Supporting Documentation · Nov 22, 2022
294-22 Korwell PS-Proposals.pdf
2111d174ced782eedd4426e7e4b1dfebe939116a77d8c4a3323b16fcbec092bfIndexed text
iab | MED EXP (Any one person) | $ 10,000 | mieiparion) | $10,000_ | | PERSONAL & ADVINJURY | § 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER | | | GENERAL AGGREGATE $2,000,000 pouicy | X | SBS: | Loc | PRODUCTS - COMP/OP AGG _ $ 2,000,000 OTHER: | § B | AUTOMOBILELIABILITY Y | ¥ | 7018333701 | 2124/2022 | 2/24/2023 | COMBINED SINGLE LIMIT” | § 1,000,000 X | ANY AUTO | BODILY INJURY (Per person) | $ OWNED SCHEDULED a AUTOS ONLY AUTOS | BODILY INJURY (Per accident) $ HIRED X | NON-OWNED | PROPERTY DAMAGE 7 ‘AUTOS ONLY AUTOS ONLY | (Per accident) | | 5 & |X| UMBRELLALIA8 | X | occur y | ¥ | 7018338493 | 2reai2022 | 2/24/2023 | Exc OCCURRENCE 3 10,000,000 \*) *| | | LEAGHOGCURRENGE) __| EXCESS LIAB CLAIMS-MADE | AGGREGATE $ 10,000,000 oe0 _X | RETENTIONS 9 | c|WORKERS COMPENSATION 7018333715 | 22022 | weareoza |X [EER ure | | Se AND EMPLOYERS LIABILITY | STATUTE | ER | ANYPROPRIETOR/PARTNERIEXECUTIVE | E.L. EACH ACCIDENT $1,000,000 OFFICERMMEMBEREXCLUDED? = (Mandatory in NH) | ELL. DISEASE - EA EMPLOYEE, $ 1,000,000 tyes, describe und — DESCRIPTION OF OPERATIONS below | EL. DISEASE - POLICY LIMIT _$ 1,000,000 D | Professional Liab ‘AEH004316497 2124/2022 | 2/24/2023 | Claim/Occurence $5,000,000 D | Pollution Liabiity AEHQ04316497 2124/2022 | 2/24/2023 | Aggregate $5,000,000 E | Cyber Liability 660757102 2/24/2022 | 2/24/2023 | Limit $1,000,000 | | DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Evidence of Insurance AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
File revisions (1)
- Sep 29, 2026
2111d174ced710,954,806 bytes