CERTIFICATE OF LIABILITY INSURANCE (3)
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ACORD
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CERTIFICA 1
, OF LIABILITY INSURA(
"E DATE (MMlDDIVY)
J 02/03/2006
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER
MacDonald & Pangione Insurance Agency, Inc.
P.O. Box 428
104 Main Street
North Andover, MA 01845
INSURED CTM Group Inc
DBAThe Pennyman
254 North Broadway Suite 207
Salem NH 03079
INSURERS AFFORDING COVERAGE
INSURER A: Burlington Insurance Company
INSURER B: Hartford Insurance CO
INSURER C:
INSURER D:
INSURER E:
COVERAGES
THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING
ANY REQUIREMENT. TERM OR CONDmON 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
II~fr TYPE OF INSURANCE POUCY NUMBER ~~,:~ "g~W,~~~N UMllS
A GENERAL UASlUTY EACH OCCURRENCE $ 1000000
f-- 953BW06367 02/01/2006 02/01/2007
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one Ii(e) $ 100000
f-- J CLAIMS MADE KJ OCCUR MED EXP (Any one person) $ 5000
- . PERSONAL & ADV INJURY $ 1000000
GENERAL AGGREGATE $ 2000000
- .
n'LAGGREAE LIMIT APPLIES PER: PRODUCTS-COMP~PAGG $ 2000000
POLICY P,~W; ri LOC
B I_~~.TOMOBILE LIABILITY 08 UEN UE5976 12/01/2005 12/01/2006 COMBINED SINGLE LIMIT 1$
ANY AUTO (Ea accident) 1000000
-
~ ALL OWNED AUTOS BODILY INJURY
(Per person) $
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
~ (Per accident) S
NON-OWNEDAUTOS
PROPERTY DAMAGE $
(Per accidenl)
GARAGE UABlUTY AUTO ONLY. EA ACCIDENT S --
l ANY AUTO I OTHER THAN EA ACC $
AUTO ONLY: AGG $
B EXCESS UABILITY I $ 2000000
o OCCUR.r1 CLAIMS MADE HUMOO05507 02/01/2006 02/01/2007 EACH OCCURRENCE
AGGREGATE $
$
R DEDUCTIBLE '$
RETENTION $ $
WORKERS COMPENSATION AND I. v..c STATU- i I XIOTH-
A 08 WB KL9397 12/01/2005 12/01/2006 TORY LIMITS ER
EMPLOYERS' LlABlUTY
--.. ". --- -- E.L EACH ACCIDENT $ _~OOOoO,
-,-- --.'-'-~-'--- -------_._-~- ,--, - ,.--"- ---- ~-- ,- -. ., ..
E.L. DISEASE - EA EMPLOYEE $ 500000.
E.L. DISEASE - POUCY lIMrr $ sonooo
OTHER
DESCRIPTION OF OPERATlONSILOCATl0N5IVEHICt..ES/EXCLUSIONS ADDED BY ENDORSEMENTISPEaAL PROVISIONS
Additional Insured: Barefoot Beach House
CERTIFICATE HOLDER I I ADDrnONAL INSURED; INSURER LETTER: CANCELLA TlON
SHOULD AI{'( OF THE ABOVE DESCRIBED POUCES BE CANCELLED BEFORE THE EXPlRATlON
DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ 10 DAYS WRITTEN
Barefoot Beach House NOTlCE 10 THE CERTlFICATE HOLDER NAMED TO THE lEFT, BUT FAILURE TO DO so SHALL
332 S. Gulfview Blvd IMPOSE NO OBUGATlON OR UABlUTY OF ANY KIND UPON THE INSURER, ITS AGENlS OR
Clearwater Beach, FL 33767 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ...G?tiJ t/{PvP ~
I ,
ACORD 2S-S (7/97)
e ACORD CORPORATION 1988