Supporting Documentation · Oct 25, 2022
271-22 Attachment-SUBMISSION.pdf
95bc238e73b266a616591b2f7b539cff383b2f43fc8e23d2e4f22842b3a2a02fIndexed text · page 41
Show all pages" EVANDIL-O1 —___MCRUZ ACORD CERTIFICATE OF LIABILITY INSURANCE e022 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 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 endorsement(s). PRODUCER — House - RPM RPM Insurance Agency RPM Insurance Agel NE 201 Edward curry Ave. No, Ex [BR Suite 202 Fives: none@acrisure.com Staten Ietand, NY 10314 INSURERS) AFFORDING COVERAGE NAIC # mwsurer a; Hartford Underwriters Insurance Company [30404 INSURED nsurer a: Sentinel Insurance Company, Ltd 11000, Evan Dilluvio Tree Consulting imsurerc : Lloyd's 1524210, 976 Old School House Rd. INSURER D: Blairstown, NJ 07825 INSURER E: INSURER Fs 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 PERtOD 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. Nie “TYPE OF INSURANCE aot GBR POLICY NUMBER COREE | CORONER chars A |X | conmerciat GENERAL ABILITY EACH OCCURRENCE $ 7,000,001 7 ccamstae [%] occur hoseMast ave erv2o22 | or2023 | RRMARETG ENTE ca Is 7,000,001 |_| MED EXP (Any one person) | § 5,001 | PERSONAL & ADV INJURY | 9. 7000,001 | GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE I$ 2,000,001 | X | pouicy {| SBS Loc PRODUCTS - COMP/OP AGG | $ 1,000,001 OTHER: 8 | AUTOMOBILE LIABILITY GQMERESSINGLELIMIT Tg |__| any auto BODILY INJURY (Par person)_| $ [| Re Pony sae BODILY INJURY (Per acxidert| $ || RUF ony ROTES UND et dala
COMP/OP AGG | $ 1,000,001 OTHER: 8 | AUTOMOBILE LIABILITY GQMERESSINGLELIMIT Tg |__| any auto BODILY INJURY (Par person)_| $ [| Re Pony sae BODILY INJURY (Per acxidert| $ || RUF ony ROTES UND et dala A ‘ |_| umoneacas | [occur EACH OCCURRENCE $ EXCESS LiAB CLAIMS: MADE ‘ABGREGATE ‘ 5 peo | [aerenrions “ 3 WORKERS COMPENSATION X [eiinne |_18" ome wal POWECASTAWH ervaozz | 67/2023 |e: excuacemenr |e p00 NN E.L, DISEASE - EA EMPLOYEE! $ 000,001 —4 SeSERTON OF SpeRATIONS below Ex, DISEASE -FouCY amir | ¢ 7,000,00¢ C {Professional Liabilt IANES 131222 6/1/2022 | 6/1/2023 [Aggregate 7,006,008 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attaghed if mare space Is required) CERTIFICATE HOLDER. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE . THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Morristown ACCORDANCE WITH THE POLICY PROVISIONS. 200 South Street, PO Box 914 Office of Mayor/Administrator Morristown, NJ 07963 AUTHORIZED REPRESENTATIVE i ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD © 1988-2015 ACORD CORPORATION. All rights reserved,
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