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"c_° -ka CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 0 %i3i2012 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 TH E CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder Is an ADDITIONAL INSURED, the pol)cy(les(must he endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may raq ulre an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endomement(s(. PRODUCER CONTACT Willis of Tllinoie, Tao• c/o 26 Century Blvd. PHONE FAX _ -7338 Ir„yry 888 -467 -2 CAB. s' c rtificateN6ywi11iST.cem P. 0. Box 305191 N. shville, TR 37730 -5191 INSURERS FFORDINGCOVEnAGE NNC$ INSUR2Hh' navigatOee 8peeiAlty Xnauranoe COMpany 36056 -001 INGURFD Neva OounultOAtB, LW weaver B: ft igALOra Tnaurance Conpany 42307 -001 - -- INSURER41:11mrkehire Hathaway Bo state Insurance Co 20044 -001 35 Nast Necker Suite 1250 Chicago, I1 50601 INSURER D: INSURER E MUD EXP (ARym6 N8d1) NSURERE PERSONAL &AOVINARY 4 1 COVERAGES CERTIFICATE NUMBER:19239562 REVISION NUMBER: 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, IXCLUSIONS AND CONDITIONIS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE HEEN REDUCEO BY PAID CLAIMS, NSN TYPLOFFNSVRANCL I' S� POLICY NUMSER PaLIcY EFF POLLOT EXP LIMITS A GCNENAL LABILITY CH12NP40A2,T0QNC /12/2012 6/12/2013 EACHOCCURRENCE S 1 D X COMMERCIALGLNCRALLIA9a1TY MUWMTnuil $ 300,000 CLAIMS- MADE�x I OCCUR MUD EXP (ARym6 N8d1) $ 10,,000 PERSONAL &AOVINARY 4 1 GENERAIAGGREcwni S 2,000,000 PRODUCTS•COMHOPAGG 4 2,000,000 GLN'LAGGRLGA_T_IMR APPL_I—FtR: LLPRO- POLICY IF, WU B AUTOMOBILE LIABILITY CEI2HAP 018723 -00 6/12/2012 6/12/2013 MMBINUIDSIIIGLELMT $ 21000,000 3ODLYINJURY(Per P.'.) $ X ANYALTO A TO$ AUTOSM� X HIREOAUr05 X NONOWNEO AUTOS BODILY INJUIMNr accident) S - PereccM $ A X UMBRELLALAS X OCCUR CRl2XENOA2,7PLNC 112/2012 6/12/2013 EACHOCCURRENCE 8 10,000,000 AOGREOATE S 000 EXCESS LIAO CLAIMS -IAADE Dal I X IFIETENTIONII 10,00 $ I C WORkEks COMPENSATION AND ENPLOYERS'LIANgRY ANY PROFKe I' UIWARTHENEXECUTIVEI —I OFDCEMEMBER EXCLUDED? LJ �1NN1nntlMe ANIn Myer cacdbeuDtler NIA ILWO01292 6/12/2012 6/12/2013 X - EL.EACHACAOENT S 11000,000 F.I. DISEASE -EA EMPLOYEE $ 1,000 000 F.I. ❑ISEASE- POLICYLIMET 1¢000,000 uES�FiIP71ONOFOPERATIO1dSONMy DESCRIPTION OF CPENATIGNS1 LOCA71ONSIVfi11ICLES(ALWFIAC.rd 101, Ad W.1 Remadw3cAadule. I.... apace N rng6.d) Project #WRCP- 001-16.12 - Ivy Tower Facility Red - South Vend, IN Umbrella policy follows form over the General Liability, AntCltebile Liability, and Employers, Liability. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EMPATION PATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ivy Tower Corp PO 'R. 122B South Head, IN 46624 Coll:3794434 TD1:1489645 Cart:: ACORD25(2010105( The ACORD name and logo are registered marks of ACORD All riahts reserved