CERTIFICATE OF LIABILITY INSURANCE (1100) CERTIFICATE OF LIABILITY INSURANCE L
nAT= 2Yr`'
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. THI$ 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 provisionsor.
be endorsed.If
SUBROGATION IS WAIVED,.subject.to the terms and conditions of tha 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).
PR60UCER CONTACT
eon Risk services central, Inc..
NAME: T�
. \ , .363-0105.
ySt. LouisM0 offce 86 283 712
4220 Duncan AVenue. E-MAIL p:
suite 401 ADDRESS: .
St Louis MO 531.10 USA
INSU RER(S]AFF ORCIN&COVERAGE NAIC#
INSURED INSURER A: old Republic InsIorake Company 24147
Pulte-Group(, affiliates and subsidiaries INSURER B:
2C62 .s... Falkenhurg kdI
F2fVerView FL 33578 usA INSURER C:
INSURER 0:
INSURER E:
INSURER Ft �.
COVERAGES CERTIFICATE NUMBER: 570093200205 REVISION.NUMBER:
THIS IS TO CERTIFY THAT THE PDLICIES.OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TQ THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,.TERM OR CONDITION OF ANY CONTRACT OR OTHER DbCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR.MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED.HEREIN IS SUB.)ECT TO ALL.THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMiT5 SHOWN MAY HAVE BEEN.REDUCED BY PAID CLAIMS. Limits shown are as requested
LTR TYPE OF INSURANCE INSD WVI7 POLICYNUfu4BER MMIDDIYYY MiA7DbY EXP LIMITS.
A x commmCIAI:GENERAL LIABILITY
EACH OCCURRENCE S5,000,000
GLAINIS MAbE 0 OCCUR PREMISES.Ea Occurrence'
MED EXP(Anyone person) S10,000
PERSONAL&AOV INJURY ss,ooa,000 �
GENLAGGREGATE LIMETAPPLIES PER: GENERALAGGREGATE S5,aao,000
X POLICY ❑PROJECT LAG PRODUCTS.-COhWORAGG S5,000400
OTFiER:
n
A AUTOAIOBlLE LIABILITY INLYTB 314605-22 06/91/2022 06/01/2023 COMBINED:SINGLE LIMIT $2,0.00,000
AE ccld nt
]( ANYAIICO BODILY INJURY(Pea person}
pVdNED SCREDULEO BODILY INJQRY(Per.accidc-qi W
AugqETTOS ONLY ALFTOS PROPERTY DAMAGE �
"BAU103 NON•OWNER M
ONLY At1TOS ONLY fPor accidenIT
m
UfdBRELLA LIA13 OCCUR EACH(ICGOR R ENCS
EXCESS LIAR HCLAIMS-MADE AGGREGATE
rED1 IRETENTION
A WORKERS COMPENSATION AND MWC3 612922 T67717-
2022 06/01/2023. PER STATUTE 0TH•
YIN
EMPLOYERS'LIABILITY X ER
ANY PROMFTOR;PARTNER)EXECIJT[VE E L.EACkACCI[7ENT 52 000 Q
OF'FtUFbMEJAStR EXCLUDED? NIA , , 00
(fuSandatory in NH) E;L.D&ASE-EA EMPLOYEE
IF yyes,descrihp undor
DESCRIPTioNfOFOPERATIONS hPIow E.L.DISEASE-P.GLICYLIMIT $2,0001 000._.w_
DESCRIPTION OF OPERATIONS 1 LOCATIONS.'VEHICLES(ACORD 101,Add[f]anal Remarks Schedule,may 6e attached II mare Space Is required)
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4y
0.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE a
EXPIRATION DATE .THEREOF, NOTICE WILL BE DELJVERED IN ACCORDANCE.WI7)i THE wnY,
POLICY PROVISIONS. r
'clea.rNlater .Ga.s system AUTHOHiZED.REPRESENTATIVE
777 Maple St
Clearwater FL 3.3755-3833.USA $
c c9t.� 4+dsaLe Jvaet g
01988720115 ACORD CORPORATION.All rights reserved.
ACORD 25(2016103} The ACORD name and logo are registered marks of ACORD