21-23 Attachment.pdf

DATE (MMIDDIYYYY) aa) ACORD CERTIFICATE OF LIABILITY INSURANCE amo 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). Dale Group ee ean aE PO Box6 {Al Ho, ex. 973-377-7000 _ (AIC, No}: 973-377-4614 Florham Park NJ 07932 Appress: tinat@dalegroup.com _ _ INSURER(S) AFFORDING COVERAGE _ NAIC # INSURER A: Continental Casualty Company _ 20443 | INSURED SUBUR“7] insurer B : National Fire & Marine Insurance Company 20079 subuiben Consulting Eng. Inc. insurer ¢ : Valley Forge Insurance Company 20508 | Flanders NJ 07836 insurer D : Continental Insurance Company Of New Jersey _|_42625 insurer E : HSB Specialty Insurance Company 14438 INSURER F : COVERAGES CERTIFICATE NUMBER: 1784385551 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. TSR [ADDLSUBR] POLICY EFF | POLICY EXP. hi TYPE OF INSURANCE INSD | Wwvp POLICY NUMBER. {MNUDDIYYYY) | (MM/DDIYYYY) LMiTs A X | COMMERCIAL GENERAL LIABILITY Y Y | 7018338493 (2/24/2022 2/24/2023 | EACH OCCURRENCE $1,000,000 J X | DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (Ea occurrence) | $300,000 Contractual Lieb MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY _ | $ 1,000,000 _| GEN'L AGGREGATE LIMIT APPLIES PER: (GENERAL AGGREGATE $2,000,000 POLICY Loc PRODUCTS - COMP/OP AGG | $

00,000 Contractual Lieb MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY _ | $ 1,000,000 _| GEN'L AGGREGATE LIMIT APPLIES PER: (GENERAL AGGREGATE $2,000,000 POLICY Loc PRODUCTS - COMP/OP AGG | $ 2,000,000 OTHER: i | s 8 | AUTOMOBILELIABILITY Y | ¥ | 7018333701 212812022 | 2/24/2023 | GOMBINED SINGLE LIMIT” 5 7,000,000 X | ANY AUTO. BODILY INJURY (Per person) | $ |] OWNED ‘SCHEDULED | OWNED sy SCHED BODILY INJURY (Per accident)| § HIRED. NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY | (Per accident) § ‘A [X | uMBRELLALIAB | X | occur Y | ¥ | 7018338493 2124/2022 | 2/24/2023 | EacHOCCURRENCE 5 10,000,000 | EXCESS LIAB CLAIMS-MADE| AGGREGATE $ 10,000,000 | Toco [> [rere : G /INORKERS COMPENSATION 7018333715 2izarzoz2 | 2i2i2023 |X | EER ure ga AND EMPLOYERS’ LIABILITY ANYPROPRIETOR/PARTNERIEXECUTIVE | ELL. EACH ACCIDENT. $1,000,000 OFFIGERMEMBER EXCLUDED? [IN ])nra (Mandatory in NH) | ELL DISEASE - EA EMPLOYEE| $ 1,000,000 Iryes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT | s 1,000,000 D | Professional Liab AEHO04316497 2/24/2022 2/24/2023 | Claim/Occurence $5,000,000 D | Pollution Liability | AEHO04316497 2/24/2022 2/24/2023 | Aggregate $5,000,000 E | Cyber Liability | 660757102 2ieaye022 | 2/24/2023 | Limit $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 104, 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