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CERTIFICATE OF LIABILITY INSURANCE (811) DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 11/1/2017 11/1/2016 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). CONT PRODUCER LOCKTON COMPANIES NAME 500 West Monroe,Suite 3400 PHONE ac No C No Ext CHICAGO IL 60661 E-MAIL ADDRESS: (312)669-6900 INSURERS AFFORDING COVERAGE NAIC# INSURER A:ACE American Insurance Company 22667 INSURED INSURER B:American Guarantee and Liab.Ins.Co. 26247 1417832 DBi Services,LLC and all subsidiaries 20281 DeAngelo Brothers,LLC and all subsidiaries INSURER C:Federal Insurance Com an 100 N Conahan Drive INSURER D: Hazleton PA 18201 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 14356753 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. FADDL SUBR POLICY EFF POLICY EXP LIMITS YPE OF INSURANCE D POLICY NUMBER MMIDD/YYYY MMIDD/YYYY RCIAL GENERAL LIABILITY N N HDOG2455840A 11/1/2016 11/1/2017 ACH OCCURRENCE $ 1 OOO OOO DAMA E T RENTD IMS-MADE �OCCUR PREMISES Ea occurrnce $ 1 000 000 MED EXP(Any one person) $ 10000 PERSONAL&ADV INJURY $ 1 000 000 EGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 000 000 ❑X JR O- ❑X LOC PRODUCTS-COMP/OP AGG $ 2 OOO OOO LIABILITY N N ISAH09034535 11/1/2016 11/1/2017 COMBINED SINGLE LIMIT $ 2 000 000 Ea accident TO BODILY INJURY(Per person) $ XXXXXXX OWNED SCHEDULED BODILY INJURY(Per accident) $ XXXXXXX AUTOS ONLY AUTOS PROPERTY DAMAGE $ XXXXXXX HIRED NON-OWNED per accident AUTOS ONLY AUTOS ONLY $ XXXXXXX B X UMBRELLA LIAB }{ OCCUR N N AUC9826654 11/1/2016 11/1/2017 EACH OCCURRENCE $ 25,000,000 EXCESS UAB CLAIMS-MADE AGGREGATE $ 25 000 000 DED RETENTION$ $ XXXXXXX WORKERS COMPENSATION N WLRC47863028 11/1/2016 11/1/2017 X STATUTE EERH_ A AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1000000 OFFICER/MEMBER EXCLUDED? FN] N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below C Leased/Rented Equipment N N 6615270 11/1/2016 11/1/2017 Limit:$1,000,000 Deductible:$5,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Pollution Liability:Insurance Carrier-Steadfast Ins.Co.,Policy Number-E005834540-04,Effective Dates-11/1/16-11/1/17,Limits:Each Claim-$5,000,000, Aggregate-$10,000,000,SIR-$75,000 Professional Liability-Insurance Carrier-Steadfast Ins.Co.,Policy Number-E005834540-04,Effective Dates-11/1/16-11/1/17,Limits:Each Claim-$5,000,000,Aggregate-$10,000,000,SIR-$75,000 CERTIFICATE HOLDER CANCELLATION 14356753 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT ATNE,,..•-�' t ,,+ I`; -� -J JIJjl +�+ w ©1988-2t;i�ACORD CORPORAT N. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD