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.aco CERTIFICATE OF LIABILITY INSURANCE r91912013Y)
<br /> DATE(MM/ Y
<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 be endorsed. If SUBROGATION IS WAIVED, subject to
<br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME: Ashley Humelsine
<br /> McDaniel-Whitley, Inc. PHONE (901)BB1-6464 FAX
<br /> No: (901)881-6467
<br /> P.O. Box 382007 ADDRE . wY E-MAIL ahumelsine@mcdanLelhitle com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> Memphis TN 38183-2007 INSURER A:Bltuminous
<br /> INSURED INSURERB:TraVelers Property & Casualty 36161
<br /> StoneBridge Construction, LLC INSURERC:
<br /> P.O. BOX 16787 INSURERD:
<br /> INSURER E
<br /> Jonesboro AR 72403 INSURERF:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<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 ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MMIDDIYYYY LIMITS
<br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> X COMMERCIAL GENERAL LIABILITY PREM= E Ea occurrence $ 100,000
<br /> A CLAIMS-MADE a OCCUR X LP3588717 /30/2013 /30/2014 MED EXP(Any one person) $ 5,000
<br /> X X,C,U Coverage PERSONAL&ADV INJURY $ 1,000,000
<br /> X Contractual Liability GENERAL AGGREGATE $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> POLICY FX PIECIT
<br /> RO LOC $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br /> Ea accident 1,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED CAP3588715 /30/2013 /30/2014
<br /> AUTOS AUTOS BODILY INJURY(Per accident) $
<br /> X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS Per accident
<br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000
<br /> A EXCESS LAB CLAIMS-MADE AGGREGATE $ 4,000,000
<br /> DED I X I RETENTION$ 10,00 UP2800997 5/30/2013 5/30/2014 $
<br /> A WORKERS COMPENSATION X WC STATU- OTH-
<br /> AND EMPLOYERS'LIABILITY Y I N
<br /> TRY 1IR
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E .EACH ACCIDENT $ 500,000
<br /> OFFICER/MEMBER EXCLUDED? NIA
<br /> (Mandatory In NH) C3571324 /30/2013 /30/2014 E.L.DISEASE-EA EMPLOYE $ 500,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E .DISEASE-POLICY LIMIT I$ 500,000
<br /> B Mthly Report Bldrs Risk — T6604A689344TIL /30/2013 /30/2014 Total Limit: See Below
<br /> Spec Form (Incl Theft) Deductible $1,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
<br /> CONTRACT AMOUNT - $122,600.00
<br /> PROJECT: ETC PROJECT NUMBER — 106602CBATE, NORTH SPORTS COMPLEX TEE BALL FIELDS, BATESVILLE, ARKANSAS
<br /> CITY OF BATESVILLE, ARKANSAS IS SHOWN AS ADDITIONAL INSURED FOR GENERAL LIABILITY AS REQUIRED BY
<br /> CONTRACT FOR THE REFERENCED PROJECT.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> CITY OF BATESVILLE ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 500 E. MAIN STREET
<br /> BATESVILLE, AR 72501 AUTHORIZED REPRESENTATIVE
<br /> M McDaniel/HUMEA
<br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved.
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