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[~aneommcomrm —] reamBErr | CORD ACO! CERTIFICATE OF LIABILITY INSURANCE me | 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 tho cortificate holder Is an ADDITIONAL INSURED, the polieyGes) must hve ADDITIONAL INSURED provisions or be endorsed SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this cortieate does not confer rights to the cortificate holder in leu of such endorsements). cor Mark Dersham ___| Allon A Shaffer J. & Son insurance Agency (670)743.8104 TEE nm G7OTAS 062 2 Ninth Ave Sais, mark@aashafernsurance com _ PO BOX 126 [____ suse arronneve COVERAGE, nace ‘Shamokin Damn pa17e76____| naungna Atantic Casualty Ins Co 90000) —_ [ousymemp; 0 ‘Muscle Products Corp maunERe | "782 Kigore Ra uBR, | nsumene e Jackson Center PA 16138-2518 | neunen. ‘COVERAGES ‘GERTIFIGATE NUMBER: REVISION NUMBER: THis IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE SURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VIKICH THIS CERTIFICATE MAY BE ISGUED OR MAY PERTAN, THE INSURANCE AFFORDED GY THE POLICIES DESCAIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. [tae TYPE OF NEURANCE, Ti soucrmmeen iit sayy ars 5<[commencut coe wuauTr ‘eeiopamaace | + 1000000 [TT eamssuoe [5X] occur | PRSieed eecusenes_| = 60000 | | MED BS doy smpmen) | 6000 A y | Nw | vessonas77-2 os/17r022|osr1772025| ensona.s ov suey |» 1000000 ce RATE UT AES | crn. acerecare | s 2000000 [| roucr_] 588 [Jee propucrs -cowPror age | «2000000 pe $ Trewosus usury gaprou [J awvaso | 2000 WUT Pepa |5 SMSour [_] See "BODILY RURY (Pr scien | PE iieb owe [| SSO —femetns ]Tooan pers czo|Lnesecrens A — tages comers t Tif 1 fay erences a " EL poiscooon | S00000 8 enema N | a80-1700862 osr772022| osr7roaa Et exztacemen — «SEE ESSA Ge remains aoe et ossense -roucy wt | s 000000 BeSIUP OW GF OPERATIONS LOEARONG VENCLES ORO, Ana Roms Sh ny beached oe apace em) Cerificate holders an adtional insured regarding general abiy (CERTIFICATE HOLDER ‘CANCELLATION ‘SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE JHE EXMRATION DATE THEREOF, NOTICE WILL GE DELIVERED IN [ACCORDANCE WATH THE POLICY PROVISIONS. City ated osc oe cite Fax Email "©1988-2015 ACORD CORPORATION. All ights reserved. ‘ACORD 26 (2016/03) ‘The ACORD name and logo are registered marks of ACORD Muscle Soluciones Avanzadas de CV Ralston Daringion

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