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YELLO-2 OP ID: DS ACORO CERTIFICATE OF LIABILITY INSURANCE DATE MM/ 03//30/22018018Y) 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 NAAME:ACT Commercial Service Team Hill&Usher LLC PHONE g02-856-4220 F Ne: 602-956-4418 Insurance. Bonds.Benefits. AIC No Eft 3033 North 44th Street,#300S Phoenix,AZ 85018 SS,doccontrol@hillusher.com Steve R.Shields INSURERS AFFORDING COVERAGE NAIC# INSURER A:Travelers Property Casualty Co 25674 INSURED Yellow Jacket Drilling INSURER B:Travelers Property Casualty Co 25674 Services LLC Richard LeBlanc dba INSURER C:TravelerslndemnityCo 25658 Yellow Jacket Drilling INSURER D:Homeland Insurance Co of NY 34452 PO Box 801 Gilbert,AZ 85299-0801 1 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 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 TYPE OF INSURANCE ADDL UB POLICY NUMBER POLICY EFF INMIDU EXP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0001 CLAIMS-MADE OCCUR X X DT-CO-2.1407688-PHX-18 04/01/2018 04/01/2019 DAMAGE TO RENTFD PREMISES Ea occurrence $ 300,00 MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GEMLAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,00 POLICY X PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER $ AUTOMOBILE LIABILITY Ea BIKED SINGLE LIMIT $ 1,000,00 B X ANY AUTO X X OT-810-2J354550-TIL-18 04/01/2016 04/01/2019 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PR PERTY DAMAGE $X HIREDAUTOS X AUTOS per accident X UMBRELLA LIARX OCCUR EACH OCCURRENCE $ 10,000,00 B EXCESS LIM CLAIMS-MADE CUP-2.1444660-17-26 04/01/2018 04/01/2019 AGGREGATE $ 10,000,00 DED I X I RETENTION$ 10000 $ WORKERS COMPENSATION X - AND EMPLOYERS'LIABILITY STATUTE ER Y Ci ANY PROPRIETOR/PARTNER/EXECUTIVE � NIA X US-2J440716-17-26 04/01/2016 04/01/2019 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 If Yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 B Equipment Floater 6601367M582 04/01/2018 04/01/2019 Insd equi as sche D POLL/PROF HA00003302018 04/01/2018 04/01/2019 Occ/Agg 10,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached K more space is required) RE: DRILLING SERVICES ADDITIONAL INSURED FORMS CGD46, OBENVGE301 6 CAT353 ATTACHED. WAIVER OF SUBROGATION FORMS CGD316, OBENVGE319, CAT353 6 WC000313 ATTACHED. CERTIFICATE HOLDER CANCELLATION GEOSYNT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN GEOSYNTEC CONSULTANTS INC ACCORDANCE WITH THE POLICY PROVISIONS. 10220 OLD COLUMBIA RD STE A COLOMBIA, MD 20146 AUTHORIZED REPRESENTATIVE 6G_:'8—_JU ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD