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CERTIFICATE OF LIABILITY INSURANCE FDATE(MMDO/YY Y) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER./1 <br />HIS <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 />^'PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />_,PORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER LOckton Companies CONTACT <br />Three City Place Drive, Suite 900 PHONE <br />A/C No FAX <br />St. Louis MO 63141-7081 E-MAIL ac No <br />(314)432-0500 ADDRESS: <br />INSURERS AFFORDING COVERAGE NAIL9 <br />INSURER A: First S ecial Insurance Co oration 34916 <br />INSURED Horton Enterprises, Inc. INSURER B: <br />1330397 Halcore Group Inc., Leader Industries 5 2 <br />INSURER C:AXIS SMIplus Insurance COmpart 26620 <br />Horton Emergency Vehicles p <br />American Emergency Vehicles INSURER D: Travelers Pro eity Casualty Co of America 25674 <br />3800 McDowell Road INSURER E: The Charter Oak FITe Insurance Company 25615 <br />INSURER F: North American Specialty Insurance Co 29874 <br />COVERAGES HOREN60 CFRTIFTCATC MI uaoeo. <br />iU»U•eUI REVISION NUMBER: XXXXXXX <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 TFRMS <br />EXCLUSIONS AND CONDITIONS nP BI Iru Dni irH=c , <br />INSR <br />- ---... __._.--. <br />ADD <br />SUBS <br />�•••",� ��..�. �.n., nr.v� Doery <br />neuuctu BY <br />PAID CLAIMS, <br />LTR <br />TYPE OF INSURANCE IN <br />D D <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD <br />POLICY IXP <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />Won LIMITSN <br />CLAIMS -MADE OCCUR <br />IAI <br />N <br />IRG2001384-01 <br />7/1/2014 <br />7/I/2015 EA HO R 000 <br />AG <br />PREMSES(Ezt occurrence) $ 300000 <br />MED EXP An one em.n $ 0 00 <br />PERSONAL 8 ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE DMITAPPLIES PER: <br />X POLICY ❑ JE � ❑ LOG <br />GENERAL AGGREGATE $ 40 O O <br />PRODUCTS-COMP/OPAGG $ 400 O <br />OTHER: <br />AUTOMOBILE LIABILITY N <br />N <br />Y8I04052R029P1-IX14 <br />7/1/2014 <br />b <br />7/I/2015 <br />X ANYAUTO <br />(Ea accitlent) $ 1 00 00 <br />ALL OWNED SCHEDULED <br />BODILY INJURY (Per mrson) $ XXxxxxX <br />AUTOS <br />NON -OWNED <br />BODILY INJURY Per accident $ }�' <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE $ ]IXXXXXX <br />X Gam e Kee s* <br />Comp/Coll Ded s 1,000 <br />C UMBRELLA LIAR X OCCUR N <br />F <br />N <br />EAU781897012014 <br />7/I/2014 <br />7/1/2015 EACH OCCURRENCE $ 5000000 <br />X EXCESS LIAR CLAIMS -MADE <br />EXS200016500 <br />7/I/2014 <br />7/1/2015 <br />AGGREGATE $ 0 0 00 <br />DED RETENTIONS <br />E cessLiar. <br />WORKERS COMPENSATION E <br />$ 2 0 0 <br />AND EMPLOYERS'LIABILITY YINN <br />TC20-UB-118D4882-14 <br />7/I/2014 <br />7/I/20I5 X STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDEDP �N/A <br />E.L. EACHACCIDENT $ 1000000 <br />(Mandatory in NH) <br />Ifyes, describe under <br />E.L.DISEASE-EAEMPLOYE $ 1000000 <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />D PROPERTY <br />N <br />N <br />KTJ-CMB-4072-R69-2-14 <br />7/1/2014 <br />7/1/2015 $150,000,OOO Blanket Property Limit <br />Replacement CosUAgreed Value <br />deductible <br />DESCRIPTION OF OPERATIONS, nrennue ..muv., .. .............. <br />Additional <br />THIS CERTIFICATE CONFERS NO ADDITIONAL INSURED RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE IS PROVIDED FOR <br />INFORMATIONAL PURPOSES ONLY. <br />10936407 <br />HORTON EMERGENCY VEHICLES <br />3800 MCDOWELL ROAD <br />GROVE CITY OH 43123 <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 />ACnRn 95 MMer011 <br />'.� ••.�•••= o••... V, ara 1egrsreMC1 MarKS OTAGURD <br />reserved. <br />