348-24 RFP - MA 2025 NJDOT Responses.pdf

o Yo ACORD i CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 12/26/2023 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 endorsements). PRODUCER Greyling Ins. Brokerage/EPIC 3780 Mansell Rd. Ste. 370 Sime. °* Rebecca Egan (le Wo. exty: 770-552-225 [WS nor: Alpharetta GA 30022 SBDNEss: greylingcerts@greyling.com - INSURER(S) AFFORDING COVERAGE isurer a: Markel American Insurance Company INSURED HEMARGSH Hartford Underwriters Insurance Company H2M Architects + Engineers 538 Broad Hollow Road Melville, NY 11747 INSURER B: INSURER C : Sentinel Insurance Company, Ltd. INSURER D : Hartford Casualty Insurance Company INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 1072411515 REVISION NUMBER: 24-25 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. Ri R Les TYPE OF INSURANCE hse wn POLICY NUMBER (GaN) | MDH LiTs "q | x COMMERCIAL GEN! JERAL LIABILITY 20UUGAU9233 11/2024 11/2025 | EACHOCCURRENCE $1,000,000 DAMAGE TO RENTED: CLAIMS-MADE OCCUR PREMISES (Fa occurrence) __| $ 1,000,000 (MED EXP (Any one person) $10,000 _ PERSONAL & ADV INJURY _| $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 | [x |PRO [Xx poucy |X SRS toc PRODUCTS - COMP/OP AGG | $ 2,000,000 OTHER: | $ © | AUTOMOBILE LIABILITY 20UEGAU7896 | tiz0z |

1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 | [x |PRO [Xx poucy |X SRS toc PRODUCTS - COMP/OP AGG | $ 2,000,000 OTHER: | $ © | AUTOMOBILE LIABILITY 20UEGAU7896 | tiz0z | 1nizo2s | GONBINERSINGLELIMIT” T's 1,000,000 X | ANY AUTO | BODILY INJURY (Por poreon) | $ OWNED SCHEDULED " Co on BODILY INJURY (Per accidoni| $ X HIRED. X_ NON-OWNED PROPERTY DAMAGE Ts AUTOS ONLY AUTOS ONLY (Per accident | [s D |X UMBRELLALIAB | X 2OXHGYH2145 wieozs | 1/1/2025 | eacnoccuRRENCE $5,000,000 EXCESS LIAB AGGREGATE $5,000,000 pep _X | RETENTIONS yo nn0 = D |WORKERS COMPENSATION 3285 | BER ig worsens Comte SSATON 2OWBGATS2 wwizoz | 11/2025 |X | Shute | [oh anne eee {UTIVE E.L. EACH ACCIDENT. $1,000,000 OFFICER/MEMBER EXCLUDED’ [NIA (Mandatory in Gas E.L. DISEASE - EA EMPLOYEE] $ 1,000,000 if describe 12): SORPTION OF OF SeeRATIONS below E.L. DISEASE - POLICY Limit | $ 1,000,000 A | Professional Liability MKLM7PL0002521 1/1/2024 1/1/2025 | Per Claim 5,000,000 | Aggregate 5,000,000 | DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached i more space Is required) CERTIFICATE HOLDER CANCELLATION For Proposal Purposes, only SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ‘AUTHORIZED REPRESENTATIVE Jr244 fratathod, ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD