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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />3/29/2019 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCE" <br />The Horton Group <br />M wwl <br />IM r ,,•i q I. <br />INSURER . Travelers mInsurance Compaq 19046 <br />INSURED DADODDL-01 INSURER B : The Travelers PCaasualt _Ins_u..mrance Com ny 25674 <br />Dodd, LLC ..., <br />14 E Michigan St. INSURER,c: ACCIDENT FUND GEN INS CO 12304 <br />PO Box <br />g Prairie IN 46371 INSURERD Charter Oak mFire Insurance Co. 25615 <br />RollinMCC C <br />COVERAGES CERTIFICATE NUMBER:228808534 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT„ TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR . TYPE OF INSURANCE ................. __ 40 (➢'£ _...... _ _ ,.. <br />POLICY NUMBER POLIOY BFF P OLICY EXP <br />Y MWDO <br />LIMITS <br />A X COMMERCIAL GENERAL LIABILITY Y Y DT-CO-3H787517-PHX-19 4/1/2019 4/1/2020 <br />EACH OCCURRENCE $1,000,000 <br />X <br />�. <br />tYAMA` liE b tiRY� TO <br />......� CLAIMS -MADE .� OCCUR <br />PRfMI ES (EAkaG.5p1 ..... -$ 300,000...-.�.. <br />Contractual ... <br />X.. __ <br />(� ersonl $10,009 <br />MED EXP An one .�...... ww --.___11_... <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GE P"L AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $ 2 000,000 <br />POLICY JECT X LOC <br />PRODUCTS COMP/OP AGG $ 2,000.000 <br />OTHER. <br />$ <br />LIABILITY Y Y 810-ON131014-19-26-G 4/1/2019 4/1/2020 <br />A AUTOMOBILEANY <br />C OINED SINGLE LIMIT $1,000,000 <br />JEa accident] <br />X AUTO <br />BODILY INJURY (Per person) $ <br />SCHED <br />AUTOSOWNEDULED <br />AUTOS ONLY <br />BODILY INJURY (Per accident) . <br />X., <br />RED <br />HIX NON OWNED <br />DAMAGE $ ._.. <br />AUTOS ONLY AUTOS ONLY <br />(ROB <br />Per -M................ <br />B X UMBRELLA LIAB X OCCUR CUP-6K922997-19-26 4/1/2019 4/1/2020 <br />EACH OCCURRENCE $10,000,000 <br />LL <br />"'EXCESS v CLAIMS -MAD <br />AGGREGATE $ 1O'OK000 <br />XM <br />RETENTION <br />C WORKERS COMPENSATION Y WCS7500499 4/1/2019 4/1/2020 <br />X PER TH <br />AND EMPLOYERS' LIABILITY Y / !) <br />sTTTE m� EFi, <br />ANYPROPRIETOR/PARTNER/EXECUTIVE ; 1 <br />A <br />E L EACH ACCIDENT $1,000,000 <br />OFFICER/MEMBEREXCLUDED? NIA <br />� _ _........ <br />(Mandatory In NH <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />If yyes, descrl under <br />— <br />DESCRIPTION OF OPERATIONS below <br />N <br />E.L. DISEASE <br />ASE -POLICY LIMIT $1,000,000 <br />D Leased(RentedEquip. QT-660-9GO83714-COF-19 4/1/2019 4/1/2020 <br />Limit:150,000 Ded.1,000 <br />A Potatiold WorksIte DT-CO-3H787517-PHX-19 4/1/2019 4/1/2020 <br />Pollution Workslte <br />Limit: 2,500,000 Ded. 2,500 <br />Limit: 1.000,000 Ded. 1,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />Additional insured on no primary and non-contributory basis with respect to general liability and auto tlability only when required by written contract. Waivers of <br />subrogation applies to the general liability, auto liability and workers compensation in favor of the stated additional insureds only when required by written <br />of <br />Follows F contract. Umbrella orm. <br />FOR INFORMATION PURPOSES ONLY <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />FOR INFORMATION PURPOSES ONLY AUTHORIZED REPRESENTATIVE <br />01988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />