314-24 Attachment.pdf

DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/2/2024 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). CONTACT NAME: PHONE (A/C, No, Ext): E-MAIL ADDRESS: PRODUCER DKB Group, LLC 7 Oak Pl Ste 8 Montclair NJ 07042 FAX (A/C, No): INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : RLI Insurance Company BRIGENG-01 INSURED Brightview Engineering, LLC 70 South Orange Avenue, Suite 109 Livingston NJ 07 NJ 07039 13056 16992 INSURER B : Westfield Select Insurance Company INSURER C : INSURER D : INSURER E : INSURER F : CERTIFICATE NUMBER: 1354560989 COVERAGES 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. INSR LTR A ADDL SUBR INSD WVD TYPE OF INSURANCE X CLAIMS-MADE X POLICY NUMBER PSB0007253 COMMERCIAL GENERAL LIABILITY POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY) 10/15/2024 10/15/2025 OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: PROPOLICY X JECT LOC LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) $ 2,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: A PSB0007253 AUTOMOBILE LIABILITY 10/15/2024 10/15/2025 ANY AUTO X OWNED AUTOS ONLY HIRED AUTOS ONLY $

2,000,000 GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: A PSB0007253 AUTOMOBILE LIABILITY 10/15/2024 10/15/2025 ANY AUTO X OWNED AUTOS ONLY HIRED AUTOS ONLY $ 1,000,000 X SCHEDULED AUTOS NON-OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) $ 2,000,000 $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A UMBRELLA LIAB X A B EXCESS LIAB X PSE0003624 OCCUR 10/15/2024 10/15/2025 CLAIMS-MADE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Professional Liability EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ PSW0004056 Y/N N 10/15/2024 10/15/2025 X PER STATUTE OTHER E.L. EACH ACCIDENT N/A $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT ADP-0000149 10/15/2024 10/15/2025 Per Claim Aggregate $ 1,000,000 2,000,000 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Evidence of Insurance ACORD 25 (2016/03) AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD