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DATE (MMIDDNYYY) ACo CERTIFICATE OF LIABILITY INSURANCE 06/17/2020 THI�TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES PLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED EPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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). NTACT ria Norman _ ----- -- -- ---- --- Wichert Insurance Services PHONE )929-8686 AJC No , (330) 929-7762 A/C No Ext 1200 Graham Road nodi ESS: maria@wichert.com INSURER(S) AFFORDING COVERAGE - NAI C N Cuyahoga Falls OH 44224 INSURERA: Selective Ins. Co. of SE 39926 INSURED INSURER B: Village of Mayfield INSURER C : 6622 Wilson Mills Road INSURER D: INSURER E: - Mayfield Village OH 44143 INSURER FF : oCVCIAN NIIMRFR I L COVERAGES CERTIFIGAI THAT THE POLICIES OF INSURANCE t NUMBER: LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED,OR MAY PERTAIN, OF SUCH POLICIES. THE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS AND CONDITIONS TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY _ INSD LI Y EX LIMITS WVD POLICY NUMBER MM MM/D EACH OCCURRENCE $ 1,000,000 TED ILTR PREMISES y 1,000,000 . CLAIMS -MADE OCCUR Excluded - MED EXP (Arty one.persoN = A S1742891 07/01/2020 07/01/2021 PERSONAL aADVINJURY $ 1.000,000 E 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE 2,000,000 pRa El LDC POLICY ❑ AcG JECT Employee Benefits s 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 1,000,000 Ea dent) - BODILY INJURY (Per person) $ X ANYAUTO A - OWNED SCHEDULED 51742891 07/01/2020 07/01/2021 BODILY INJURY (Per accident) $ . AUTOS ONLY AUTOS PROPERTY DAMAGE _ HIRED NON -OWNED Peraccidert AUTOS ONLY AUTOS ONLY - Underinsured motorist BI E 100,000 UMBRELLA WB OCCUR - EACH OCCURRENCE $ EXCESS LL CLAIMS -MADE AGGREGATE $ S DED RETENTIONS WORKERs COMPENSATION - PERI OTH- STATUTE I I ER AND EMPLOYERS' LIABILITY Y I N E.L. EACH ACCIDENT E ANY PROPRIETOR/PARTNEWEXECUTIVE El NIA OFFICER/MFMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE E (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Cuyahoga County and its Employees are included as additional insured with respects to the commercial general liability and automobile liability coverages. Additional insured status applies when required by contract and subject to policy terms, conditions and exclusions. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Cuyahoga County 2079 East 9th St. AUTHORIZED REPRESENTATIVE t Cleveland OH 44115 �1 yi�,`�Wt�''V►'v / e nn.rr Arnon r`noDr)DATION e11 rinhts raserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD