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• A��ODATE(MMIDD/YYYY) ® CERTIFICATE OF LIABILITY INSURANCE 09015 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 INC3 NAMEPHONE: I FAX TWO ALLIANCE CENTER .tA1c No,,Extl: I(A/C,No): 3560 LENOX ROAD,SUITE 2400. E-MAIL ATLANTA,GA 30326r ADDRESS: Acro Adanla.Ce 1Requesl©marsh.arn/Fax:212-948-4321 INSURERS)AFFORDING COVERAGE NAIL s 359925-Sunbe-GAW.15-16 988 NO Al NIA NIA NIA _ INSURER A:ACE American Insurance Carrtparry 22667 INSURED INSURER B:Travelers Property Casua!ty Company Of America 25674 SUNBELT RENTALS.INC_ 2341 DEERFIELD DRIVE: INSURER C:Charnel'Oak Fire Insurance Company 25615 FORT MILL,SC 29715 INSURER o:Travelers Indemnity Cortgrarry Of Conn. 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.POUCY EXP . `LTR TYPE OF INSURANCE I K D IMO I POLICY NUMBER I(MM DDDIYYPOUCY FYY)F I(MMIDOIIYYYY)I UMITS X I COMMERCIAL GENERAL UABILITY X I OGLG24876561 09/3(/2015 09/30/2016 o OCCURRENCE s 1,500.090 A I I CLAIMS-MADE OCCUR PRE,MSESt aEN000rrecse) 5 1,500,000 I k MED EXP(My one person) 5 SELF-INSURED __.__1 51,000.000-Self Insured Retention I PERSONAL 8 ADV INJURY S 1,509,009 { GEM.AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE 5 1,500,000 1GE) I POLICY l 1 jE Q I LOC PRODUCTS-COMPIOP AGG 5 1,500,000 I OTHER: I 5 j AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 2,000,000 I(Ea accidere) B X ANY AUTO TC2J CAP 9531B41A-TIL-15 09/30/2015 09/30/2016 I BODILY INJURY(Per person) 5 ALL OWNED SCHEDULED 'Owned Vehicles' I BODILY INJURY(Per accident) S AUTOSaccident)AUTOS B X I HIRED AUTOS I X I NON-OWNED TC2J CAP 9531B421-A15 09/30/2015 09/30/2016 PROPERTY DAMAGE s I I I AUTOS I (Per ac idern) Rented Vehicles Self Insured for Phy Dmg 5 I I UMBRELLA UAB , OCCUR EACH OCCURRENCE 5 H EXCESS UAB I I CLAIMS-MADE1 AGGREGATE 5 I DED I I RETENTIONS I 5 WORKERS COMPENSATIONX AND F1dPLOYERS'UABIUTY I STATUTE I I ER C N PROPRIETOR/PARTN=RlEXECUTIVE YIN TC20UB95318341-1.15(AOS) 09/30/2015 09/30/2016 1.000,000 OFFICEPJMEMBER EXCLUDED? N NIA E.L.EACH ACCIDENT s D (Mandatory in NH) TRKUB-9531B40$15(AZ.MA WI) 09913012015 09130!2016 E.L.DISEASE-EA EMPLOYEE 5 1.000,000 11 yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY MR 15 1,000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space Is required) EVIDENCE OF CISURANCE 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 ��Lu Lao 6:: - - ©1988-2014 ACORD CORPORATION. All nigh r sl-v . ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD