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Certificate of Insurance - 75 Boulevard NE Unit 1, Atlanta, GA 30312 - 75 Boulevard NE Unit 1 Atlanta, GA 30312.pdf

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Certificate of Insurance This Insurance is effected with certain Underwriters at Lloyd’s, London and various non Lloyd’s Insurers. This Certificate is issued in accordance with the limited authorization granted to the Correspondent by certain Underwriters at Lloyd’s, London/various non Lloyd’s Insurers whose names and proportions underwritten by them can be ascertained from the office of the said Correspondent (such certain Underwriters at Lloyd’s, London/various non Lloyd’s Insurers being herei

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Certificate of Insurance
This Insurance is effected with certain Underwriters at Lloyd’s, London and various non
Lloyd’s Insurers.

This Certificate is issued in accordance with the limited authorization granted to the
Correspondent by certain Underwriters at Lloyd’s, London/various non Lloyd’s Insurers whose names
and proportions underwritten by them can be ascertained from the office of the said Correspondent
(such certain Underwriters at Lloyd’s, London/various non Lloyd’s Insurers being hereinafter called
“Underwriters”/"Insurers") and in consideration of the premium specified herein, certain Underwriters
at Lloyd’s, London/various non Lloyd’s Insurers hereby bind themselves severally and not jointly, each
for his own part and not one for another, their Executors and Administrators.

The Assured is requested to read this Certificate, and if it is not correct, return it
immediately to the Correspondent for appropriate alteration.
All inquiries regarding this Certificate should be addressed to the following Correspondent:

Proper Insurance Services, LLC
14 W. Patrick St., Suite 201
Frederick, MD 21701

Page 1 of 8

PI DEC LL 01 22

CERTIFICATE PROVISIONS
1. Signature Required. This Certificate shall not be valid unless signed by the Correspondent on the
attached Declaration Page.
2. Correspondent Not Insurer. The Correspondent is not an Insurer hereunder and neither is nor shall
be liable for any loss or claim whatsoever. The Insurers hereunder are those Insurers named herein.
As used in this Certificate "Insurers" shall be deemed to include incorporated as well as
unincorporated persons or entities that form part, or whole of the Insurers as stated herein.
3. Cancellation. If this Certificate provides for cancellation and this Certificate is cancelled after the
inception date, earned premium must be paid for the time the insurance has been in force.
4. Service of Suit. It is agreed that in the event of the failure of Insurers to pay any amount claimed
to be due hereunder, Insurers, at the request of the Assured, will submit to the jurisdiction of a
Court of competent jurisdiction within the United States. Nothing in this Clause constitutes or
should be understood to constitute a waiver of Insurers' rights to commence an action in any Court
of competent jurisdiction in the United States, to remove an action to a United States District
Court, or to seek a transfer of a case to another Court as permitted by the laws of the United
States or of any State in the United States. It is further agreed that service of process in such suit
may be made upon the firm or person named in item 6 of the attached Declaration Page, and that
in any suit instituted against any one of them upon this contract, Insurers will abide by the final
decision of such Court or of any Appellate Court in the event of an appeal.
The above-named are authorized and directed to accept service of process on behalf of Insurers in
any such suit and/or upon request of the Assured to give a written undertaking to the Assured that
they will enter a general appearance upon Insurers' behalf in the event such a suit shall be
instituted.
Further, pursuant to any statute of any state, territory or district of the United States which makes
provision therefor, Insurers hereby designate the Superintendent, Commissioner or Director of
Insurance or other officer specified for that purpose in the statute, or his successor or successors in
office, as their true and lawful attorney upon whom may be served any lawful process in any
action, suit or proceeding instituted by or on behalf of the Assured or any beneficiary hereunder
arising out of this contract of insurance, and hereby designate the above-mentioned as the person
to whom the said officer is authorized to mail such process or a true copy thereof.
5. Assignment. This Certificate shall not be assigned either in whole or in part without the written
consent of the Correspondent endorsed hereon.
6. Attached Conditions Incorporated. This Certificate is made and accepted subject to all the
provisions, conditions and warranties set forth herein, attached or endorsed, all of which are to be
considered as incorporated herein.
7. Short Rate Cancellation. If the attached provisions provide for cancellation, the table below will
be used to calculate the short rate proportion of the premium when applicable under the terms of
cancellation.

Page 2 of 8

PI DEC LL 01 22