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CERTIFICATE OF INSURANCE AND BONDING
<br />acoRo® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDIYYYYJ
<br />1212012024
<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 />PRODUCER
<br />CONTACT
<br />NAME:
<br />The Horton Group
<br />340 Columbia Place
<br />PHONE FAX
<br />Arc No Ext: 708-845-3917 AIC No:866-202-5917
<br />ADDRESS: certificates@thehortongroup.com
<br />South Bend IN 46601
<br />INSURER(S) AFFORDING COVERAGE NAIC9
<br />INSURERA: Cincinnati Insurance Company
<br />10677
<br />INSURED LARSCON-02
<br />INSURER B: The Travelers IndemnityCompany ofAmerica
<br />25666
<br />Larson -Danielson Construction Co., Inc.
<br />302 Tyler Street
<br />INSURER C:
<br />INSURER D:
<br />La Porte IN 46350
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER:2031443418 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF
<br />ADDLSUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM1DDlYY
<br />POLICY EXP
<br />MM1DDiYYV
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />EPP0733899
<br />111/2025
<br />11112026
<br />EACH OCCURRENCE
<br />$1,000,D00
<br />� OCCUR
<br />DAMCLAIMSMADE
<br />PRETO
<br />PRE Es( RENTED
<br />MISES Ea occurrence)
<br />$ 1,000,000
<br />X
<br />MED EXP (Any one person)
<br />$ 10,0D0
<br />1,000
<br />PERSCNAL €: ADV INJURY
<br />$ 1,000,000
<br />X
<br />XCU not excl
<br />AGGREGATE LIMIT APPLIES PER'
<br />GENERAL AGGREGATE
<br />$ 2.000,000
<br />GEN'L
<br />POLICY � ECT Fx_1 LOC
<br />PRODUCTS- COMPIOP AGG
<br />$ 2.000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILELIABILITY
<br />Y
<br />Y
<br />EBA0733899
<br />1/112025
<br />IW2026
<br />C-OMBINEDSINGLELIMIT
<br />a accident
<br />$1,DDD,D00
<br />BODILY INJURY (Per person)
<br />$
<br />X
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTYDAMAGE
<br />Per accident
<br />$
<br />X
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />A
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />Y
<br />Y
<br />EPP0733899
<br />111/2025
<br />111f2026
<br />EACH OCCURRENCE
<br />$10,000,000
<br />AGGREGATE
<br />$ 10,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />LED I X RETENTION $ r,
<br />$
<br />I
<br />I
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />Y
<br />EVVC0733898
<br />111/2025
<br />1/112026
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />ANYPROPRI ETORIPARTNER/EXECUTIVE
<br />OFFICERW E MR FIR EXCLUDE D? ❑
<br />NIA
<br />E.L. DISEASE- EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE- POLICY LIMIT
<br />$ 1,000,000
<br />B
<br />Installation Floater
<br />6609KO51959
<br />111/2025
<br />1W2025
<br />Jobsite
<br />3,000,000
<br />Install Ded: S1,000
<br />Storage
<br />250,000
<br />LeasedlRented Equipment
<br />Deduct: S1,000
<br />300,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached ifmore space is required)
<br />Additional insured on a primary and non-contributory basis with respect to general liability, auto liability, and umbrella liability only when required by written
<br />contract. Waiver of subrogation applies to the general liability, auto liability, umbrella liability, and workers compensation in favor of the stated additional
<br />insureds only when required by written contract.
<br />CERTIFICATE HOLDER CANCELLATION
<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 />Ohio Farmers Insurance Co.
<br />%General Insurance Services
<br />AUTHORIZED REPRESENTATIVE
<br />Westfield Center OH 49002
<br />©1988-2015 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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