91-24 Attachment - Neglia.pdf

SECTION 4 Sample Insurance Certificate DATE (uMONYYY) ZS, ACORD CERTIFICATE OF LIABILITY INSURANCE rel 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 tho 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, cortain policies may require an endorsement. A statement on this cartificata does not confer rights to the certificate holder in lieu of such endorsements). Proaieen, SRRECT Jeff Kozarshy 38 NEW HYDE PARK RO TREN, exy: 516-209-8788 THE, roy 516-470-0808 SUITE 4 Sitinéss: iKozarsiy@genattaro.com NEW EE EAB NAL O42 _INSURER(S) AFFORDING COVERAGE nace insunen a: XL Specialty Insurance Campany 37886 wma fe eo, rt doin PAL) ‘GREENWAY niguren a : Everest National Insurance Company 10120 S07 Givaltar Dive, Sule 28 isuren : North Pointe Insurance Company 27740. Morris Plains NJ 07950 insurer: QBE Insurance Corporation 39217 ingunen Stonington Insurance Company 10340 suren : Allied World Assurance Company (U.S.) Inc 19498 COVERAGES: CERTIFICATE NUMBER: 1051438221 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 COCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERENN IS SUBJECT TO ALL THE TERMS, 5. rr } 200 | 1s¢00n0 | ned yew pee | $0060 | PERSOWAL ADV INJURY | $1,000,000. ae hoe fi erent Pani ae ‘DX COMMERCIAL GENERAL LIABILITY 171000795 yavsi2023 | 12/31/2024 DAMAGE To FENTE PRERRES sae cuamsuane _X | occur “Gen AGGREGATE Lan APBLES PER ceveraagoneeare | 34,000,000 rousy X FB% /X) vo proDucrs.couorer aaa | $4,000,000 on : © AUTONCALELABLFY Ter00TT Taaieoas | aa vaIDe | NONEDSNGTELHT | 52,600,000, X_ ANVAUTO EOULYIMURY at paan,| 5 ‘OWNED "") SCHEDULED C af =) UNE oy) BONE BODILY INURY ar

.couorer aaa | $4,000,000 on : © AUTONCALELABLFY Ter00TT Taaieoas | aa vaIDe | NONEDSNGTELHT | 52,600,000, X_ ANVAUTO EOULYIMURY at paan,| 5 ‘OWNED "") SCHEDULED C af =) UNE oy) BONE BODILY INURY ar aid] 3 Meine EROPERTTOANACE |p Ndeony % A eeOMy Coe 3 2X UWeRELLALAB —-X | occur ‘ReBCUOISIAEST yaaiec2s | 1212028 | eacr cocun $5,000 000 exceesuna cunnieuane ACREGATE $5,000 000 pep _X_AETENTIONS 4 s © WORKEIes CaWFENsATION TS20007ES animes | ranwame [PSnae LIB {AND EMPLOVERG' LIABILITY —— EL EACH ACCIDENT $1,000,000, sreemamannersap ieee | EL OISEASE. ca EWPLoved| = 1,000,000 BHR trscorane ex oeese- roy at [100005 Ps Taran aTES | Tae [vests Hees PERE umin Ea ‘Bavage | inte [EEE ato pions EG ‘DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 10%, Adlinal Remarks Schule, may be allached Himore spaces vealed) CERTIFICATE HOLDER ‘GANCELLATION 30 day notice applios SAM P L E ‘SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE sipugan’ opr sore arse roves pace ep eine FOR INFORMATIONAL aT PURPOSES ONLY Wh ba ACORD 25 (2016/03) ‘The ACORD name and logo are registered marks of ACORD GPI Sample Insurance Certificate | Page 7