Bell Partners Industry Risk Level Report

Transcription

1 Bell Partners Industry Risk Level Report Industry Risk Level A/C Equipment & Systems Contractors, Installation, or Repair Access/Badge/Panel Control Systems Adjusters Air Duct Cleaning Air Purification Airplane / Jet - Chartered Animal / Pet Mobile Vaccinations Antennas Appliances - Leasing Appliances - Service, Repair, or Refinish Appraisers Aquarium/Fish Tank Installation, Repair, or Maintenance Service Architects Artwork Services Asbestos - Inspection, Management, or Removal High 3 Asphalt & Asphalt Products WITH Delivery Attorneys Auto Detailing Automobile - Emergency Assistance Automotive/Marine/Maintenance Equipment - Repair, Paint & Body Awnings & Canopies Repair & Service Back Flow Prevention Balcony Repair Balloons w/ Helium Service Basketball Courts - Construction, Repair, Resurface Bathtubs & Sinks - Repair & Refinish Beverage -Suppliers with ON-SITE delivery Billiards & Gaming - Installation & Repair Blasting and Demolition Contractors High 3 Boilers - Repairing & Cleaning Building - Non-Structure, Developers or Contractors Building Inspection Service Building Maintenance Cabinets - Installation Cable Capital Vendors Towing Car Wash - Equipment Sales, Repair and Installation Carnival Companies and/or Ride Operators Carpenters Carpet & Rug - Cleaning, Dyeing, Repair, or Installation Caterers Chimney Cleaning Communication equipment installation, service, repair Community Services Compliance Service & Consultants Components Computer - System Designers

2 Bell Partners Industry Risk Level Report Industry Risk Level Computer / Office Equipment - Repair, Install, or Maintenance (on-site service) Computers - Training and/or System Support Concierge and Valet Services Concrete Contractors Construction Consulting Construction Equipment & Supplies WITH Delivery Cooling Tower - Repair & Replace Copy Machines - Service Counter Top - Resurfacing, Repair, or Installation Counter Tops - Supplier ONLY Courier/Messenger Court Reporter/Stenographer Courtesy Patrol - Unarmed Foot or Drive By Crime Scene Clean-Up Services High 2 Criminal Record Search Disc Jockeys Doors - Installation, Repair & Replacement Doors - Installation, Repair, or Maintenance Drafting Drain Cleaning Drainage Contractor - Consult Only Drainage Contractors Drapery & Curtain - Cleaning, Installation, or Repair Drive-Through Pneumatic Tube Repair, Maintenance, or Installation Dry Cleaners ON-SITE DELIVERY Drywall Contractors Dump Trucks & Concrete Trucks Electrical apparatus installation Electrical Contractors High 2 Electrical Gates & Doors Electrical Generator Repair Elevator / Escalator - CONSULTING SERVICES ONLY Elevators / Escalator Service & Maintenance Employment - Temporary Energy Conservation & Mgmt Engineer - All Types Entertainers - Musicians, Promoters, etc. Environmental & Ecological Consulting / Services Environmental Testing & Observation Only Equipment (Heavy) Rental & Leasing Erosion Control Excavating Contractors Exercise & Physical Fitness Exercise Equipment - Service & Repair Exterior cleaning or resurfacing Facade

3 Bell Partners Industry Risk Level Report Industry Risk Level Fence Contractors Filler Fire Alarm - on-site installation with monitoring Fire Alarm Systems - Monitoring Only Fire Extinguisher Testing & Replacement Fire Protection Equip & Supply Fire protection equipment installation, service, repair High 2 Fire Retardant Coatings Fire, Smoke & Water Restoration Fireplaces - On site Service First Aid/Occupational Health & Safety Supplies - ON-SITE DELIVERY Floor Covering - Sales, Installation, Repair or Refinish Food Service Distributing - All Other Food Service Distributing - Meat Food Service Distributing - Produce Food Service Distributing - Seafood Food Trucks - mobile eatery Food/Beverage/Water Service Distribution - Apartment Community Service ONLY Foundation - Contractors or Repair Framing and/or Mounting - pictures, maps, etc. Framing Contractors Freight Only Fuel-Oil, Gas, Butane Propane Fundraising Funeral Homes, Mortuary Services, or Cemeteries Furniture - Repair, Refinish, or Leasing Garage Doors Garage/Carport - building, repair, or maintenance Garbage / Recycling Collection Garbage/Trash Compactors - supply, repair, or maintenance Gates - installation, repair, or maintenance General Contractors Glass - STAINED ONLY - sales, installation, or repair Glass & Mirror - Sales with Installation or Repair Glass Coating & Tinting Golf Cars & Carts - Repair & Maintenance Gutters & Downspouts Hand Rails Handicapped Accessible Construction or Modifications Hazardous Material Handling and Cleanup High 3 Health Hazards - Consult Only High Rise Elevators High 3 Holiday Lighting Human Directional HVAC Contractors Insulation Contractors

4 Bell Partners Industry Risk Level Report Industry Risk Level Interior Decorators & Designers Investigators Irrigation Repairs Janitorial/Housekeeping/Janitorial/Make Ready Services Junk Removal Key Control Systems Lab Support Services Towing Landscape - Contractors, Designers, or Maintenance Landscape Maintenance - Chemicals Laundry - Self Service Machine Repair & Maintenance Lead Abatement High 3 Leak Detection, Prevention, or Repair Leasing Services Lecture/Speaker & Seminar Services Level 1 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 Lifeguard Light Bulb Replacement Service Lighting Consultants Locks & Locksmiths Mailboxes - Installation Maintenance Supplies - Delivery Maintenance Supplies & Service Make Up/Cosmetic Artists Management Consulting Masonry Contractors Mechanical Contracting Metal Cleaning & Refinishing Metrology Service Towing Millwrights Mold Abatement High 2 Move Mgmt for Lab Support Towing Movers Music Furnishings with delivery - music stands, furniture, etc. Mystery Shopper Odor Control Office Equipment & Supplies WITH Delivery Outdoor Fireplace or BBQ - Installation/Repair/Service Overhead & Revolving Door Services Overhead Equipment (cranes, hoists, derricks, etc) High 3 Packaging

5 Bell Partners Industry Risk Level Report Industry Risk Level Painting Contractors - Exterior Painting Contractors - Interior Painting Equipment & Supplies WITH Delivery Parking Garage/Lot - Repair, Resurface or Seal Coat Parking Garage/Lot - Striping Patio & Deck Builders Paving Contractors Personnel Consultants Pest Control - Trapping only Pest Control/Extermination Pet Waste Removal Photographers - ON SITE ONLY Piano / Organ Repair or Tuning Pile Driving Plants - Interior Leasing & Maintenance Playground & Park Equipment - Delivery, Installation, or Repair Plumbing Contractors, Supply Delivery, Drain/Sewer Cleaning Pond/Lake Maintenance Pool Furniture - Repair & Restoration Pool Surface Repair Porcelain Refinishers Pressure Washing - Equipment & Service Printing Company with On-Site Delivery Product Testing Production - Film, Lighting, Music, Sound, Grips, etc. Property Maintenance Property/Real Estate Management Railings - Delivery and/or Installation Refrigerator Service & Repair Refuse collection Reglazing Rehab Contractors Remodeling & Repairs Risk Management Roofing Contractors Safety Consultants Sand Blasting Scaffolding, elevated sidewalks, bridges, etc High 3 Security Guard/Patrol Service - Armed High 2 Security Services - Alarm Installation and/or Monitoring Security/Intrusion Alarms - Remote Monitoring Only Sewer & Water Main - Installation or Repair Sewer Contractors Shopping Service Shoring Shredding Service Sidewalk Repair

6 Bell Partners Industry Risk Level Report Industry Risk Level Siding Claims Consultants Siding Contractors Signs and Installation Smoke Detectors & Alarms Snow Removal Sound System Installation and/or Repair Sprinkler - Installation or Repair Stair Builders & Repair Steam boiler installation, service, repair High 3 Storage - mobile pods Stucco & Exterior Coating Contractor Subfloor Repair Submetering - Electric, Gas, or Water Surveyors - Land Sweeping Service Swimming Pool Construction or Remodeling Swimming Pool Service/Maintenance Tanning Salon - Repair, Installation, or Retail Space Telephone - Coin/Card Oprtd Equip/Svc Telephone & TV Equipment Installation or Repair Tenant - Commercial Tennis Court Construction, Resurface, or Repair Termites - Tenting Towing/Wrecker Service Towing Traffic Control/Signal Installation Transportation Services (Bus, Limo, Taxi, etc...) Trash Haulers Tree Service - Prune or Trimming Trusses - Construction Tub & Tile Restoration Underground or Building gas/petrol storage tank/line installation, service, High 3 repair, testing Uniforms - Service UPS (Uninterrupted Power Supply) Utility Contractor Valet Trash Collections Vending Machines Video Production Services, Virtual Tours, etc. Volleyball Courts - Install/Resurface Walls - Retaining Warehouse Supplier Washer & Dryer - Coin Operated Repair & Maintenance Washer & Dryer Venting or Vent Cleaning Waste Reduction/Disposal/Recycling Water - Bulk/Bottled Distributor w/ ON-SITE DELIVERY Water Feature/Fountain - Repairs, Installation, or Delivery Water Heaters - Repairs

7 Bell Partners Industry Risk Level Report Industry Risk Level Water Restoration & Filtration - On-Site Service Waterproofing Contractors Welding Window Washer - 5 Floors & Below Window Washer - Above 5 Floors Window/Window Covering/Blinds - Installation, Replacement, Repair

8 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 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 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). PRODUCER INSURED CONTACT NAME: PHONE (A/C, No, Ext) ADDRESS: FAX (A/C, No) INSURERS AFFORDING COVERAGE NAIC # INSURER A: (Insurer must have a rating of A- or higher.) INSURER B: Sample Certificate of Insurance INSURER C: INSURER D: 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. INSR ADDL TYPE OF INSURANCE SUBR POLICY EFF POLICY NUMBER LTR INSR WVD DATE(MM/DD/YY) POLICY EXP DATE(MM/DD/YY) GENERAL LIABILITY EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) CLAIMS MADE OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY 1,000,000 GENERAL AGGREGATE 1,000,000 GEN?L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 1,000,000 POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Or INJURY/Person INJURY/Accident PROPERTY DAMAGE LIMITS COMBINED SINGLE LIMIT (Ea accident) 500,000 ANY AUTO INJURY (Per person) 100,000 ALL OWNED HIRED SCHEDULED INJURY(Per accident) 300,000 NON-OWNED PROPERTY DAMAGE (Per accident) 100,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND EMPLOYERS? LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below WC STATU- ORY LIMITS OTH- ER E.L. EACH ACCIDENT 500,000 EL DISEASE-EA EMPLOYEE 500,000 EL DISEASE - POLICY LIMIT 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Attach a copy of the General Liability Additional Insured Endorsement(s) reflecting the following: BELL PARTNERS INC., THEIR AFFILIATES, SUBSIDIARIES, LENDERS, AND THE OWNERSHIP ENTITIES OF THEIR OWNED OR MANAGED PROPERTIES are included as additional insured on the general liability policy. Insurance is primary and all others are non-contributory. CERTIFICATE HOLDER CANCELLATION Bell Partners Inc. c/o Compliance Depot P.O. Box Carrollton, TX Fax: (877) documents@compliancedepot.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE

9 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 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 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). PRODUCER INSURED CONTACT NAME: PHONE (A/C, No, Ext) ADDRESS: FAX (A/C, No) INSURERS AFFORDING COVERAGE NAIC # INSURER A: (Insurer must have a rating of A- or higher.) INSURER B: Sample Certificate of Insurance INSURER C: INSURER D: 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. INSR ADDL TYPE OF INSURANCE SUBR POLICY EFF POLICY NUMBER LTR INSR WVD DATE(MM/DD/YY) POLICY EXP DATE(MM/DD/YY) GENERAL LIABILITY EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) CLAIMS MADE OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY 1,000,000 GENERAL AGGREGATE 1,000,000 GEN?L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 1,000,000 POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Or INJURY/Person INJURY/Accident PROPERTY DAMAGE LIMITS COMBINED SINGLE LIMIT (Ea accident) 500,000 ANY AUTO INJURY (Per person) 100,000 ALL OWNED HIRED SCHEDULED INJURY(Per accident) 300,000 NON-OWNED PROPERTY DAMAGE (Per accident) 100,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE 1,000,000 EXCESS LIAB CLAIMS MADE AGGREGATE 1,000,000 DED RETENTION WORKERS COMPENSATION AND EMPLOYERS? LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below WC STATU- ORY LIMITS OTH- ER E.L. EACH ACCIDENT 1,000,000 EL DISEASE-EA EMPLOYEE 1,000,000 EL DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Attach a copy of the General Liability Additional Insured Endorsement(s) reflecting the following: BELL PARTNERS INC., THEIR AFFILIATES, SUBSIDIARIES, LENDERS, AND THE OWNERSHIP ENTITIES OF THEIR OWNED OR MANAGED PROPERTIES are included as additional insured on the general liability policy for ONGOING and COMPLETED operations. Attach a copy of the General Liability On Going Operations Endorsement. Attach a copy of the General Liability Completed Operations Endorsement. Insurance is primary and all others are non-contributory. CERTIFICATE HOLDER CANCELLATION Bell Partners Inc. c/o Compliance Depot P.O. Box Carrollton, TX Fax: (877) documents@compliancedepot.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE

10 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 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 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). PRODUCER INSURED CONTACT NAME: PHONE (A/C, No, Ext) ADDRESS: FAX (A/C, No) INSURERS AFFORDING COVERAGE NAIC # INSURER A: (Insurer must have a rating of A- or higher.) INSURER B: Sample Certificate of Insurance - High INSURER C: INSURER D: 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. INSR ADDL TYPE OF INSURANCE SUBR POLICY EFF POLICY NUMBER LTR INSR WVD DATE(MM/DD/YY) POLICY EXP DATE(MM/DD/YY) GENERAL LIABILITY EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) CLAIMS MADE OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY 1,000,000 GENERAL AGGREGATE 2,000,000 GEN?L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 2,000,000 POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Or INJURY/Person INJURY/Accident PROPERTY DAMAGE LIMITS COMBINED SINGLE LIMIT (Ea accident) 1,000,000 ANY AUTO INJURY (Per person) 500,000 ALL OWNED HIRED SCHEDULED INJURY(Per accident) 500,000 NON-OWNED PROPERTY DAMAGE (Per accident) 500,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE 5,000,000 EXCESS LIAB CLAIMS MADE AGGREGATE 5,000,000 DED RETENTION WORKERS COMPENSATION AND EMPLOYERS? LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below WC STATU- ORY LIMITS OTH- ER E.L. EACH ACCIDENT 1,000,000 EL DISEASE-EA EMPLOYEE 1,000,000 EL DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Attach a copy of the General Liability Additional Insured Endorsement(s) reflecting the following: BELL PARTNERS INC., THEIR AFFILIATES, SUBSIDIARIES, LENDERS, AND THE OWNERSHIP ENTITIES OF THEIR OWNED OR MANAGED PROPERTIES are included as additional insured on the general liability policy for ONGOING and COMPLETED operations. Attach a copy of the General Liability On Going Operations Endorsement. Attach a copy of the General Liability Completed Operations Endorsement. Insurance is primary and all others are non-contributory. CERTIFICATE HOLDER CANCELLATION Bell Partners Inc. c/o Compliance Depot P.O. Box Carrollton, TX Fax: (877) documents@compliancedepot.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE

11 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 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 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). PRODUCER INSURED CONTACT NAME: PHONE (A/C, No, Ext) ADDRESS: FAX (A/C, No) INSURERS AFFORDING COVERAGE NAIC # INSURER A: (Insurer must have a rating of A- or higher.) INSURER B: Sample Certificate of Insurance High 2 INSURER C: INSURER D: 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. INSR ADDL TYPE OF INSURANCE SUBR POLICY EFF POLICY NUMBER LTR INSR WVD DATE(MM/DD/YY) POLICY EXP DATE(MM/DD/YY) GENERAL LIABILITY EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) CLAIMS MADE OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY 1,000,000 GENERAL AGGREGATE 2,000,000 GEN?L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 2,000,000 POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Or INJURY/Person INJURY/Accident PROPERTY DAMAGE LIMITS COMBINED SINGLE LIMIT (Ea accident) 1,000,000 ANY AUTO INJURY (Per person) 500,000 ALL OWNED HIRED SCHEDULED INJURY(Per accident) 500,000 NON-OWNED PROPERTY DAMAGE (Per accident) 500,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE 5,000,000 EXCESS LIAB CLAIMS MADE AGGREGATE 5,000,000 DED RETENTION WORKERS COMPENSATION AND EMPLOYERS? LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below WC STATU- ORY LIMITS OTH- ER E.L. EACH ACCIDENT 1,000,000 EL DISEASE-EA EMPLOYEE 1,000,000 EL DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Attach a copy of the General Liability Additional Insured Endorsement(s) reflecting the following: BELL PARTNERS INC., THEIR AFFILIATES, SUBSIDIARIES, LENDERS, AND THE OWNERSHIP ENTITIES OF THEIR OWNED OR MANAGED PROPERTIES are included as additional insured on the general liability policy for ONGOING and COMPLETED operations. Attach a copy of the General Liability On Going Operations Endorsement. Attach a copy of the General Liability Completed Operations Endorsement. Insurance is primary and all others are non-contributory. CERTIFICATE HOLDER CANCELLATION Bell Partners Inc. c/o Compliance Depot P.O. Box Carrollton, TX Fax: (877) documents@compliancedepot.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE

12 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 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 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). PRODUCER INSURED CONTACT NAME: PHONE (A/C, No, Ext) ADDRESS: FAX (A/C, No) INSURERS AFFORDING COVERAGE NAIC # INSURER A: (Insurer must have a rating of A- or higher.) INSURER B: Sample Certificate of Insurance 3 INSURER C: INSURER D: 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. INSR ADDL TYPE OF INSURANCE SUBR POLICY EFF POLICY NUMBER LTR INSR WVD DATE(MM/DD/YY) POLICY EXP DATE(MM/DD/YY) GENERAL LIABILITY EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) CLAIMS MADE OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY 1,000,000 GENERAL AGGREGATE 2,000,000 GEN?L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 2,000,000 POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Or INJURY/Person INJURY/Accident PROPERTY DAMAGE LIMITS COMBINED SINGLE LIMIT (Ea accident) 1,000,000 ANY AUTO INJURY (Per person) 500,000 ALL OWNED HIRED SCHEDULED INJURY(Per accident) 500,000 NON-OWNED PROPERTY DAMAGE (Per accident) 500,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE 5,000,000 EXCESS LIAB CLAIMS MADE AGGREGATE 5,000,000 DED RETENTION WORKERS COMPENSATION AND EMPLOYERS? LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below WC STATU- ORY LIMITS OTH- ER E.L. EACH ACCIDENT 1,000,000 EL DISEASE-EA EMPLOYEE 1,000,000 EL DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Attach a copy of the General Liability Additional Insured Endorsement(s) reflecting the following: BELL PARTNERS INC., THEIR AFFILIATES, SUBSIDIARIES, LENDERS, AND THE OWNERSHIP ENTITIES OF THEIR OWNED OR MANAGED PROPERTIES are included as additional insured on the general liability policy for ONGOING and COMPLETED operations. Attach a copy of the General Liability On Going Operations Endorsement. Attach a copy of the General Liability Completed Operations Endorsement. Insurance is primary and all others are non-contributory. CERTIFICATE HOLDER CANCELLATION Bell Partners Inc. c/o Compliance Depot P.O. Box Carrollton, TX Fax: (877) documents@compliancedepot.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE

13 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 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 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). PRODUCER INSURED CONTACT NAME: PHONE (A/C, No, Ext) ADDRESS: FAX (A/C, No) INSURERS AFFORDING COVERAGE NAIC # INSURER A: (Insurer must have a rating of A- or higher.) INSURER B: Sample Certificate of Insurance Risk INSURER C: INSURER D: 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. INSR ADDL TYPE OF INSURANCE SUBR POLICY EFF POLICY NUMBER LTR INSR WVD DATE(MM/DD/YY) POLICY EXP DATE(MM/DD/YY) GENERAL LIABILITY EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) CLAIMS MADE OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY 1,000,000 GENERAL AGGREGATE 1,000,000 GEN?L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 1,000,000 POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Or INJURY/Person INJURY/Accident PROPERTY DAMAGE LIMITS COMBINED SINGLE LIMIT (Ea accident) 500,000 ANY AUTO INJURY (Per person) 100,000 ALL OWNED HIRED SCHEDULED INJURY(Per accident) 300,000 NON-OWNED PROPERTY DAMAGE (Per accident) 100,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND EMPLOYERS? LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below WC STATU- ORY LIMITS OTH- ER E.L. EACH ACCIDENT 1,000,000 EL DISEASE-EA EMPLOYEE 1,000,000 EL DISEASE - POLICY LIMIT 1,000,000 Liability 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Attach a copy of the General Liability Additional Insured Endorsement(s) reflecting the following: BELL PARTNERS INC., THEIR AFFILIATES, SUBSIDIARIES, LENDERS, AND THE OWNERSHIP ENTITIES OF THEIR OWNED OR MANAGED PROPERTIES are included as additional insured on the general liability policy. Insurance is primary and all others are non-contributory. CERTIFICATE HOLDER CANCELLATION Bell Partners Inc. c/o Compliance Depot P.O. Box Carrollton, TX Fax: (877) documents@compliancedepot.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE

14 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 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 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). PRODUCER INSURED CONTACT NAME: PHONE (A/C, No, Ext) ADDRESS: FAX (A/C, No) INSURERS AFFORDING COVERAGE NAIC # INSURER A: (Insurer must have a rating of A- or higher.) INSURER B: Sample Certificate of Insurance - Towing INSURER C: INSURER D: 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. INSR ADDL TYPE OF INSURANCE SUBR POLICY EFF POLICY NUMBER LTR INSR WVD DATE(MM/DD/YY) POLICY EXP DATE(MM/DD/YY) GENERAL LIABILITY EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) CLAIMS MADE OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY 1,000,000 GENERAL AGGREGATE 1,000,000 GEN?L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 1,000,000 POLICY PROJECT LOC AUTOMOBILE LIABILITY LIMITS COMBINED SINGLE LIMIT (Ea accident) 1,000,000 ANY AUTO INJURY (Per person) ALL OWNED HIRED SCHEDULED INJURY(Per accident) NON-OWNED PROPERTY DAMAGE (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND EMPLOYERS? LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below On Hook Liability Garage Keeper Liability WC STATU- ORY LIMITS OTH- ER E.L. EACH ACCIDENT 1,000,000 EL DISEASE-EA EMPLOYEE 1,000,000 EL DISEASE - POLICY LIMIT 1,000,000 50, ,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Attach a copy of the General Liability Additional Insured Endorsement(s) reflecting the following: BELL PARTNERS INC., THEIR AFFILIATES, SUBSIDIARIES, LENDERS, AND THE OWNERSHIP ENTITIES OF THEIR OWNED OR MANAGED PROPERTIES are included as additional insured on the general liability policy. Insurance is primary and all others are non-contributory. CERTIFICATE HOLDER CANCELLATION Bell Partners Inc. c/o Compliance Depot P.O. Box Carrollton, TX Fax: (877) documents@compliancedepot.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE