160-25 Exhibit.pdf

MILLSTR-O41 MLESZCZYNSKI —, ACCORD CERTIFICATE OF LIABILITY INSURANCE on eereoes 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 ondorsement, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER §QNTACT Dianne DeMott Levi 60 Pascale Ave, Suite 120 {H-No,cxp (973) 797-0841 1168 TER no: Fairfield, NJ 07004-3508 oles: DLevi@acrisure.com INSURER(S) AFFORDING COVERAGE NAIC # insurer A: Hartford Insurance Company of Midwest 37478 INSURED isurer Sentinel Insurance Company Ltd 11000 to Golunitis Rost Bite, B isuzer c: Twin City Fire Insurance Company 29459 Ste 230 insurero: RL Insurance Company 13056 Morristown, NJ 07960 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 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. ADDLSI hal TYPE OF INSURANCE Neo wa POLICY NUMBER (GRIDDAY | daMoD YD LIMIT A |X | COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000) [| J cxams-tape [X] occur H3SBAILe856 2izei2023 | 2izerzoz4 | PAMGETOREMTES | | 500,000 |_| MED Exp (Any one person) | $s 10,000 poof PERSONAL & ADVINJURY |S 4,000,000) | GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE. 2,000,000 LX roucy| | 8% | Ytoc pnoouers -counerace |& 7,000,000 OIHeR: 8 A | auromopite LIABILITY GOMBINES SINGLE LIMIT 7,000,000) |__| ANY AUTO M3SBAIL6856 2/28/2023 | 2/28/2024 | soniy INJURY (Per

2,000,000 LX roucy| | 8% | Ytoc pnoouers -counerace |& 7,000,000 OIHeR: 8 A | auromopite LIABILITY GOMBINES SINGLE LIMIT 7,000,000) |__| ANY AUTO M3SBAIL6856 2/28/2023 | 2/28/2024 | soniy INJURY (Per person) | $ ‘OwiNED 7] geygguee |__| AUTOS ony AUTOS BODILY INJURY (Per accident} | § [LX] HER ower [XC] NOSE ca 8 A X/umpreuauas |X| occur ACH OCCURRENCE $ 2,000,000} EXCESS LIAB CLAIMS. MADE |13SBAILBB56 2128/2023 | 2/28/2024 |. coproatc $ 2,000,000) pep |X| aerenrions 10,000] : B |workens compensation [Pfoe |S AND EMPLOYERS’ LIABILITY STATUTE te ‘ANY PROPRIETORIPARTNEREXECUTIVE [—) {3WECTC8758 3112023 | SH112024 |e) exch ACCIDENT $ 1,000,000) OrFIGERUMEMBER EXCLUDED? Nin 7000-000 endorse EL. DISEASE -EA EMPLOYEE) § ,000, DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | § 1,000,000 ¢C |Directors & Officers. 13KB0381514-23 5/20/2023 | 5/20/2024 [Limit 1,000,000) D |Errors & Omissions IRTPO028688. 3/1/2023 | 34/2024 |Limit 1,000,000) DESCRIPTION OF OPERATIONS / LOCATIONS /VEHIGLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE GANGELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PROOF OF INSURANCE ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD