HomeMy WebLinkAboutLiability Ins AC DATE IMMroomrY)
+.„^,. CERTIFICATE OF LIABILITY INSURANCE 03/19/2024
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 POUCIES BELOW.THIS CERTFICATE OF
INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 1NSURER(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 endorsem it(s).
PRODUCER CONAME: CLIENT CONTACT CENTER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O.BOX 328 (A/C.No,Ert):888-333-4949 (A/C,Nol:507-446-4664
OWATONNA,MN 55060 anDRES&CLIENTCONTACTCENTERUFEDINS.COM
INSURERS AFFORDING COVERAGE EAICB
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED 150-739-1 INSURER B:FEDERATED SERVICE INSURANCE COMPANY 28304
J.B.COLE&SON,INC. INSURERC:
3778 FALMOUTH RD —
MARSTONS MILLS,MA 02648-1854 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:24 REVISION NUMBER:0
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.
�HTR TYPE OF INSURANCE I' L yj POLICY NUMBER IM IM POLICY YE yFn IMPOL�CD1 EYXrr1 LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,060,000
CLAIMS-MADE X I OCCUR DEiAMAGErTOREMTED PREMISES $100,000
— MED EXP(Any oneperson) EXCLUDED
B N N 1836611 07/01/2023 07/01/2024 PERSONAL II ADV INJURY $1,000,000
GENt AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000,000
) POLICY OAT ❑LOC PRODUCTS A COMPIOP AGO $2,000,000
OTHER:
AUTOMOBILE LIABILITY Co XBINd.D)SINGLE LIMIT $1 000 000
X ANY AUTO (BODILY INJURY(Per Person)
B _OWNED AUTOS ONLY SAUTIfDULED N N 1836612 07/01/2023 07/01/2024 BODILY INJURY(Par Aaident
HIRED AUTOS ONLY NOVO"OSWNEQ ROP PERTY DAMAGE
AUTOS ONLY .J�Bca�N X UMBREL_A LIAR X OCCUR EACH OCCURRENCE $2,000e000
B EXCESSLWE CI.A S4AADE N N 1836613 07/01/2D23 07/01/2024 AGGREGATT $2,000,000
DED RETENTION
WORKERS COMPENSATION X PER STATUTE ,OTHER
AND EMPLOYERS'LIABILITY r
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $500,000
A OFF10ERJMEMEER EXCLUDED? N/A N 1871957 10/15/2323 OT/01/2024
(Mande4ory In NH) E.L DISEASE EA EMPLOYEE 5500,000
N yea,describe'alder
DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT $500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addllwl Remarks Schedule,mes M Washed it more spew is required)
CERTIFICATE HOLDER CANCELLATION
150-739-1 24 0 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED
TOWN OF YARMOUTH BUILDING DEPT.
1146 ROUTE 26 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
9 YARMOUTH,MA 02664 4463 ACCORDANCE WITH THE POUCY PROVISIONS.
AUTHORIZED REPRESENTATIVE A...�
0 1988-2015 ACORD CORPORATION.AI rights reserved.
ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD
RECEIVED
5S- /0„),..7/
JAN 16 2025
BUILDING DEPARTMENT
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