HomeMy WebLinkAboutCertficate of Insurance Liability /y _ 61C-z,:
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AE9 v CERTIFICATE OF LIABILITY INSURANCE °;2,068"""2Dn 18
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLE ER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY/WEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE PCLJCIEB
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 polky(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).
PROOUt5n CONTACT Stephan G. Gutro,IIA,CPIA, CISR,NP
Gutro,Insurance Advisors,LLC '/. E ��Ax
Steve
AIC No. 6174397-4406 Or 508.788-5959 •No)'608-788-5969
�box LIA Warr
Gutro.LlAagmall.com
CV err ID
Brookins,Ma.02146 INSURERISIAFFORDING COVERAGE Napa
INSURED
INSURER A: Northland Insurance Company
Al In One Comtrucdon Inc.
POURERS: WC:Exempt by law for Sole propietorahip
George Pedranl INSURER C:
408 Douglas Street INSURER v
UxGidge,Ma.01569 - INSURER e:
POURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED.NOTWITHSTANDINGANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W4ICH 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.
OJSR AHI.S NI( HOLLY tI'P PULR.T tip
LIR TYPE OF INSURANCE NSI{�YND POLICY NUMBER IMM'OM'YY'A (MMIDO'Y1'YYf UMTS
GENERALLIABaITY EACH
CE
5 1,000,000
7 COMMERCIAL GENERAL LIABIUTY AMEEREw4W
S 100,000
IcLaNSIARDE gi OCCUR MED EXP Hey one person) I excluded
A WS257353 9/15/2011 9/15/2018 PERSONAL AAW INJURY 5 1,000,000
GENERALAGGREGATE — S 2,000,000
GENLAGGREGATE UMTAPPLIES PER: PRODUCTS•COMP/OPAGO 5 2,000,000
7 POLICY n€�r niOC Claim Deductible — S1.000
AUTOMOBILE LABILITY GOI SHED SINGLE UNIT
— IWYAUTO (Ea edoeM) S
ALL ONNEDAUTOS— BOC/LY NJURV(Pr person) $
SCHEDULED AUTOS— BODILY NJURY(Paracddanp i
— HIRED AUTOS PROPERTY DAMAGE
_ (Pet xi
oxidant) S
NOKOWNEDAUTOS —
t
$
UMBRELLA LMB — OCCUR EACH OCCURRENCE e
EXCESS LMB CLAIMS-MADE AGGREGATE I
DEDUCTIBLE I
RETENTION I E
WORK
EMPLOYE HPE&A ONAND YIN I TORY 11MTS It
TY
ANY PROPRIETOWPAR'TNERIEXECUTNE ❑ NIA Exempt by law EL EACH ACO DEM I
OFFICER/MEMBER EXCLUDED?
Mandatory In NH) E SBEASE-EAEMPLOYE! 5
fan dewlbe under
DESCRIPTION OF OPERATIONS bela.Y EL DIOEAME-POIJCY LINT 5
DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES(Attach ACORD 101,Additional Rondo adadaS,Ifmom apace M regrind)
rennow6on of Dwelling at 10 Elm Street Canton,MA
Work for Mark and Heidi Nieman
CERTIFICATE HOLDER CANCELLATION
SHOULD ANT OF THE ABOVE DESCRIBED POI., - - CANCELLED BEFORE THE
Town of Yarmouth,ma EXPIRATION DATE THEREOF, • - L •IN: •.. . WTH
Inspectional Services Department THE POLICY PROVISIONS.
1146 Route 28 AUTHORIZED REPRESENTATIVE ke
South Yarmouth,Ma.02664
I
of0 'AC RA • -II rights reserved.
ACORD 25(2009!09) The ACORD name and logo are registered masksACORD