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• A�® CERTIFICATE OF LIABILITY INSURANCE D09/222015 `m 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 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 CONTACT MARSH USA.INC:) NAME: PHONE I FAX TWO 6LENOX RE CENTER IA .No,.Enl: (A/C,No): 3560 LEND%ROAD,SUITE 2400. E-MAIL ATLANTA,GA 30326_t ADDRESS: Attn:AtlantaCe1Request@marsh.can/Fax:212-948-4321 INSURER(S)AFFORDING COVERAGE NAICl/ 359925-Sunbe-GAW-15.16 988 NO Al NIA NIA NIA INSURER A:ACE American Insurance Canpary 122667 INSUREDINSURER B:Travelers Property Casualty Company Of America 25674 SUNBELT RENTALS,INC: 2341 DEERFIELD DRIVE: INSURER c:Charter Oak Fire Insurance Canpary 25615 FORT MILL,SC 29715 INSURER D:Travelers Indemnity Company Of Conn. I INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-003461078-39 REVISION NUMBER:12 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. EXP ILTRI TYPE OF INSURANCE IVSD Iuen rADDLSWVDI POLICY NUMBER I(MMIDDNYYYI LICY EFF I IMMIDDYIYYYYI I LIMITS I XII COMMERCIAL GENERAL LABILITY EACH OCCURRENCE 5 1,500.000 A I I CLAIMS-MADE I X I OCCUR OGLG24876561 09/30/2015 09/30/2016 PRAEMSES(Ea Namarence) $ 1.50O,000 I I MED EXP(My one person) - SELF-INSURED I 51,000,000-Self Insured Retention I PERSONAL 8 ADV INJURY 5 1,500.000 I GEN.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 1,500,000 nil I POLICYr—I TeiI LOC PRODUCTS-COMP/OP AGG 5 1,500,000 I—I OTHER: I - I AUTOMOBILE LIABILITY I COMthdeN) GIE LIMIT 15 2,000.000 B I X I ANY AUTO TC2J CAP 9531B41A-TIL-I5 09)30/2015 09/30/2016 I BODILY INJURY(Per person) 15 ALL OWNED n SCHEDULED 'Owned Vehicles' I BODILY INJURY(Per accident)) 5 AUTOS AUTOS B X HIRED AUTOS I X I NON-OWNEDS TC2J CAP 95318421-A15 09/30/2015 09/30/2016 I(Per accident) I PROPERTY DAMAGE 5 AUTO I I I I Rented Vehicles' I Self Insured to Phy Drug I e- I I UMBRELLA LAB I I OCCUR I EACH OCCURRENCE I S I EXCESS UAB I I CLAIMS-MADE I AGGREGATE I S I I DED I I RETENTIONS I I 1 5 WORKERS COMPENSATION I X I STATUTE I I OER C AND EMPLOYERS'UABIUTY Y/N TC2OUB95318341-1-15(AOS) 09/30/2015 09/30/2016 ANY PROPRIETOR/PARTNEP/EXECUTIVE N NIA E.L.EACH ACCIDENT 5 1.000,(100 D (Mandatory in H)EXCLUDED? TRKUB-9531840&15(AZ.MA,WI) 09/30/2015 09/3(12016 ' 1.000.000 OFFICER/MEMBER in NH) E.L.DISEASE-EA EMPLOYEE S If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 15 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION SUNBELT RENTALS,INC: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2341 DEERFIELD DRIVE: THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FORT MILL,SC 29715 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee _Shia dux>1.a .1,4-4+4e_wa�es. ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD