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Home My WebLink AboutMiscellaneous - Exception (209)A� '�'� CERTIFICATE OF LIABILITY INSURANCE D /DD/YYYY) TYPE OFiNSURANCE 3// 20/20/ 2015 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 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 EA Stevens Company, Inc. 389 Main $t. P. 0. BOR 188 Malden MA 02148 CN,0,MTEACT Eva Caperon PHONE (781)322-2324 p�X C. 0,(781)397-7672 AD IL DRESS. evac@eastevensins.cam INSURERS AFFORDING COVERAGE NAIC s INSUREaA:Hartford Fire Insurance Company 19682 INSURED 1NSU.RE.Rs..Safety Insurance Company 9454 MAGNIFICO BROTHERS PLUMBING HEATING & GAS INSURERCTWIA City Fire Insurance Co. 29459 FITTING, LLC. INSURER D 31 FOREST STREET INSURER E MIDDLETON MA 01949 INSURER F COVERAGES CERTIFICATE NUMBER!15-16 Master RGVICInIU 1W 11111RCQ• 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. INSRADDLSUBR LTR TYPE OFiNSURANCE POLICY NUMBER POLICY EFF M/D POLICY EXP MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR SSBAUQ5370 /24/2015 /24/2016 DAMAGE TO PREMISES REIN t occurtence $ 300, 000 MED FRCP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEITL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 j 17 POLICYFX PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accident 11000,000 BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 5053635 3 /24/2015 /24/2016 BODILY Per accident $ ( ) x HIRED AUTOS B NON -OWNED AUTOS PROPERTY DAMAGE Parc dent $ Medical Rayments $ 10,000 $ UMBRELLA LIAB X IOCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS -MADE DBS13AUQ5370 /24/2015 /24/2016 AGGREGATE $ 1,000,000 DED I x I RETENTION$ 10,0011 ('' WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERlMEMBER EXCLUDED? (Mandatory in NH) If es, desaibe under DESCRIPTION OF OPERATIONS below N/A 8NECRJ905D i /24/2015 /24/2016 WC STATU- OTH- x - E.L. EACH ACCIDENT $ SOO 000 E.L. DISEASE - EA EMPLOYE $ 500 000 E.L. DISEASE - POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Hartford Fire Insurance Company One Hartford Plaza Hartford, CT 06155 ACORO25 (2n1n/(151 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. i AUTHORIZED REPRESENTATIVE Cares, Jr/EC ��"_"�✓ v 1 ao—eu 1 u mL vnu wmFORA I ION. All rights reserved. WCA25/9ntnn5t n The, annon name anri Inns era renie#eraA mar4a of Arman