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CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
<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; It the certificato holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of HIS policy, certain policies may require an endorsement, A statement on
<br />Ibis certificate does not confer rl hts to the cortiflcalo holder In lieu of Such endorsement s
<br />PRODUCEn.
<br />1L1S2II 0119r1If Parkway1, tip i A�c
<br />The Horton Group1110[)Rvtg�
<br />P Nr .,
<br />708 Bob 3517 _ 14 fir...
<br />Orland Park IL 604,67 lc011lticalesrMthehortonatoLib.coat
<br />. —
<br />I.A. Dodd,
<br />LC..... 1N5tPRE;1 H Tho Travolgr 9arportg 19046
<br />tNsuReRA TravelerslnsuranceCOm ny
<br />INSURED oa0000L=01 ., wally InsuruRce C,npgny 25674 ..
<br />14 MI hig BI 11RER PENT FUND GEN INS CO „ 12304
<br />14 E fwNCclli an St.� REn
<br />_z) ,. „ p Ijerter Oak Fire Insurance Co. 25615
<br />Rolling Prairie IN 46371 INSURER E » _ . _
<br />INSURER F r
<br />COVERAGES CERTIFICATE NUMBERn228908534 RIEVISION NUMBER -
<br />THIS IS TO CERTIFY THAT THE POI tCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO I11E IN aUREO NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REOUIREME'NT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />TYK OF INSURANCE na 1, m... POISDY. ..,......�., ,.,.,�,. Ir111'CY1ki�r P{guc' lrx p ..... _._,.. _ ._..-....m-.. .......v......... �.....,.,.,,.
<br />,NUMaER 1 fMT9DPYmI R dM;�6UDi7N`yyYM ! LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />X
<br />CAGGRanUeoiuOi trout
<br />.,..
<br />EN LIMIT APPfLIE :
<br />ICYE XTE
<br />C'Ro- pp
<br />I LOC
<br />A
<br />LIABILITY
<br />AUTO
<br />r'_AUTOMOBILE
<br />ED
<br />SCHEDULEDOS
<br />ONLY
<br />AUTOS
<br />D X'...
<br />NONAW7OS
<br />ONLY
<br />AUT09 ONLY
<br />BRELLA
<br />UAB
<br />X
<br />OCCUR
<br />SS LIAR
<br />C WORKERSCOMPENSATION
<br />AND EMPLDYERS'' LIABILITY
<br />ANYPAOPAIETo W1'ARTlU nal
<br />OFFICMME.09PEXL U08.:6.
<br />(M#nd#I,0fy M NH)
<br />UIt 0 400CN'" under
<br />S R1RI N F ERAS
<br />D La0adMonlmd E4urp.
<br />A IA944m11'0ARomgmr
<br />"IOIIWM W'urlrmNe
<br />Y I Y I DT-CO-3H787517-PHX-19
<br />Y Y 810-ON131014-19-26-G
<br />CUP-6K922997.19.26
<br />Y WCS75OD499
<br />YIN
<br />F] NIA
<br />QT-660-9 GO83714-COF-19
<br />DT-CO-3H767517-PHX-19
<br />4/1/2019 I 4/1/2020
<br />300„000
<br />PERSONAL b ADV WJURY -
<br />$1,000,G00
<br />mS
<br />C3�I?��A4At1KA�itd�LrE
<br />2 400 tl09 ....
<br />PRODUCTS-COMIe PACaG
<br />$2,CDD,000
<br />4/1/2019
<br />4/112010
<br />f01 E1.40 Iv t Id1I RV
<br />$1 000 600 ^
<br />BODILY INJURY (Per person)
<br />1$
<br />BODILY INJURY (Per aou'ddaml
<br />$
<br />01I7�?Ild`RTYDA MAO
<br />4/1/2019
<br />411/2020
<br />EACHOCCURRENCE
<br />S10.000.060
<br />11
<br />4/1/2019 l 4/1/2020
<br />E.L EA
<br />E.L. DISEASE EA ENPL t' $ 9
<br />E.L. DISEASE POLIICYLIMIT $1<000,
<br />4/112019 4/112020 LImN 150,000 Dad, 1
<br />4/1/2019 4/112020 Llmll:2,500,000 Dad, 2
<br />Llrnt 1,000,00D D0d,1
<br />DESCRIPTION OF OPEnATiONS I LOCATIONS I VC11CLeS (ACORD 101, Addllftnil RmmarLa Sa4eadufi0, may 6e, Irnsoned I4rrr0ne,Apaaa On re4uIraNr)
<br />Addlfionol Insured os1 a primary and non-contdbuto ha6s YAsh resPect to general ilability, and auto Ilabillly only whan req!ulrod by written contract, Waivers of
<br />sutlrogatIon applies to the general Ilabilit,Y„ auto Nets&lid+ and Workers cornp onSallon In favorof the statoef additional Insureds only When regmlratl by written
<br />contract, Umbrolla Foi(owvs Farm.
<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 AUTHORaeoREPnesENrnnvE
<br />1908.2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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