35216 20110

77756 16335

17655 40777

77770 70007

07007

C E

R T

IF

IC

A T

E N

U M

B E

R

CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY)

10/03/2023

Aon Risk Services Central, Inc.

PRODUCER

St. Louis MO Office 4220 Duncan Avenue Suite 401 St Louis MO 63110 USA

(866) 283-7122 (800) 363-0105

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.

CONTACT

NAME:

PHONE

(A/C. No. Ext):

E-MAIL

ADDRESS:

PRODUCER

CUSTOMER ID #:

FAX

(A/C. No.):

INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A:INSURED AXIS Insurance Company 37273

INSURER B:

570000069604

Keefe Commissary Network, LLC

INSURER D:

INSURER E:

INSURER F:

INSURER C:dba Access Corrections 10880 Linpage Place St. Louis MO 63132 USA

LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required)

Evidence of Insurance.

CERTIFICATE NUMBER: 570102060522 COVERAGES 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

INDICATED. 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.

POLICY EXPIRATION

DATE (MM/DD/YYYY)

LIMITS COVERED PROPERTY

POLICY EFFECTIVE

DATE (MM/DD/YYYY)

POLICY NUMBER TYPE OF INSURANCE

INSR

LTR

PROPERTY

CAUSES OF LOSS

BASIC

BROAD

EARTHQUAKE

FLOOD

BUILDING

PERSONAL PROPERTY

BUSINESS INCOME

EXTRA EXPENSE

BLANKET BUILDING

BLANKET PERS PROP

BLANKET BLDG & PP

WIND

DEDUCTIBLES

BUILDING

CONTENTS

RENTAL VALUE

SPECIAL

INLAND MARINE

TYPE OF POLICY

CAUSES OF LOSS

NAMED PERILS

POLICY NUMBER

CRIME

TYPE OF POLICY

Crime - Primary

X

X

X $5,000,000

$100,000

Aggregate Limit

Retention Limit

A P00100042459903 11/01/2022 11/01/2023

Crime Primary

SIR applies per policy terms & conditions

BOILER & MACHINERY /

EQUIPMENT BREAKDOWN

SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

CERTIFICATE HOLDER CANCELLATION

AUTHORIZED

REPRESENTATIVE

Keefe Commissary Network, LLC dba Access Corrections 10880 Linpage Place St. Louis MO 63132 USA

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION

DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

ACORD 24 (2016/03)

© 1995-2015 ACORD CORPORATION. All rights reserved