Equity Trust Company Safety and Security

Page 8

EQUITRU-01

KOKA

CERTIFICATE OF LIABILITY INSURANCE PRODUCER

The James B. Oswald Company 1360 East 9th Street, #600 Cleveland, OH 44114-1730

(216) 367-8787

10/1/2009

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE

Equity Trust Company

INSURED

DATE (MM/DD/YYYY)

INSURER A: Illinois

NAIC #

National Ins Co

23817

INSURER B:

225 Burns Road Elyria, OH 44035

INSURER C: INSURER D: INSURER E:

COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L LTR INSRD

POLICY NUMBER

TYPE OF INSURANCE

POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YYYY) DATE (MM/DD/YYYY)

GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE

OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER: PROPOLICY LOC JECT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS

GARAGE LIABILITY

$

MED EXP (Any one person)

$

PERSONAL & ADV INJURY

$

GENERAL AGGREGATE

$

PRODUCTS - COMP/OP AGG

$

COMBINED SINGLE LIMIT (Ea accident)

$

BODILY INJURY (Per person)

$

BODILY INJURY (Per accident)

$

PROPERTY DAMAGE (Per accident)

$

$

AUTO ONLY - EA ACCIDENT

ANY AUTO

OTHER THAN AUTO ONLY:

EXCESS / UMBRELLA LIABILITY OCCUR

LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurence)

CLAIMS MADE

$

EA ACC

$

AGG

$

EACH OCCURRENCE

$

AGGREGATE

$ $

DEDUCTIBLE

$

RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below

$ WC STATUTORY LIMITS

OTHER

E.L. EACH ACCIDENT

$

E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT

$

OTHER

A Bankers Blanket Bond

19774921

6/27/2009

6/27/2010

See Below

See Below

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS

Bankers Blanket Bond, $3,000,000 limit with $50,000 deductible; includes ERISA rider coverage at $500,000 with a $0 deductible Coverage includes the following additional entities: Equity Administrative Services, Mid Ohio Securities, Equity Plan Administrative Services, Sterling Administrative Services CERTIFICATE HOLDER

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

For Proof Only -

DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL

30

DAYS WRITTEN

NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE

ACORD 25 (2009/01)

© 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD


Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.