Supporting Documentation · Mar 12, 2024
93-24 Attachment.pdf
c7a1433b14def597b1c29a07385c79255731982df5d1a6daf6827f68117be8e5Indexed text · page 26
Show all pagesACBED Cj DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 2/23/0023 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). ne fae” Tina Taran DaleiGrup {Ale No, Ext}: 973-377-7000 {216, no}: 973-377-4614 Florham Park NJ 07932 RabxEss: tinat@dalegroup.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Continental Casualty Company 20443 Sieben Goneuttnaleoa; (ne: SUBUR7| INSURER B: Valley Forge Insurance Company 20508 96 Hwy RT 206 Suite 10° INSURER c : Continental Insurance Company Of New Jersey 42625 Flanders NJ 07836 INSURER D : National Fire Insurance Company of Hartford 20478 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 2081948387 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. NSE [ADDL|SUBR] tee TYPE OF INSURANCE DW POLICY NUMBER | igiaBhy | camiaDnneey LiMITs ‘| X | COMMERCIAL GENERAL LIABILITY y | y | 7018338493 2124/2023 | 2/24/2024 | EacHOccURRENCE $1,000,000 DAMAGE TO RENTED ciaims-mane | X | occur PREMISES (Ea occurrence) _| $ 100,000 Contractual Liab MED EXP (Any one person) _| $ 15,000 A Fs SEALs. AE PERSONAL &ADV INJURY _ | $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 Loc PRODUCTS - COMPIOP AGG | $ 2,000,000 OTHER: $ D | AUTOMOBILELIABILITY Y | ¥ | 7018393701 2r2aj2023
SONAL &ADV INJURY _ | $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 Loc PRODUCTS - COMPIOP AGG | $ 2,000,000 OTHER: $ D | AUTOMOBILELIABILITY Y | ¥ | 7018393701 2r2aj2023 | 2/24/2024 | GOMBINEDSINGLELIMIT | $1,000,000 X ] any auto BODILY INJURY (Per person) | $ |_| OWNED SCHEDULED [| RufSfou [_] R068 BODILY INJURY (Por acide) | $ X | HIRED. NON-OWNED PROPERTY DAMAGE $ |©.| AUTOS ONLY ‘AUTOS ONLY (Per accident) $ A |X |UMBRELLALIAB | X | occur ¥ | ¥ | 7018333729 2resi2023 | 2/24/2024 | eacH OCCURRENCE $10,000,000 |_| excess uss CLAIMS-MADE| AGGREGATE $10,000,000 veo | X | Retentions oan B |WORKERS COMPENSATION 7018333715 arazors | 2eao2d [X [Eire | | eer AND EMPLOYERS’ LIABILITY anh ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED? NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE| § 1,000,000 tyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $ 1,000,000 iS Lv redtptrreg AEHO04316497 2/24/2023 2/24/2024 | Claim/Occurence en on lution Liabil regate 5,000, Cyber Llabity y AEHO04316497 2/24/2023 (2/24/2024 fear 9 $11000'000 DESCRIPTION OF OPERATIONS / LOCATIONS | VEHICLES (ACORD 101, Additional Romarks Schedule, may be attached if more space Evidence of Insurance required) 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
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