Supporting Documentation · Feb 15, 2022
35-22 Exhibit A - Extension of Agreement for Affordable Housing Administrative Services with CGPH - 2022.pdf
48f3e1030523b06fa27e18da5f4d0c14bc8fba34b81b30b9e9b91f3aa9338085Indexed text · page 60
Show all pagesi : ACORO DATE (MM/DD/YVYY) CERTIFICATE OF LIABILITY INSURANCE 8/19/2020 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 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 CONTACT Gail Lanza, AAI i NAME: Allen & Stults Co, Inc. PHONE FAX IA/C. No. Extl: (609)448-0110 (A/C. No) , {609)448-8063 I E-MAIL 106 N. Main St, P.O. Box 110 ADDRESS: glanzaOallenstults.com
ADDRESS: glanzaOallenstults.com INSURER(S) AFFORDING COVERAGE NAIC * Hightstown NJ 08520 insurera: Continental Casualty Co 20443 INSURED insurers:National Fire Ins Co of Hartford 20478 Community Grants & Planning Inc., DBA: CGP & H LLC insurerc: Hartford Underwriters Ins Co 30104 1249 S. River Rd. insurerd:Lloyd1 s, London Suite 301 INSURER E : Cranbury NJ 08512 INSURERF: COVERAGES CERTIFICATE NUMBER:CL19121104911 REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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. I INSR LTR TYPE OF INSURANCE ADDL SUBR IMSD WVD POLICY NUMBER POLICY EFF
POLICY EFF 1MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A CLAIMS-MADE H OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 1062045283 12/20/2019 12/20/2020 MED EXP (Any one person) $ 10,000 PERSONAL a ADV INJURY s 1,000,000 □ □ GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S 2,000,000 X POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: S AUTOMOBILE LIABILITY
S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident)__________ X ANY AUTO BODILY INJURY (Per person) S B ALL OWNED SCHEDULED $ AUTOS AUTOS 5045357169 12/20/2019 12/20/2020 BODILY INJURY (Per accident) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident)______ S Uninsured motorist property damagi 3 : X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE 3 1,000,000 A ;■ PEP X RETENTION $ 10,000 2095617327 12/20/2019 12/20/2020 S WORKERS COMPENSATION
12/20/2019 12/20/2020 S WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT 3 500,000 C OFFICER/MEMBER EXCLUDED? (Mandatory in NH) [jL N/A 13WECBJ4919 12/18/2019 12/18/2020 i E.L. DISEASE-EAEMPLOYEE 3 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S 500,000 D PROFESSIONAL LIABILITY PGIARX0037109 4/27/2020 4/27/2021 EACH CLAIM 1,000,000 AGGREGATE 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD101, Additional Remarks Schedule, may be attached if more space Is required) Evidence of Insurance
Evidence of Insurance r CERTIFICATE HOLDER CANCELLATION i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CGP&H THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1249 South River Road Cranbury, NJ 08512 AUTHORIZED REPRESENTATIVE I Gail Lanza, AAI/GAL AxJL Q © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS0 2 5 (201401) i
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