Opening of Bids - Spec S - One or More 2018 or Newer Emergency Medical Vehicle - Horton Emergency Vehicle - Part 1

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ACC)R® CERTIFICATE OF LIABILITY INSURANCE 7/ 1 /2015 DATE (MMIDDIYYYY) 6/30/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ,BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LOckton Companies Three City Place Drive, Suite 900 St. Louis MO 63141-7081E-MAIL (314)432-0500 CONTACT NAME? PHONE I FAX Ext): -LA—IC.No. ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 9 INSURER A: FirSt Specialty Insurance Corporation 34916 INSURED Horton Enterprises, Inc. 1330397 I-lalcore Group Inc., Leader Industries INSURER B : 2562 INSURER C: AXIS Sul -plus Insurance Company 26620 INSURER D : Travelers Property Casualty Co of America 25674 Horton Emergency Vehicles American Emergency Vehicles INSURER E : The Charter Oak Fire Insurance Company 25615 3800 McDowel I Road INSURER F ; North American Specialty Insurance Co 29874 CC)VERar_Fc I-(c-wF.m n rFRTIFIrATF NI)MRFR: InQ16,4I17 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD iN5D SUBR VWD POLICY NUMBER POLICY EFF MNItDD1YVV POLICY EXP MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY � CLAIMS -MADE L:J v IOCCUR N N IRG2001384.01 7/1/2014 7/1/2015 EACH OCCUR E DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 MED EXP An ono arson S 50,000 PERSONAL & ADV iNJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4000000 X POLICY 0 JE'COT D LOG PRODUCTS -COMPIOPAGG QQQ $ 4,00100 $ OTHER: A. AUTOMOBILE LIABILITY N N Y8104052RO29PIIX14 7/I/2014 7/1/2015 (Ea accident) $ 1,000.000 BODILY €NdURY (Per person) $ XXX) xxx_ X ANY AUTO BODILY INJURY Per accident $ XXXX JXX ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED MIRED AUTOS AUTOS X Garage Kce rs* PROPERTY DAMAGE $ XXXXXXX Comp/Coll Ded $ 1,000 C F X UMBRELLA LIAB EXCESS LlAB X OCCUR CLAIMS -MADE N N EAU781897012014 EXS200016500 7/1/2014 7/1/2014 N1/2015 7/1/2015 EACH OCCURRENCE $ 50000Q0 AGGREGATE $ 5,000,000 DEB RETENTION $ cess Liab- $ 20.000400 E L WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y!N ANY PROPRIETORIPARTNERIFXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in N11) N/A N I'C20-U13-1L8D4882-14 7/1/2014 711l2015 X STATUTE ER E.L. EACH ACCIDENT $ 1.000.000 E.L. DISEASE - EA EMPLOYEE S 1 QQQ QQQ If yes, describe under DESCRIPTION OF OPERATIONS below I F DISEASE -POLICY LIMIT $ 1 QQQ QQQ D PROPERTY N N ICTJ-CM13-4072-1169-2-14 7/1/2014 7/1/2015 $150,000,000 Blanket Property Limit Replacement Cost/Agreed Value $100,000 deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedufe, may be attached if more space is required) THIS CERTIFICATE, CONFERS NO ADDITIONAL INSURED RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE IS PROVIDED FOR INFORMATIONAL PURPOSES ONLY. CERTIFICATE HOLDER CANCELLATION 10936407 HORTON EMERGENCY VEHICLES 3800 MCDOWELL ROAD GROVE CITY OH 43123 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. - © 1968-2AC, ACORD 25 (2014101) The ACORD name and Ingo are registered marks of ACORD . All rights reserved.