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HomeMy WebLinkAboutCertificate of Liability - Miscellaneous - 1725 TURNPIKE STREET 11/28/2022 ALPRIME-01 KMCCUEAN ACORv CERTIFICATE OF LIABILITY INSURANCE DATE 1J;MM/DD/YYYY) `---�� 11 22/2022 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 N ME: Eastern States Insurance Agency,Inc. PHONE FAX 50 Prospect St A/c,No,Ext):(781)642-9000 (AIC,No): Waltham,MA 02453 ADMADRLESS INSURE S AFFORDING COVERAGE NAIC# INSURER A:Utica Mutual Insurance Company 25976 INSURED INSURER B:Republic-Franklin Insurance ComDany 12475 A.L.Prime Energy Consultant, INSURERC: Inc. 18 Lark Avenue INSURER D Saugus,MA 01906 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS ITRMM/DD MM/D /YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR occurrencel X 5209103 12/1/2022 12/1/2023 DAMAGEMISr TO RENTED RE S(E $ 100,000 X Contract Liab 5,000 MED EXP A one arson PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 POLICYFI jpeT El LOC PRODUCTS-COMP/OPAGG S 2,000,0 00 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 X ANY AUTO 5196456 12/1/2022 12/1/2023 BODILY INJURY Perperson) $ OWNED SCHEDULED X AIURTEO�S ONLY X AUTOS BODILYBODILY INJURY Per accident $ X AUTOS ONLY X AUTO ONLY PerR accident?AMAGE $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 10,000,000 EXCESS LU1B CLAIMS-MADE 5209104 12/1/2022 12/1/2023 AGGREGATE 10,000,000 DED I X I RETENTION$ 10,000 $ A WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN 5209105 12/1/2022 12/1/2023 A LITE ER 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ fFFICER/MEMBER EXCLUDED? N N I A andMry inNH)F — — E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT A Equipment Floater CPP6115383 12/1/2022 12/1/2023 rent/leas 300,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Town of North Andover is an additional insured in regards to the General Liability where required by written contract or agreement CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 120 Main Street North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD