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a A T Page 1 of 2 ACCQRe CERTIMCATE OF LIABILITY INSURANCE DATE to/25/2018s/zole 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(les) must have ADDITIONAL INSURED provisions or 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 )leu of such endorsement(s). _-� PRODUCER Willis of New York, Inc. c/o 26 Century Blvd P.O. Box 305191 CONTACT NAME: PHONE 1-877-945-7378 aC No: 1-880-467-2378 -MAIL c.rti£ ADDRESS: icates®willis. com INSURER($) AFFORDING COVERAGE NAIC# Nashville, TN 372305191 USA INSURER A: Hartford Fire Insurance Company 19682 INSURED Sambasafety 8814 Horizon Blvd Suite 100 INSURER B: Trumbull Insurance Company 27120 INSURERC: Hartford Casualty Insurance Company 29424 INSURER D: Albuquerque, NM 87113 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: W8628991 REVISION NUMBER: 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 PER -AIN, 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 ADDL INS POLICY NUMBER POLICY EFF MMIDDYYYiIj POLICY EXP IMMIDD/YYYYj LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 CLAIMS -MADE OCCUR DAMAGETO RENTED 300,000 PREMISES Ee occurrence $ MED EXP (Any one parson) $ 10,000 A PERSONAL &ACV INJURY S 11000,000 1 10 UUN JA3254 04/26/2018 04/28/2019 SENT AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 X POLICY � JEo C jI LOC PRODUCTS - COMPIOP AGG $ 2,000,000 $ OTHER: ( AUTOMOBILE LIABILITY ICOMBINEDSINGLE LIMIT $ 1,000,000 Ea accident _ BODILY INJURY (Per person) $ X( ANY AUTO H OWNED SCHEDULED AUTOS ONLY AUTOS 1 10 SUN JA3254 04/28/2018 04/26/2019 BODILY INJURY (Per accident) $ PROPERTYDAMAGE $ Pareccidant x HIRED NON -DINNED AUTOS ONLY AUTOS ONLY I $ C X UMBRELLA UAB X _ OCCUR EACH OCCURRENCE $ 14,000,000 AGGREGATE $ 14,000,000 EXCESS ILIAD CLAIMS -MADE 10 XHO JA0366 04/28/2018 04/28/2019 DEDXt RETENTION$ 10000 $ C WORKERS COMPENSATION—i ANDEMPLOYERS'LIABILITY ANYPROPRIETORIPARTNERF.XECUTIVE YIN OFFICERIMEMBERE%CLUDECI u (Mandatory in NH) If yes, describe under DE SCRIPTION OF OPERATIONS below NIA') 10 WH AS675D 04/28/2016 04/26/2019 x PER OTH- STATUTE ER Ek, ACCIDENT $ 11000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 11000,000 I I DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Rdtlitional Remarks Schetlule, may be attachetl if more space Is requirod) This Voids and Replaces Previously Issued Certificate Dated 09/26/2018 WITH ID: W8198621. Vigillo LLC is included as an Additional Insured as respects to General Liability. General Liability policy shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by Additional Tnsured. Insurance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016(03) The ACORD name and logo are registered marks of ACORD sn 11): 16955226 BATCH: 927164