53-22 Award of Professional Services 2020 CDBG for Mitchell Street.pdf

SECTION 4 Sample Insurance Certificate i ACORD CERTIFICATE OF LIABILITY INSURANCE te ‘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; ifthe cerlificate holder is an ADDITIONAL INSURED, ihe polloy(es) must have ADDITIONAL INSURED provisions or be endorsed | Mf SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may requite an endorsement. A statement on this cartiticate does not confer rights to the certificate holder in licu of such endorsement(s). pecleam, Tae Jott Kozarsky | PG Genatt Group LLC TT 3333 NEW HYDE PARK RD fone 516-668-8768 28. ot 518-470-0338 SUITE 409 ReoHess: jKozarsky@gonatigrp cam NEW HYDE PARK NY 11042 WsuReR6) ArFoRDWG coveRAGE mac 38318 Greenman Pedersen, Ine (Mortis Plains) siete { 301 Gibraltar Drive, Suite 2A, 2 ‘Morris Plains NJ 07950 3: | 10120 COVERAGES CERTIFICATE NUMBER: 171294590 REVISION NUMBER: This 1S 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 DOCUMEMT 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 CONEATIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEN REDUCED BY PAID CLAIMS, 0. eat Teor msuRANCE staal Pouernunaen Lian Ey Lows ‘4X CORENCIL OENERALUABRATY ‘oooozssa3211 Ramet i2aw02 ponccamace [= 1m00.000 | gar TORENTED | cuawenwcc X occur Paaascsgeracaaen | $200,000 | “X comeaaue EDEN? yon pone _| 510,000, Penson aovinaury | 51900 000 Gein ACGREGATEUMTAPPUESER | evens. scanesare | s2.090.000 poucy X [Xtc prooucrs couene Acs | $2,000,000 orien i s 7 aToMosi.EUABILTY Tooorsesis2i1 Taswn0n —iaaTao GERD STSTETAT — [5 1550 c00 X_ ANYAUTO OO LUAY ar omson) [5 owen D BODLY MLR (Par acoder | ~~ ion AS pea x. fines x trains Bporeer pace |g KATE omy XNres oA ities @ % wwaneiauna x Gri recraacos B3iaat Waa excnoccumeme | 510 i & Sie Kosexoisi22r1

Y ar omson) [5 owen D BODLY MLR (Par acoder | ~~ ion AS pea x. fines x trains Bporeer pace |g KATE omy XNres oA ities @ % wwaneiauna x Gri recraacos B3iaat Waa excnoccumeme | 510 i & Sie Kosexoisi22r1 Taaiaoet tarauzoge SAOCouRREHe “— EXCESSLUK cuss une A082 KE 10900000 peo _X_neTeMeHs tan t 2 z yoooa0a563 wguaeatiaauz0 XBR) ES" H won| | | ROSSER BVH 23ye % Se! TR nia eveacuaccosnt | 1900000 EL. OSEASE-€A EMPLOYEE 5 1,000,000 Ex osease poucy uur | s 1,000,000 Pe | GELATIN Stemmons wine Tes T TyamasaoanaaTa Tao BATROD atone pres ‘50000 8 Bern una | sveaaas wae fagva02t 123172023, Aaateone $300.00, ‘DESCRIPTION GF OPERATIONS /LOGATION®I VEHICLES [ABOND 11, Aadtiona rans Shee, maybe aCACNeaW mare space a oquea] CERTIFICATE HOLDER CANCELLATION 30 day notice applies ‘SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ‘THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, FOR INFORMATIONAL TERETE = PURPOSES ONLY | ‘©1986-2015 ACORD CORPORATION. All rights reserved. ACORD 28 (2016/03) ‘The ACORD name and logo are registered marks of ACORD. G P | Sample Insurance Certificate | Page 7