294-22 Korwell PS-Proposals.pdf

ACORD DATE (MMDDN'YYY) CERTIFICATE OF LIABILITY INSURANCE 11/22/2021 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 Risk Strategies Company _ Saws Certificate Department _ Ba est Cantu y Road, Suite 304 (Ale No. Ext 201-837-1100 war: ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC INSURER A: Travelers Indemnity Company of CT 25682 INSURED NsuReR |: Charter Oak Fire Insurance Compan 25615 ow Engineers ing. INSURER C: Travelers Property Casualty Co of Amer 25674 Butler NJ 07405 INSURER D: Travelers Indemnity Co of America 25666 | WsuRER e: XL Specialty Insurance Compan 37885 INSURER F: COVERAGES CERTIFICATE NUMBER: 65097632 REVISION NUMBER: 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, Al TYPE OF INSURANCE Raabe POLICY NUMBER gawrDBNY ND | cuMDBI Lunt A. | y | COMMERCIAL GENERAL LIABILITY 680-4H600532 11/17/2021 | 11/17/2022 | each occuRRENCE $1,000,000 | DAMAGE TO RENTED | Jc.ams-mave [ ¥ ] occur PREMISES (Ea occurence) | § 1,000,000 fl MED EXP (Any one person) | § 10,000 [| PERSONAL & ADVINJURY _ | $1,000,000 | GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE _| $2,000,000 |__| Poucy Loc PRODUCTS - CoMP/OP AGS | $ 2,000,000 OTHER: $ B_ | AUTOMOBILE LIABILITY BA-1R779330 11/17/2021 | 11/17/2022 | FOMEREDSINGLELIMIT 7 $+

E LIMIT APPLIES PER: GENERALAGGREGATE _| $2,000,000 |__| Poucy Loc PRODUCTS - CoMP/OP AGS | $ 2,000,000 OTHER: $ B_ | AUTOMOBILE LIABILITY BA-1R779330 11/17/2021 | 11/17/2022 | FOMEREDSINGLELIMIT 7 $+ 000,000 v_| ANY AUTO BODILY INJURY (Per person) | $ [| OWNED ay SCHEDULED | BODILY INJURY (Per eccident)| § HIRED. NON-OWNED PROPERTY DAMAGE $ |__| autos onLy AUTOS ONLY (Per accident) $ C [y | umeRELLALiag | 7 occur CUP-7687Y853, 11/17/2021 | 11/17/2022 | cacti occURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 veo | ¥ [retentions 10,000 D_ [WORKERS COMPENSATION UB-9N61163A THT 712021 [14/17/2022 | 7 | BER, oe Maeuriovene' CABEITY vim vy [Sifvure |_[B8 ANYPROPRIETORIPARTNEREXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED? NIA (Mandatory in NH) E.L, DISEASE - EA EMPLOYEE) § 4,000,000 tyes, describe under | DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $ 1,000,000 E_ [Professional Liability DPR9986370 12/4/2021 | 12/4/2022 | Per Claim $ 2,000,000 | Aggregate $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Proof of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ‘AUTHORIZED REPRESENTATIVE Ki Ln FEAL. Hl RSC Insurance Brokerage © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 65097632 | CREWOIN | 2021-22 Gh, Auto, Umbrella, Wc, FL | Angela Fasolas | 11/22/2021 9:25:22 AM (BST) | Page 1 of 1