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JOHNINC-02. PANDREE ACORU� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 2/2112017 THIS CERTIFICATE IS ISSUED ASA 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(les) must be endorsed. If SUBROGATIONIS 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 Johnson Insurance Racine 555 Main Street, Suite 291 Racine WI 53403 Racine, NOME CT Sharon MaJeski, ARM PHONE 920 433-7107 FAX (877) 254-8586 A/c o Ezt ( A!C No E-MAIL {{eski ohnsonins.com smajeski@johnsonins.com J �� INSURER(S) AFFORDING COVERAGE NAIC N . INSURERA:HDI Global Insurance Company 41343 03/0112018 INSURED INSURER 9: Certain Underwriters at Lloyd's. Johnson -Davis, Inc. INSURER c: Travelers Insurance 40282 INSURERD: 604 Hillbrath Drive Lantana, FL 33462 INSURER E : INSURER F COVERAGES CERTIFICATE NUM6ER: 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR EGGCC000173517 0310112017 03/0112018 EACH OCCURRENCE $ 2,000,000 PREMISES Es occurrence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC OTHER: GENERALAGGREGATE $ 2,000,000 PRODUCTS -COMPIOPAGO $ 2,000,000 $ AUTOMOBILE X X LIABILITY AP1YAUT0 ALL OWNED SCHEDULED HIRED AUTOS AUTOS X NON -OWNED AUTOS EAGCC000173517 0310112017 03/0112018 Ea eWd.DISINGLE LIMIT $ 2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accidenl) $ PROPERTY DAMAGE $ paracOZI - $ A X UMBRELLA LIABX EXCESSLIAB OCCUR CLAIMS -MADE EXAGC000173517 03101/2017 0310112018 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 DED I X I RETENTION $ 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑N OFFICERIMEMBER EXCLUDED? (Mandatory In NH) [ties describe under 1) S6RIPTION OF OPERATIONS below i A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ B C Excesg Liability Equipment Floater ELD10006501302 4H592540 03/0112017 03/0112017 03/01/2018 03/01/2018 Excess Liab over 3 M 1,000,000 Blanket 300,000 DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is required) Contractor's Pollution Liability - Policy # 7930030920002- Limit- $1,000,000.31112017-18 - Homeland Insurance Company of NY Johnson -Davis, Inc. 604 Hillbrath Dr. Lantana, FL 33462 1 ACORD 25 (2014101) ` CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ��Ao- c7t ©1988-2014 ACORD CORPORATION, All rights reserved. The.ACORD name and logo are registered marks of ACORD