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HomeMy WebLinkAboutCertificates of Insurance N ✓glit/C- DATE(MM/DD/YYYY) ..-�- CERTIFICATE OF LIABILITY INSURANCE 08/14/2019 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 be endorsed. If SUBROGATIONIS 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 NAME: HARTFORD FIRE INSURANCE COMPANY PHONE (877)287-1316 FAX (888)443$112 76250760 (NC,No,Ext): (NC,No): 55 FARMINGTON AVE E-MAIL ADDRESS: HARTFORD CT 06105 INSURER(S)AFFORDING COVERAGE NAICS INSURER A: Hartford Ins Co of the Midwest 37478 INSURED INSURER B: HEALTH FIRST REHABILITATION INC. INSURER C: 923 ROUTE 6A UNIT Y INSURER D YARMOUTH PORT MA 02675-2159 INSURER E: INSURER F: cr COVERAGES CERTIFICATE NUMBER: REVISION-NUMBER - - _ _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 'D CO INDICATED-NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS a CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRTYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD /MM/DD/YYYYI /MUMMY YYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED KE-y1--147.76 -7.3 CLAIMS-MADE OCCUR PREMISES(a occurrence) MED EXP(My one person) PERSONAL&ADV INJURY AUG 2 0 2019 GENT.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE PRO- PRODUCTS-COMP/OP AGG PoucY JECT L� — HEALTH_DEPT. OTHER COMBINED SINGLE LIMIT IMMOONIONS AUTOMOBILE LIABILITY /Ea accident) r. ANY AUTO BODILY INJURY(Per person) ALL OWNED — SCHEDULED .... .. BODILY INJURY(Per accident) AUTOSIMMOMMIL _AUTOSPROPERTY DAMAGE __ HIRED REDNON-OWNED '�` AUTOS AUTOS (Per accident) OCCUR EACH OCCURRENCE UMBRELLA LIAR _ EXCESS IJAB CLAIMS- AGGREGATE MADE DED RETENTION$ X WORKERS-COMPENSATION PER OTH- _. . - - __.. AND EMPLOYERS'LIABILITY STATUTE ER ANY Y/N EL EACH ACCIDENT _ $100,000 PROPRIETOR/PARTNER/EXECUTIVE r NIA 76 WEG EP9432 09/12/2019 09/12/2020 EL DISEASE EA EMPLOYEE $100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-POLICY LIMIT $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insureds Operations.Proof of coverage. CERTIFICATE HOLDER CANCELLATION Town of Yarmouth SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED Board of Health IN ACCORDANCE WITH THE POLICY PROVISIONS. 1146 Route 28 AUTHORIZED REPRESENTATIVE South Yarmouth MA 02664 ©1988-2015 ACORD CORPORATION.AU rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD I I. 1 THE HARTFORD BUSINESS SERVICE CENTER THE 3600 WISEMAN BLVD HARTFORD SAN ANTONIO TX 78251 August 14,2019 MB 01 002936 37482 H 11 A 1411101111111111111111111"1111111"11111111111111111111111 { Town of Yarmouth Board of Health 1146 Route 28 South Yarmouth MA 02664-4463 N N O j O Account Information: _- Contact Us PolicyHolder Details : HEALTH FIRST REHABILITATION INC. Business Service Center Business Hours: Monday- Friday (7AM-7PM Central Standard Time) Phone: (877)287-1316 Fax: (888)443-6112 —_ Email: agency.services(athehartford.com Website: https://business.thehartford.com Enclosed please find a for the above referenced Policyholder. Please contact us if you have any questions or concerns. Sincerely, T Your Hartford Service Team WLTR005 - I