PROOF OF INSURANCE (2018) CLOSED C CERTIFICATE OF LIABILITY INSURANCE °A�`MM,D°"YYY'
' 11/16/2017
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(les)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).
CONIPRODUCER V NAME:LI
NCertificates
AME;
g E*M (L. cp (FAX (fi10152fi-2021
919 Conestoga Road ADDRESS: ertificates@altus artners.c1
Altus Partners Inc y, (610)526-9130
om
Building 3, Suite 311 W INSURER(S)AFFORDING COVERAGE NAICk
Rosemont PA 19010 INSURERA:ACE American Insurance Co. 22667
INSURED a INSURERB:ACE Property and Casualty Insurance COD 20699
Aerotek, Inc INSURER C:
7301 Parkway Drive �INSURER D:
III INSURER E:
Hanover MD 21076 G INSURER F:
COVERAGES CERTIFICATE NUMBER:Standard 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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.
INSRTYPE OF INSURANCE AOOL'SUBR" POLICY EFF POLICY EkP'
LTR POLICY NUMBER IMMIDOIYYYY1 (MMIDO(Y'Y'YYL LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A CLAIMS-MADEa OCCUR DAMAGE TO RENTED 1,000,000
PREMISES REa occureranrolii $
X $1,000,000 SIR XSL G27871227 11/30/2017 11/30/2018 MED EXP(Any one person) $ 10,000
PERSONAL$ADV INJURY $ 1,000,000
GENI AGGREGATE LIMIT APPLIES PER: V GENERAL AGGREGATE $ 2,000,000
X POLICY DCLOC ( 2,000,000JT
OTHER, �Employee Benefits $
AUTOMOBILE LIABILITY I COMBINED SINGLE L,lMIT $ 1,000,000
Il(En sccidenb
ANY AUTO BODILY INJURY(Per person) $
p' ALL OWNED SCHEDULED
IXX
AUTOSAUTOS H09063377(HSNO)/H09063365 11/30/2017 11/30/2018 BODILY INJURY(Per accident) $
X NON-OWNED I ROPPERd DAMAGE $
HIREDAUTOS AUTOS
$
X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 15,000,000
B IIEXCESS LIAIIIIR CLAIMS-MADE (AGGREGATE $ 15,000,000
DED V X N RETENTION$ 100,000 G27926691 003 11/30/2017 11/30/2018 I $
WORKERS COMPENSATION I II
PER �CTYH- N
064618842 (AOS) 11/30/2017 11/30/2018 X STATUTE
AND EMPLOYERS'LWBILI7Y Y/N II '�_EB`'®"°"
ANY PROPRIETOR/PARTNER/EXECUTIVE NIA C64618854 (CA, MA) V E L EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? I 7N
F'+ (Mandatory in NH) 064618829 (WI) �EL DISEASE-EA EMPLOYEE V$ 1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below C6461BB66 (TN) E L.DISEASE-POLICY LIMIT Y$ 1.000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required)
This certificate is issued as evidence of insurance, subject to the policy terms, conditions and
exclusions, including the following provisions:
-The General, Auto and Excess Liability policies provide Additional Insured status, apply on a Primary
and Non-Contributory basis, and includes a Waiver of Subrogation if required by the Certificate Holder
per a written contract executed prior to the date of loss.
-The Workers' Compensation policy includes a Waiver of Subrogation and provides Alternate Employer status
if required by the Certificate Holder per a written contract executed prior to the date of loss.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
For Information Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
4 Y
Y tLaura Dou hert /NLK /
0 1988.2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
INS026(201401)
COMMENTS/REMARKS
-Producer will endeavor to send written notice to the Certificate Holder 30 days prior to
cancellation of any policy listed above.
OFREMARK COPYRIGHT 2000, AMS SERVICES INC.
................ I
1
ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION
Named Insured Endorsement Number
Allegis Group Inc. 5
Policy Symbol Policy Number Policy Period Effective Date of Endorsement
XSL I G27871227 N 11/30/2017 to 11/30/2018 tl
Issued 6y(Name of Insurance Company)
ACE American insurance Company
Kwn the poilcy numbor."rho nimalrWor of time infonnown is to bo cornpBoled only when CEAs endomomont is Issued s'ebsocioonl Io the p'n+p'eratron of the poll'cy,
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
EXCESS COMMERCIAL GENERAL LIABILITY POLICY
SCHEDULE
Name of Person or Organization: Any person or organization whom you have agreed to include as an
additional insured under a written contract, provided such contract was executed prior to the date of loss.
A. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property
damage"or"personal and advertising injury"caused,in whole or in part, by your acts or omissions or the
acts or omissions of those acting on your behalf:
1. In the performance of your ongoing operations;or
2. In connection with your premises owned by or rented to you.
However.
1. The insurance afforded to such additional insured only applies to the extent permitted by law;and
2. If coverage provided to the additional Insured is required by a contract or agreement, the insurance
afforded to such additional insured will not be broader than that which you are required by the
contract or agreement to provide for such additional insured.
B. With respect to the insurance afforded to these additional insureds,the following is added to Section III—
Limits Of Insurance And Retained Limit:
If coverage provided to the additional insured is required by a contract or agreement,the most we will pay
on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement;or
2. Available tinder the applicable Limits of Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
_„ .._. ..,,.. ..................
.......... .�.
Authorized Representative
XS-6W25b(04113) Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 1 of 1
Workers'Compensation and Employers'Liability Policy
Named Insured Endorsement Number
ALLEGIS GROUP INC.
7301 PARKWAY'DRIVE Policy Number
HANOVER MD 21076 symboI.WLR Number: C64618842
Policy Period Effective Date of Endorsement
11-30-2017 TO 11-30-2018 11-30-2017
Issued By(Name of Insurance Company)
INDEMNITY INS. CO.OF NORTH AMERICA
Insert the policy number.The remainder or the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy.
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule. This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.
This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule.
Schedule
ANY PERSON OR ORGANIZATION AGAINST W'H'OM YOU HAVE AGREED TO WAIVE.YOUR
RIGHT OF RECOVERY IN A WRITTEN CONTRACT, PROVIDED SUCH CONTRACT WAS
EXECUTED PRIOR TO THE DATE OF LOSS.
For the states of CA, UT,TX. refer to state specific endorsements.
This endorsement is not applicable in KY, NH, and NJ.
The endorsement does not apply to policies in Missouri where the employer is in the construction group of code
classifications. According to Section 287.160(6) of the Missouri statutes„ a contractual provision purporting to waive
subrogation rights against public policy and void where one party to the contract is an employer in the construction
group of code classifications.
For Kansas, use of this endorsement is limited by the Kansas Fairness in Private Construction Contract Act(K.S.A..
16-1801 through 1'6-1807 and any amendments thereto) and the Kansan Fairness in Public Construction Contract
Act(K.S.A 16-1801 through, 16.1808 and any amendments thereto). According to the Acts a provision in a contract
for private or public construction purporting to waive subrogation rights for losses or claims covered or paid by
liability or workers compensation insurance shall be against public policy and shall be void and unenforceable
except that, subject to the Acts, a contract may require waiver of subrogation for losses or claims paid by a
consolidated or wrap-up insurance program.
Authorized Representative
WC 00 0313 (11/05) Copyright 1982-83,National Council on Compensation