StateofArizona_W33768805.pdf

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Attached to
Master Agreement AZ|CTR072001
Contract number
CTR072001
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance and Policy Conditions Endorsement for Language Line Holdings II, Inc., issued by Great Northern Insurance Company and other insurers. The certificate is issued for the State of Arizona, State Procurement Office, and covers the period from June 1, 2024 to June 1, 2025. The policy includes multiple types of insurance coverage, such as Commercial General Liability, Automobile Liability, Umbrella Liability, Workers Compensation, and Cyber Security Liability.

The insurance provides comprehensive coverage with various limits, including $1,000,000 for Commercial General Liability, $1,000,000 for Automobile Liability, $5,000,000 for Umbrella Liability, $1,000,000 for Workers Compensation, and $5,000,000 for Cyber Security Liability. The policy includes additional insured provisions for the State of Arizona, Arizona Board of Regents, and the University of Arizona. Notable features include a waiver of subrogation, primary and non-contributory insurance status, and worldwide coverage for professional liability. The policy also covers sexual abuse and molestation under the General Liability policy and includes professional liability with contingent bodily injury, property damage, and wrongful acts coverage.

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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

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.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

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.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

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

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2016 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

Willis Towers Watson Northeast, Inc.

c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA

Language Line Holdings II, Inc.

attn: Turie Cavaliere One Lower Ragsdale Drive Building 2 Monterey, CA 93940

SEE ATTACHED

State of Arizona State Procurement Office 100 N.15th Ave., Suite 201 Phoenix, AZ 85007

06/01/2024

1-877-945-7378 1-888-467-2378 certificates@wtwco.com

Great Northern Insurance Company 20303

Federal Insurance Company

Pacific Indemnity Company

20281

20346

Fortegra Specialty Insurance Company 16823

Westchester Surplus Lines Insurance Compan 10172

Endurance American Specialty Insurance Com 41718

W33768805

A

1,000,000

1,000,000

10,000

1,000,000

2,000,000

2,000,000

Y Y 3595-61-78 06/01/2024 06/01/2025

B

1,000,000

06/01/202506/01/2024Y Y (24)7357-61-09

B 5,000,000

7987-71-21 06/01/2024 06/01/2025 5,000,000

(25)7174-35-69 C Y

1,000,000 06/01/2024 06/01/2025

1,000,000

1,000,000

D Cyber Security Liability LimitC-4MFH-240067-CYBER-2024 06/01/2024 06/01/2025

348434525933929SR ID: BATCH:

$5,000,000

WTW Certificate Center

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

Language Line Holdings II, Inc.

attn: Turie Cavaliere One Lower Ragsdale Drive Building 2 Monterey, CA 93940

Sexual Abuse & Molestation is not excluded under the General Liability policy.

State of Arizona, Arizona Board of Regents, on behalf of the University of Arizona and its officers, officials, agents and employees are included as Additional Insureds as respects to General Liability and Auto Liability.

It is further agreed that such insurance as is afforded shall be primary and non-contributory with any other insurance in force for or which may be purchased by the University.

Waiver of Subrogation applies in favor of Additional Insureds with respects to General Liability, Auto Liability and Workers Compensation as permitted by law.

Umbrella/Excess Liability Follows Form.

INSURER AFFORDING COVERAGE: Westchester Surplus Lines Insurance Company NAIC#: 10172

POLICY NUMBER: G21654711 022 EFF DATE: 06/01/2024 EXP DATE: 06/01/2025

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Errors & Omissions Per Claim/Aggregate $10,000,000 ������������������ Retention $100,000

ADDITIONAL REMARKS:

Professional Liability coverage includes coverage for contingent bodily injury, property damage and wrongful acts such as the disclosure of confidential information. Coverage is true worldwide.

INSURER AFFORDING COVERAGE: Endurance American Specialty Insurance Company NAIC#: 41718

POLICY NUMBER: MCX30007143203 EFF DATE: 06/01/2024 EXP DATE: 06/01/2025

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Excess Errors & Omissions $5,000,000 xs of $10,000,000

ADDITIONAL REMARKS:

Excess E&O: Excess policy is following form coverage.

2 2

Willis Towers Watson Northeast, Inc.

See Page 1

See Page 1 See Page 1 See Page 1

25 Certificate of Liability Insurance

W33768805CERT:3484345BATCH:25933929SR ID:

CHUBB’ Policy Conditions

Endorsement

Policy Period

Effective Date

Policy Number 3595-61-78 DTO

LANGUAGE LINE HOLDINGS, INCInsured

GREAT NORTHERN INSURANCE COMPANYName of Company

Date Issued

This Endorsement applies to the following forms:

COMMON POLICY CONDITIONS

Conditions

Cancellation

A.

a.

b.

(1)

The first named insured may cancel this policy or any of its individual coverages at any time by sending us a written request or by returning the policy and stating when thereafter cancellation is to take effect.

California Mandatory - Cancellation And Nonrenewal Endorsement

The following changes are made as respects exposures in the state of California.

Under Conditions, the provisions titled Cancellation and When We Do Not Renew are deleted and replaced by the following:

Policy Conditions Form 80-02-9717 (Rev. 9-15)

All Policies In Effect For 60 Days or Less If this policy has been in effect for less than 60 days and is not a renewal of a policy we have issued, we may cancel this policy or any of its individual coverages by mailing or delivering to the first named insured at the mailing address shown in the policy and to the producer of record, advance written notice of cancellation, stating the reason for cancellation and effective date of cancellation at least:

20 days before the effective date of cancellation if we cancel for:

nonpayment of premium; or discovery of fraud by:

any insured or his or her representative in obtaining this insurance; or continued

JUNE 1, 2024 TO JUNE 1, 2025

JUNE 1, 2024

Conditions

2.

B.

1.

a.

b.

c.

d.

e.

f.

g-

2.

a.

b. 60 days before the effective date of cancellation if we cancel for any other reason listed in paragraph B. 1.

Cancellation (continued)

Policy Conditions__________ Form 80-02-9717 (Rev. 9-15)

California Mandatory - Cancellation And Nonrenewal Endorsement

(2) you or your representative in pursuing a claim under this policy.

60 days before the effective date of cancellation if we cancel for any other reason.

All Policies In Effect For More Than 60 Days

If this policy has been in effect for more than 60 days, or is a renewal of a policy we issued, we may cancel this policy or any of its individual coverages only upon the occurrence, after the effective date of the policy, of one or more of the following:

Nonpayment of premium, including payment due on a prior policy we issued and due during the current policy term covering the same risks.

Discovery of fraud or material misrepresentation by:

(1) any insured or his or her representative in obtaining this insurance; or

(2) you or your representative in pursing a claim under this policy.

A judgment by a court or an administrative tribunal that you have violated a California or Federal law, having as one of its necessary elements an act which materially increases any of the risks insured against.

Discovery of willful or grossly negligent acts or omissions, or of any violations of state laws or regulations establishing safety standards, by you or your representative, which materially increase any of the risks insured against.

Failure by you or your representative to implement reasonable loss control requirements, agreed to by you as a condition of policy issuance, or which were conditions precedent to our use of a particular rate or rating plan, if that failure materially increases any of the risks insured against.

A determination by the Commissioner of Insurance that the:

(1) loss of, or changes in, our reinsurance covering all or part of the risk would threaten our financial integrity or solvency; or

(2) continuation of the policy coverage would place us in violation of California law or the laws of the state where we are domiciled or threaten our solvency.

A change by you or your representative in the activities or property of the commercial or industrial enterprise, which results in a materially added, increased or changed risk, unless the added, increased or changed risk is included in the policy.

We will mail or deliver advance written notice of cancellation, stating the reason for cancellation and effective date of cancellation to the first named insured at the mailing address shown on the policy and to the producer of record at least:

20 days before the effective date of cancellation if we cancel for a reason listed in B. 1 .a. or b. above; or continued

CHUBB* Policy Conditions

Effective Date

Policy Number 3595-61-78 DTO

Conditions c.

1.

2.

a.

b.

3.

Cancellation (continued)

Wc may not cancel such coverage solely because corrosive soil conditions exist on the premises. This restriction (3.) applies only if the coverage provided under this policy excludes loss or damage caused by or resulting from corrosive soil conditions.

If notice of cancellation is mailed, proof of mailing will be sufficient proof of notice.

If this policy is cancelled, we will send the named Insured any premium refund due, as soon as practicable. The refund, if any, will be on a pro rata basis. However, the refund may be less than pro rata if we have made a loan to you for the purpose of payment of premium for this policy.

The cancellation will be effective even if we have not made or offered a refund.

California Mandatory - Cancellation And Nonrenewal Endorsement

Residential Property This provision applies to coverage on real property which is used predominantly for residential purposes and consisting of not more than four dwelling units, and to coverage on tenants’ household personal property in a residential unit, if such coverage is written under this policy:

If such coverage has been in effect for 60 days or less, and is not a renewal of coverage we issued, we may cancel this coverage for any reason, except as provided in

2. and 3. below.

Policy Conditions__________ Form 80-02-9717 (Rev. 9-15)

We may not cancel such coverage solely because the first named insured has:

accepted an offer of earthquake coverage; or cancelled or did not renew a policy issued by the California Earthquake Authority (CEA) that included an earthquake policy premium surcharge.

However, we shall cancel this policy if the first named insured has accepted a new or renewal policy issued by the CEA that includes an earthquake policy premium surcharge but fails to pay the earthquake policy premium surcharge authorized by the

CEA.

continued

Subject to the provision.s of paragraphs B. and C. below, if we elect not to renew this policy, we will mail or deliver written notice stating the reason for nonrenewal to the first named insured and to the producer of record, at least 60 days, but not more than 120 days, before the expiration or anniversary date.

We will mail or deliver our notice to the first named insured and to the producer of record, at the mailing address shown in the policy.

Nonrenewal

Conditions

B.

1.

2.

a.

b.

c.

3.

4.

C.

1.

2.

Nonrenewal (continued) continued

California Mandatory - Cancellation And Nonrenewal Endorsement

Policy Conditions__________ Form 80-02-9717 (Rev. 9-15)

(1) lost or experienced a substantial reduction in the availability or scope of reinsurance coverage; or

(2) experienced a substantial increase in the premium charged for reinsurance coverage of our residential property insurance policies; and the Commissioner has approved a plan for the nonrenewals that is fair and equitable, and that is responsive to the changes in our reinsurance position.

We will not refuse to renew such coverage solely because the first named insured has cancelled or did not renew a policy, issued by the California Earthquake Authority that included an earthquake policy premium surcharge.

We will not refuse to renew such coverage solely because corrosive soil conditions exist on the premises. This restriction (4.) applies only if the coverage provided under this policy excludes loss or damage caused by or resulting from corrosive soil conditions.

We are not required to send notice of nonrenewal in the following situations:

If the transfer or renewal of a policy, without any changes in terms, conditions, or rates, is between us and a member of our insurance group.

If the policy has been extended for 90 days or less, provided that notice has been given in accordance with paragraph A.

This provision applies to coverage on real property which is used predominantly for residential purposes and consisting of not more than four dwelling units, and to coverage on tenants’ household personal property in a residential unit, if such coverage is written under this policy:

We may elect not to renew such coverage for any reason, except as provided in 2.

through 4. below.

We will not refuse to renew such coverage solely because the first named insured has accepted an offer of earthquake coverage.

However, the following applies only to insurers who are associate participating insurers as established by Cal. Ins. Code Section 10089.16. We may elect not to renew such coverage after the first named insured has accepted an offer of earthquake coverage, if one or more of the following reasons applies:

the nonrenewal is based on sound underwriting principles that relate to the coverages provided by this policy and that are consistent with the approved rating plan and related documents filed with the Department of Insurance as required by existing law;

the Commissioner of Insurance finds that the exposure to potentional losses will threaten our solvency or place us in a hazardous condition. A hazardous condition includes, but is not limited to, a condition in which we make claims payments for losses resulting from an earthquake that occurred within the preceding two years and that required a reduction in policyholder surplus of at least 25% for payment of those claims; or we have:

CHUBB’ Policy Conditions

Effective Date

Policy Number

Conditions

5.

6.

All other terms and conditions remain unchanged.

Authorized Representative £1

Nonrenewal (continued)

California Mandatory - Cancellation And Nonrenewal Endorsement last page

Policy Conditions__________ Form 80-02-9717 (Rev. 9-15)

If the first named insured requests a change in the terms or condition.s or risks covered by the policy within 60 days of the end of the policy period.

If we have made a written offer to the first named insured, in accordance with the timeframes shown in paragraph A., to renew the policy under changed terms or conditions or at an increased premium rate, when the increase exceeds 25%.

If you have obtained replacement coverage, or if the first named insured ha.s agreed, in writing, within 60 days of the termination of the policy, to obtain that coverage.

If the policy is for a period of no more than 60 days and you are notified at the time of issuance that it will not be renewed.

DeSignSted Third This provision applies to a policy insuring individually owned residential structures of not more Party than four dwelling units, individually owned condominium units, or individually owned mobile homes, and their contents, located in this state and used exclusively for residential purposes or a tenant’s policy insuring personal contents of a residential unit located in this state.

• If you have designated a person to receive notice of lapse, termination, expiration, nonrenewal, or cancellation of your policy for nonpayment of premium, we will mail or deliver to the designated person advance written notice of at least 10 days before the effective date of such lapse, termination, expiration, nonrenewal, or cancellation of your policy for nonpayment of premium.

• No benefit under this policy is provided to such designated person, other than the right to receive the aforementioned notice.

3595-61-78 DTO

10.0.2.20120224.1.869952

DATE (MM/DD/YYYY): 06/01/2024
PRODUCER: Willis Towers Watson Northeast, Inc.

c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA

FAX (A/C, No):: 1-877-945-7378
FAX (A/C, No):: 1-888-467-2378
FAX (A/C, No):: certificates@wtwco.com
NAIC #_INSURER A :: Great Northern Insurance Company
NAIC #_INSURER A :: 20303
INSURED: Language Line Holdings II, Inc.

attn: Turie Cavaliere One Lower Ragsdale Drive Building 2 Monterey, CA 93940

NAIC #_INSURER B :: Federal Insurance Company
NAIC #_INSURER C :: Pacific Indemnity Company
NAIC #_INSURER B :: 20281
NAIC #_INSURER C :: 20346
NAIC #_INSURER D :: Fortegra Specialty Insurance Company
NAIC #_INSURER D :: 16823
NAIC #_INSURER E :: Westchester Surplus Lines Insurance Compan
NAIC #_INSURER E :: 10172
NAIC #_INSURER F :: Endurance American Specialty Insurance Com
NAIC #_INSURER F :: 41718
CERT_NUMBER: W33768805
GL INSR LETTER: A
CGL_checkbox: Yes
Clams_Made_checkbox: 0
Occur_checkbox: Yes
OTHER 1 checkbox: Off
OTHER 1 checkbox: Off
undefined: 1,000,000
undefined: 1,000,000
undefined: 10,000
GL_OTHER_1_TYPE_OF_INS:
GL_OTHER_2_TYPE_OF_INS:
undefined: 1,000,000
undefined: 2,000,000
undefined: 2,000,000
Gen_Agg_Policy_checkbox: Yes
Gen_Agg_Project_checkbox: 0
Gen_Agg_Location_checkbox: 0
INSR ADDL_Row_1: Y
WVD SUBR_Row_1: Y
POLICY NUMBER_Row_1: 3595-61-78
POLICY EFF (MM/DD/YYYY)_Row_1: 06/01/2024
POLICY EXP (MM/DD/YYYY)_Row_1: 06/01/2025
OTHER_LIMIT_DESC:
undefined:
ANY_AUTO_checkbox: 0
AL INSR LETTER: B
undefined: 1,000,000
NON-OWNED_AUTOS_checkbox: Yes
SCHEDULED_AUTOS_checkbox: 0
ALL_OWNED_AUTOS_checkbox: 0
HIRED_AUTO_checkbox: Yes
POLICY EXP (MM/DD/YYYY)_Row_1: 06/01/2025
undefined:
POLICY EFF (MM/DD/YYYY)_Row_1: 06/01/2024
undefined:
undefined:
AL_OTHER_1_checkbox: 0
AL_OTHER_1_DESC:
PROPERTY DAMAGE (Per accident)_Row_1:
AL_OTHER_2_checkbox: 0
AL_OTHER_2_DESC:
INSR ADDL_Row_2: Y
WVD SUBR_Row_2: Y
POLICY NUMBER_Row_2: (24)7357-61-09
undefined:
UMB_LIAB: Yes
UMB_EX_OCC: Yes
UMB INSR LETTER: B
undefined: 5,000,000
EX_LIAB_checkbox: 0
CLAIMS_MADE_checkbox: 0
RET_checkbox: 0
DED_checkbox: Off
DED_RET_AMOUNT:
INSR ADDL_Row_3:
WVD SUBR_Row_3:
POLICY NUMBER_Row_3: 7987-71-21
POLICY EFF (MM/DD/YYYY)_Row_3: 06/01/2024
POLICY EXP (MM/DD/YYYY)_Row_3: 06/01/2025
undefined: 5,000,000
AGGREGATE_Row_1:
undefined:
POLICY NUMBER_N / A: (25)7174-35-69
STATUTORY: Yes
OTHER: Off
WC_OTHER_DESC:
WC INSR LETTER: C
WVD SUBR_N / A: Y
undefined: 1,000,000
Y / N:
POLICY EFF (MM/DD/YYYY)_Row_3: 06/01/2024
POLICY EXP (MM/DD/YYYY)_Row_3: 06/01/2025
undefined: 1,000,000
undefined: 1,000,000
OTHER 1 INSR LETTER: D
OTHER_1_TYPE_OF_INS: Cyber Security Liability
OTHER_2_TYPE_OF_INS:
N / A_Row_1:
WVD SUBR_Row_5:
N / A_Row_1:
OTHER_1_LIMIT_OF_INS: Limit
OTHER 2 INSR LETTER:
POLICY NUMBER_Row_5: C-4MFH-240067-CYBER-2024
POLICY NUMBER_Row_5:
POLICY EFF (MM/DD/YYYY)_Row_5: 06/01/2024
POLICY EFF (MM/DD/YYYY)_Row_5:
POLICY EXP (MM/DD/YYYY)_Row_5: 06/01/2025
POLICY EXP (MM/DD/YYYY)_Row_5:
OTHER_2_LIMIT_OF_INS:
WVD SUBR_Row_5:
OTHER 3 INSR LETTER:
WVD SUBR_Row_5:
POLICY NUMBER_Row_5:
POLICY EFF (MM/DD/YYYY)_Row_5:
OTHER_3_TYPE_OF_INS:
N / A_Row_1:
POLICY EXP (MM/DD/YYYY)_Row_5:
OTHER_3_LIMIT_OF_INS:
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required):

SEE ATTACHED

INSURED:

State of Arizona State Procurement Office 100 N.15th Ave., Suite 201 Phoenix, AZ 85007

AUTHORIZED REPRESENTATIVE:
BATCH_NUMBER: 3484345
SR_NUMBER: 25933929
SRID_label: SR ID:
Batch_label: BATCH:
GL_Agg_applies_per_Other_checkbox: 0
GL_Agg_applies_per_Other:
OTHER_3_LIMIT_OF_INS_AMT3:
OTHER_2_LIMIT_OF_INS_AMT_2:
OTHER_1_LIMIT_OF_INS_AMT_1: $5,000,000
Contact_Name: WTW Certificate Center
DATE (MM/DD/YYYY): Page 1 of 2

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