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HomeMy WebLinkAboutCertificate of Liability Insurance (2) From:Kelley Sullivan FaxID: Page 1 of 1 Date 8/15/2018 10:57 AM Page:1 of 1 ----"ss SEADO-1 OP IrP KS ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE 08/15/201 YY) �i oejl snot e 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 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 508.398-0060 uIM P.CT Bryden&Sullivan Ins Bryden R Sullivan Ins Agency PHONE 508-398-6060FAX 508-394-2267 Of Dennis Inc. (AIC,No,Est): I(A1C,No): 485 Route 134 PO Box 1497 Rf ss: So.Dennis,MA 02660 Bryden&Sullivan Insurance INSURER(S)AFFORDING COVERAGE NAIL I INSURER A:A m g ua rd Insurance Co INSURED Sea Dog Brew Pub Cape Cod LLC INSURER B: 23 White's Path Unit South Yarmouth,MA 02664 INSURER C: INSURER D: 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 ADD.SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE MD YND POLICY NUMBER IMMIDDIYYYYI IMWDDIYYYY) LIMITS S X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE .5 1,000,000 CLAIMS-MADE El OCCUR SEBP982248 06/01/2018 06/01/2019 DAMAGETORENTED 500,000 PREMISES fFe prrWrence) S 5,000 _ MED EXP fAnv one person) $ _ X liquor liability SEBP982248 06/01/2018 06/01/2019 PERSONAL IS ADV INJURY S 1,000,000 GEN-'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE _ $ 2,000,000 POLICY JE PRO- LOC pRODUC75-COMP/OP AGO $ 2,000,000 I OTHER • Liquor S 1,000,000 AUTOMOBILE LIABILITY (Ea SINGLE LIMIT IEa accident/ S ANY AUTO BODILY INJURY(Per person) $ — _ AUTOSp�� NLY _ SCHEDULED SSyUyLEEDD pBODILY INJURY(Per eccldent) $ N- UTOS ONLY _ AUTOS ONNLV IRan aERanttAMAGE $ - _ UMBRELLA LIAB — OCCUR EACH OCCURRENCE S - EXCESS LIAB CLAIMS-MADE AGGREGATE _1 DED RETENTIONS $ WOIMERS COMPENSATION PER OTH. AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETORPARTNERIEYECUTIVE YIN E L EACH ACCIDENT $ pFFILEq/I,EMOER EXCLUDED? N I A (Mandatory In NH) EL DISEASE.EA EMPLOYEE S II yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHCLES (ACORD 101,Additional Remarks Schedule,may be attached If more span Is required) Certificate of Insurance for festival to be held in RestaurantIStrip Mall's parking lot on Saturday,September 22,2018. Liquor license In the name of Peter Lucido, Managing Member. CERTIFICATE HOLDER CANCELLATION TOWN-02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF YARMOUTH ACCORDANCE WITH THE POLICY PROVISIONS. 1146 ROUTE 28 S.YARMOUTH,MA 02664 AUTHORIZED REPRESENTATIVE lizittAdC )� I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD