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Contract #: 1281 - From: 01-06-2020 To: 06-30-2020 - ASAP Fire Safety Corporation - Facilities
DATE(MM/DD/YYYY) ACCORD® CERTIFICATE OF LIABILITY INSURANCE 01/30/2020 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 endorsement(s). PRODUCER CONTACT Laura MacDonald NAME: Core Benefits Group Inc PHONE (603)329-4933 FAX (603)329-4924 AIC No Ext: A/C,No 2 Village Green Road E-MAIL Imacdonald@mycoreinsurance.com ADDRESS: Suite Al INSURER(S)AFFORDING COVERAGE NAIC If Hampstead NH 03841 INSURERA: Kinsale Insurance Company INSURED INSURER B: Progressive Casualty Ins 24260 A.S.A.P.Fire&Safety Corporation Inc INSURER C: Hudson Excess Insurance 6 Progress Ave,Unit#3 INSURER D: A.I.M.Mutual Insurance Company INSURER E: Tyngsboro MA 01879 INSURER F: COVERAGES CERTIFICATE NUMBER: CL201703434 REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MM/DD/YYYY LIMITS COMM ERCIAL GEN ERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ Excluded A 0100063415-1 03/13/2019 03/13/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 2'000'000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ 20,000 B OWNED SCHEDULED 01591605-0 12/30/2019 12/30/2020 BODILY INJURY(Per accident) $ 40,000 AUTOS ONLY X AUTOS X HIRED NON-OWNED PROPERTYDAMAGE $ 5,000 AUTOS ONLY /� AUTOS ONLY Per accident X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 C EXCESS LIAB HCLAIMS-MADE HXS1000301 02 03/13/2019 03/13/2020 AGGREGATE $ 5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION X SPER TATUTE ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBEREXCLUDED? � NIA WMZ-800-8006358-2019A 03/13/2019 03/13/2020 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Town of North Andover is additional insured in respects to General Liability when required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION 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. 120 Main Street AUTHORIZED REPRESENTATIVE North Andover MA 01845 %e" .0 tC:: ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD