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,`'� �"r CERTIFICATE OF LIABILITY INSURANCE DATEt:h;22,,;2018 Y, c6+22r2o1a 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 have ADDITIONAL INSURED provisions or 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 Aon Risk services Northeast, Inc. New York NY Office 199 Water Street Nev., York NY 10038-3551 USA CONTACI NAME' PHO (,C. No.Ext): (666) 283-7122 FNC (800) 363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC k ' INSURED INSURERA: The Travelers Indemnity Co. 25658 Com itv Asphalt Corp. 9675 9675 M-,' 117 Ave. INSURER B: Travelers Property cas Co of America 25674 INSURER C: The charter Oak Fire Insurance Company 25615 suite 108 Miami FL 33178 USA INSURER D: INSURER E: INSURER F: 4VYCKHl1CJ ,t_KI It iw tE NUM Cst_K: O/UUt I 6�16 Ion RFVICICIN AttIMRFR• 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 Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DO MWOONYYY LIMITS A X COMMERCIAL GENERAL LIABILITY VTC KCO K IND 12 31 OI 1 J 1 201 EACH OCCURRENCE $2,000,000 CLAIMS-h1ADE❑ OCCUR PREMISES (Ea occurrence) $500, 000 MED EXP (Anyone Person) S10,000 PERSONAL B ADV INJURY $2,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE .$4,000,000 POLICY � JECT PRO- a LO+' PROQUCTS-COM?:CPAGG $4,000,000 OTHER A AUTOMOBILE LIABILITY vTC2)-CAP-3K992423-TIL-17 12/31/201712/31/2018 COMBINED SINGLE LIMIT $2,000,000 (Ea cadent! BODILY INJURY ( Per person) X ANYAUiO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY i BODILY INJURY (Per acadenU PROPERTY DAMAGE (Per accdem) B X UMBRELLA UAB X OCCUR VTSM?CUP3K99232ATIL17 12/31/2017 12/31/2018 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLA'.S-MADE SIR applies per policy ter s & condi ions AGGREGATE $1,000,000 DED I X RETENTION C A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORPARTNER%EXECUTIVE OFFICER.MEMeER EXCLUDED' � N / A vTC2oUB3K99227517 VTRKUB3K99228717 12/31/2017 12/31/2017 12131/201$ 12/31/2018 PERSTATUTE I 07H. X ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NN If d2scnbe under E.L DISEASE -POLICY LIMIT $1,000,000 m, D_SCRIPTION OF OPERATIONS belo:e DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 901, Additional Remarks Schedute, may be attached B more space is required) Evidence only CERTIFICATE HOLDER CANCELLATION _-� ■ P `s SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE - s POLICY PROVISIONS. - Community AsphaltCorp. AUTHORIZED REPRESENTATIVE 9675 NW 117 Ave,suite 108 Miami FL 33178 USA 01988-2015 ACORD CORPORATION. All rights reserved: ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD