HomeMy WebLinkAboutContract #: 1203 - From: 01-17-2019 To: 03-27-2020 - Beta Group, Inc. - DPW BETAG-1 OP ID: KR
CERTIFICATE OF LIABILITY INSURANCE DATE /2019
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 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 lieu of such endorsements.
PRODUCER 508-620-6200 c NTACT Jodi Colena _
Fitts Wi Insurance Agencyy,Inc. PHONE 508-620-6200 ( 508-481 0227
2 Willow Street,Suite 102 (ac,No,Ext: _m _ �AIc,Noy mm
Southborough,MA 01745-1020 Mal-- _.,
g O Colena FittsGsurance.com
Fitts Insurance Agency -
INSURER(si AFFORDING COVERAGE. NAIL#
------ INSURER A:Travelers lndemnityofAmerica �Z25666
NSUR ® Travelers Indemnity Company Z25658
' INSURER a _ .�... tY P Y
375 Norwoo'dc°rk South INsurtEa c:Travelers P&C Ins Co of Americ Z25674
Norwood,MA 0 062 —......_—._...- --_.. _._..—.—_
INSURER D:Charter Oak Fire Insurance Co. Z25615
INSURER E,Lexington Insurance Company 19437
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY AT 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 Y PAID CLAIMS. _
�. TYPE OF INSURANCE ..,.._. .POLICY NUMBER ..............
POLICY LIMITS ............
LT
INSR pDL UBR CY EFF POLICY EXP
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ; 1,000,000
CLAIM E OCCUR X 6306K894484 04/12/2018 04/12/2019 PRA M ET( r 30,000
_....._.. MED EXP An <me —one.1_ 51000
PERSONAL a ADV INJURY 1,000,00
_GEN'L AGGREGATE.LIMIT API+1,I,S PER: GENERAL AGGREGATE °2"00®'®00
LILY _. J c _... L PR D,�.,,M_Gar�;PJOP AGG J000,000
OTHER:
B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
XANY AUTO _ x BA6K919446 04/12/2018 04/12/2019 Epp�LY INJURx{per e�rson _.___
OWNED SCHEDULED
AU TOPS ONLY AUTNO{SyyN�® DODII.Y INJLVBY..(Par 'dent
AHUYOS ONLY ANU0705 C1IdLY PPerr.cIQI} AGE
C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE ; _ 5,000,000
EXCESS LIAB CLAIMS-MADE CUP6K922739 041112120118 04112/2019 AGGREGATE $ 5,000,000
DED I X I RETENTION$ 10000
X PER OTH-
AND EMP D S COMPENSATION _ TAT T:..,, "R-..._
AND EMPLOYERS'LIABILITY UB6K772536 04/12/2018 04/12/2019 1,000,000
ANY PROPRIETORlPARTNER/EXECUTIVE YIN
E L.EACH ACCIDENT $ ...._ _
(�FFICEWM MBER EXCLUDED? ! N/A .....
ilandatory n NH) 1,000,000
E L~DISEASE•_ EMPLOYE _.If yyes,describe under 1,000,000
DE RIPTION OF OPERATIONS below E.L. I SE-POLICY LIMIT
E Professional 8: X 029210548 04/12/2018 04/12/2019 Ea Claim 5,000,000
Pollution Liab DEDUCTIBLE$150,000 Aggregate 5,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached B more apace Is requireM
Eff 11/5/18 Prof/Poll Limits increased to$5M,and Deductible Increased to
$150 000
RE,61S and Asset Management services
CERTIFICATE HOLDER CANCELLATION
TOWNNAI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS.
384 Osgood Street
North Andover,MA 01845 AUTHORIZED REPRESENTATIVE
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