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rt C) A0� <br />CERTIFICATE OF LIABILITY INSURANCE <br />ATE (MM/DD/YYYY) <br />r8/31/2020 <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), AUTHORIZED <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 lieu of such endorsement(s). <br />PRODUCER <br />Cobbs Allen <br />115 Office Park Drive, Ste 200 <br />CONTACT <br />NAME: Cameron Cartee <br />A/CONNo Exti: 205-874-3600 FA/c No): 205-414-8105 <br />ADDRess: ccartee@cobbsallen.com <br />Birmingham AL 35223 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURERA: Navigators Specialty Ins Co 36056 <br />9/1/2020 <br />INSURED PROSH-1 <br />ProShot Concrete, Inc. RE, LLC and PC, LLC <br />RE, LLC and PC, LLC <br />INSURER B: New Hampshire Ins. Company 23841 <br />INSURER C: Charter Oak Fire 25615 <br />INSURER D: Navigators Insurance Company 42307 <br />4158 Musgrove Drive <br />Florence AL 35630 <br />INSURER E: Burlington Insurance Co. 23620 <br />INSURER F: Zurich American Insurance Company 16535 <br />COVERAGES CERTIFICATE NUMBER- 1147R8R153 RFVIRInKI NIIMRFR- <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 />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM DD/Y YY <br />LIMITS <br />F <br />X COMMERCIAL GENERAL LIABILITY <br />GLO143704600 <br />9/1/2020 <br />9/1/2021 <br />EACH OCCURRENCE $ 1,000,000 <br />CLAIMS -MADE � OCCUR <br />Y <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence $ 300,000 <br />MED EXP (Any one person) $ 10,000 <br />PERSONAL 8 ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICYIfl JEo LOC <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS - COMP/OP AGG $2,000,000 <br />$ <br />OTHER: <br />F <br />AUTOMOBILE <br />LIABILITY <br />BAP148163500 <br />9/1/2020 <br />9/1/2021 <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />Ea accident <br />AUTO <br />BODILY INJURY (Per person) $ <br />1XXANY <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />YBODILY <br />INJURY Per accident $ <br />( )HIRED <br />X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE$ <br />Per accidentComp <br />Ded 250 X Coll Ded 500 <br />$ <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />GA20EXC8742991V <br />9/1/2020 <br />9/1/2021 <br />EACH OCCURRENCE $ 5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE $ <br />DED RETENTIONS <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE [—jT-] <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />025893654 <br />9/1/2020 <br />9/1/2021 <br />XPER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />C <br />D <br />E <br />Inst Flrt-Temp Storage/In Transit <br />Pollution <br />Excess Liability <br />OT6303H562574 <br />NY19ECPX00251NC <br />HFF0010244 <br />9/1/2020 <br />9/1/2019 <br />9/1/2020 <br />9/1/2021 <br />9/1/2021 <br />9/1/2021Exces <br />See Below <br />2,000,000 <br />cs� <br />Liability 5,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Installation Floater Limit - $100,000; Temporary Storage / In Transit Limit - $50,000 <br />GtKIIhIGAIt HOLDER rwdrFI I ATirw <br />CEJ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Indian River County <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />1800 27th Street <br />AUTHORIZED REPRESENTATIVE <br />Vero Beach AL 32960 <br />CEJ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />