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0 <br />AC"R01 CERTIFICATE OF LIABILITY INSURANCE 711/2018 <br />DATE (MMIDDIYYYY) <br />6/30/2017 <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), AUTHOR ZED <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 Ileu of such endorsement(s). <br />PRODUCER Lockton Companies <br />Three City Place Drive, Suite 900 <br />St. Louis MO 63141-7081 <br />(314)432-0500 <br />CON <br />NAME: T <br />PHONE E, i Fare No ; <br />_ <br />EMAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAlC # <br />INSURER A- Great American E & S Insurance Company <br />37532 <br />INSURED <br />1330397 Horton Enterprises, Inc. <br />Ilalcore Group Inc., Leader Industries <br />INSURER B : Travelers Property Casualty Co of America <br />25674 <br />INSURER C : AXIS Su lus Insurance Company <br />AXIS <br />INSURER D : North American Specialty Insurance Co <br />29874 <br />Horton Emergency Vehicles <br />INSURER E : The Charter Oak Fire Insurance Com an <br />25615 <br />American Emergency Vehicles <br />3800 McDowell Road <br />INSURER F <br />rnvcraarFc 11C)t mrwl r`F€>!T1FIr'OTF MIIM€tFR- 1noIA407 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 TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />O <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MWDDIYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERALLIABILrrY <br />N <br />N <br />PL 1744639 <br />7/1/2017 <br />7/1/2018 <br />=_10CCURRENCE <br />$ 1 000 000 <br />PREM SES Ea occurrence <br />$ iaa 000 <br />CLAIMS -MADE L N] OCCUR <br />MED EXP (Any one person) <br />$ XXY,)CKXX <br />PERSONAL R ADV INJURY <br />$ l 000 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREOLIE , <br />$ 4000000 <br />PRODUCTS-COMPIoPAGG <br />$ 4 000 000 . <br />X POLICY ElPRO- JECT ❑ LOC <br />$ <br />OTHER: <br />13 <br />AUTOMOBILE LIABILITY <br />N <br />N <br />TC2JCAP8EO82581TIL17 <br />7/1/2017 <br />7/1/2019 <br />SINGLE LIMIT <br />Ea accident <br />(E accidenNEDt) <br />$ 1 Qaa oQo <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />X ANY AUTO <br />BODILY INJURY (Par accident) <br />$ XXXXX7CX <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />_ <br />PROPERTY DAMAGE <br />Per accident <br />$ xxx=x <br />AUTOS ONLY AUTOS ONLY <br />�Xd <br />m Coll Ded <br />$ 1,000 <br />Gara a Kce a <br />s* <br />C <br />UMBRELLA LwB <br />X <br />OCCUR <br />N <br />N <br />EAU781897012017 <br />7/1/2017 <br />7/1/2018 <br />EACH OCCURRENCE <br />$ 5 000 000 <br />D <br />A <br />X <br />EXCESS LIAB <br />I <br />I CLAIMS -MADE <br />EXS200016503 <br />XS 1744640 <br />7/1/2017 <br />7/1/2017 <br />7/1/2018 <br />7/1/2018 <br />AGGREGATE <br />$ 5,0001 000 <br />DED RETENTION$ <br />CCSS Liab. <br />$ 20OOa QOO <br />E <br />E <br />WORKERS COMPENSATION <br />N <br />TC20Ui31l81)4882167 <br />7/1/2017 <br />7/i/201R <br />X STATUTE ERH <br />E.L. EACH ACCIDENT <br />$ 1000 000 <br />AND EMPLOYERS' LIABILITY YIN <br />ANFICERI RIE ECUTIVE <br />E.L. DISEASE- EA EMPLOYEE <br />$ 1 000 000 <br />ER EXCTD 44 [—NJ <br />OFLU(Mandatory in NH) <br />NIA <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,0 <br />Ifins desori6e under <br />DESCR€PTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached It more space Is required) <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 THE E ANY I THE ABOVE DESCRIBED POLICIES WILL <br />ESEDE CANCELLED BEFORE <br />380a MCDOWELL ROAD THE EXPIRATION DATE THEREOF, NOTICE WILL ESE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />GROVE CITY OH 43123 <br />_ ]AUTHORIZED REPRESENTA�� — <br />jl � <br />ACORD 25 (2016103) <br />The ACORD name and logo are registered marks of ACORD <br />All rights reserved. <br />