EVIDENCE OF LIABILITY INSURANCE
DATE
04/29/19
PRODUCER
Hylant Group - Cincinnati
50 E-Business Way
Cincinnati, OH 45241
513-985-2400
Fax: 513-985-2404
THIS MEMORANDUM IS ISSUED AS A MATTER OF INFORMATION ONLY. THIS MEMORANDUM DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURED
Instantwhip Foods and as per Named Insured Schedule Attached
2200 Cardigan Avenue
Columbus, OH 43215
INSURERS AFFORDING COVERAGE
NAIC#
INSURER A: Charter Oak Fire Insurance Co. 023043
INSURER B: Phoenix Insurance Company
026042
INSURER C: Travelers Prop Cas Co of Amer 023035
COVERAGES
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 Evidence of Insurance 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.
INSR
LTR
TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE
DATE
POLICY EXPIRATION
DATE
LIMITS
A

GENERAL LIABILITY
Commercial General Liability
Occurrence Form
General Aggregate Limit Applies Per Location

Y6307K52809ACOF19
05/01/19 05/01/20 EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
PREMISES (Each occurrence)
$300,000
MED EXP (Any one person) 15,000
PERSONAL & ADV INJURY  $1,000,000 
GENERAL AGGREGATE $2,000,000 
PRODUCTS /COMP. OPS. AGGREGATE   $2,000,000 
B
AUTOMOBILE LIABILITY
Any Auto
Hired Autos
Non-Owned Autos
$1,000 Comp/Coll

YBA7K541074CAG19



$5,000 XTRA HEAVY TRACTOR

05/01/19

 
05/01/20
COMBINED SINGLE LIMIT 
(Each accident)
$1,000,000 
C

EXCESS / UMBRELLA LIABILITY
Occurrence Form
Retention $Nil

ZUP61M9633519

05/01/19
 
05/01/20

EACH OCCURANCE

$5,000,000 
A
WORKERS COMPENSATION AND EMPLOYER LIABILITY

UB7K5840621814G

05/01/19
05/01/20 E.L. EACH ACCIDENT $500,000 
E.L. DISEASE - EA EMPLOYEE $500,000 
E.L. DISEASE - POLICY LIMIT $500,000 
DESCRIPTION OF OPERATIONS
As respects the General Liability and Automobile Liability policies listed above, you are included as an Additional Insured if such provision is required by a written contract between you and the Named Insured and/or any wholly owned subsidiary of the Named Insured, but only with respect to operations of the Named Insured. Additionally, the policies contain a Blanket Waiver of Subrogation which is applicable if required by a written contract between you and the Named Insured and/or any wholly owned subsidiary of the Named Insured, but only with respect to operations of the Named Insured. Blanket A.I. / L.P. for any leased, rented or borrowed vehicles.
DISCLAIMER
This Evidence of Insurance does not constitute a contract between the issuing insurer(s) authorized representative or producer. This Evidence of Insurance does not affirmatively or negatively amend, alter or extend the coverage afforded by the policies listed thereon.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERS, ITS AGENTS OR REPRESENTATIVES.

AUTHORIZED REPRESENTATIVE
Mike Hylant



CERTIFICATE OF LIABILITY INSURANCE DATE
04/29/19

Instantwhip Foods and as per Named Insured Schedule


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