HomeMy WebLinkAboutMiscellaneous - Exception (436)02-23-'16 15;29 FROM -Phil Richard Ins. 1-978-774-1318 T-796 P0001/0001 F7625
CR& CERTIFICATE OF LIABILITY INSURANCE DAT (MWDDDis
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THECERTIFICATE 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($), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the Certiflcate holder is an ADDITIONAL INSURED, the polloy(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 Phil Richard Insurance, Inc. AME; T Joyce M Keller
27 Garden Street .
PHONE N Ext : (878) 774-4338 x115 A/C No): (978) 774.1318
Unit 1B ADORE 9! Joyce®philrichardinsurance.com WW
Danvers, MA 01923
INSURER AFFORDING COVERAGE NAICay
INSURER A: Arbella Proteotlon 41360
INSURED ZOlotas Brothers, Inc. INSURER®: Arbella Indemnity 10017
515 Lowell St, INSURER C:
Peabody, MA 01960 INSURER D:
COVERAGPS CI=RTIFICATF MLIMRFR- 17C►114211 AI All Int MC112.
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.
ILTR
TYPE OF INSURANCE
ADDLISUBR
POLICYNUMUCH
PMr06 EFP
MWD YEXP
LIM"
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 12 OCCUR
8500027854
04/09/2015
/09/2016
EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTE
PREMISES Ea irfenmi S 106,000
MEO EXP (any one Person) $ 51000
PERSONAL & ADV INJURY $ 11000,000
GEML AGGREGATE LIMIT APPLIES PER:
POLICY ❑ JECT ❑ LOC
OTHER:
GENERAL AGGREGATE $ 2,000,000
PRODUCTS • COMP/OP AGG $ 2,000,000
$
B
AUTOMOBILE LIABILITY
ANY AUTO
AUTOS NEO AUTOSULEO
NON•OWNFO
HIRED AUTOS AUTOS
1020017853
04/27/2015
04/27/2016
$ 1,000,000
BODILY INJURY (Per person) $
BODILY INJURY (Par aoddent) $
PROPERTY DAMAGE
Pnr nnridrnr 3
A
UMBRELLA LIAR
EXCESS LIAe
OCCUR
CLAIMS -MADE
4600027855
04/09/2015
04/09/2016
EACH OCCURRENCE $ 2,000,000
AGGREGATE $
DED V1 RETENYION $ 10,000
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY WIN
ANV PROPRIEfORIPARTNERIEXECUTIVE
OFFICERIMEMBBREXCLUDED? F�
(Mandatary In NH)
If Mdowbo under
DESCRIPTION OF OPERATIONS Wow
N/A
5 A TE ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOVEI: $
E.L. DISEASE- POLICY LIMIT S
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORb 101, Additional R6m0rka Schedule, may bo attached H more 617008 IS re(fulred)
Proof of Insurance Faked 1o: 978.688-9542
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
1600 Osgood Street ACCORDANCE WITH THE POLICY PROVISIONS,
North Andover, MA 01845
AUTHORIZED REPRESENTATIVE r 7
01988-2014 ACORD CORPARATION All ■inhfe reenwe.J
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD