CERTIFICATE OF LIABILITY INSURANCE (379)QYERAGES C!E&T LFICATE NgMBER:
112253056 REVISION NUMBER.
THIS IS TO CIaRTIFY THAT AHE POLICI''ES OF INSURANCE
IJSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE IPOLICT—PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENI.
"TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEN"T 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 - --------- - ------- ADD " UST—
pot mv F"4 ------- . .... . ........... . . . . . ......
PE OF INSURANCE INSD WV
POLICY NUMBER A ME"PiDE/ Y2Yly (MM1ODrYYYY`I, LIMITS
COMMERCIAL GENERAL LIABILITY
EA CH OCCURRENCE
7
-DAMAGE To`RENT9EI"""_1"� .m ... ......... . ............... . .... .
CLAIMS�MADE OCCUR
PREMISES LEa ovourrewcel—T ...... ..... ....... .. ..
.... ............... . . . . . .... ........ . . . . .. . . ............... .
14EqEXP (Anyone person) I$
-T$
. . . . ........... ... ....
N'L AGGRE GATE ILIIMIT AP PLIES PERK
GEN RALAGGREGATE $
ak'
OW
PRO.
JECT LOC
PRODUC
. .......
OTHER
.......... . . . ......................
AUTOMOBILE LIABILITY
00IN I 9INGLELIMIT
d I, amdenti... . ...... . ...... —_
ANY AUTO
xmlt BODILY INJURY (Per person) $
$5%4
ALL OWNED SCHEDULED
AUTOS RUTS
.. . ..................... ...... . . . . . ................... . ...... . . . . ............... . . .............
BODILY INJURY (Per acadenll) S
INON-OWNED
HIRED AUTOS
v". �V S
Au'ros
. . . . .......... . . . ........... . ........ .. . . . ...................
UMBRELLA LIAO 0 CUR
tILAIMS-MADE
EACH OCCURRIENCE,
EXCESSIJA9
i"
. ............. .
Aqg!jJLGATE . ......... ..
DED RETENTION $
�WORKERS COMPENSATMNI
i I I PER Uf'H.
!AND EMPLOYERS'LlAall-ITY YiN
I STATUTE ER .... . ... ................
ANY PROPRIETORPARTNERfFXECU I'IIVE
OFFICEIRWEVAGER F�XCI,I, JDED?'
E1, EACH ACCIDEn S
. ..... . ... . ............ ....... . .....
(Mandatory In NH) �]�NIA
E-L. DISEASE - EA EMPLOYEE $
if yes, desuibe under
... . ........
UESUIF,OPTION OF OPERATIONS IONS below
E.L. DISEASE - POLICY LIMIT $
A Professional / Pollulljon I ialb 'AEICPG15
79r2412015 9124=16 Per Clan 2.000-000
ClaIrns (Mae
Aggregate 5-000-000
Retro Date 912411986
Dedumble 25.000
DESCRIPTION OF OPERATIONS @ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule , may be attachodif mve space Is required)
CERTIFICATE HOLDER
CANCELLATION