CERTIFICATE OF LIABILITY INSURANCE (545) RI HTP-01 CJOHNSON
lw L DATE(MRMIDD/YYVY)
CERTIFICATE OF LIABILITY INSURANCE 1212312019
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(les)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 lien of such endorsements).
PRODUCER CONTACT
i..NAME _
Acnes&Gough PHONE _— - FAx
859 Willard Street (Aac No,E (617 328 6555 laic,No):i617 328=6888
Suite 320 r-r�A'L Boston arms oLl h+nom
Quincy,MA 02169 �I�DREss;_ . - _g, ,.9...... .. -
._.._„INSU'R__E AFFO DIN CAVE AGE ( NAIC(# _
r. .....�. .— _..._..... _._ ... i.i__"__RA:Lex ngton,ln urance Compi 19437.
.._.
INSURED I INSURER 6 _._
Wright-Fierce 3 � � IN S R e
11 Bowdoin Mill Island _...._ _ ...- ..._..,_ .
Suite 140 INSURER d,.. .
Topsham,ME 04086 INSURrR E
'...,INSURER F
COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT VVITH 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 IAS7DLaSUBR, POLICY EF]F ? POLICY EXP
LIR TYPE OF INSURANCE INSP � POLICY NUMBER. � LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5
ji CLAIMS-MADE OCCUR � a DAMAGE TO RENTEt7
$
...
„FXP.(Any one persgnlT
i...EERSQNAL�S ADV INJURY _3,._._......
GEN'L AGGREGATE LIMIT APPLIES PER ENERAL,AC,GRF ATE
�•
P{SLkCY�� RLCC _PR QUCTS-COMP101 €?AGG F
- OTHER
AUTOMOBILE LIABILITY ( GOht1I31NED SINGLE LIMIT
IES ae�ie3e—nt)_ $,.
I
ANY AUTO BODILY INJURYfPerp rso•%) .S
OWNED � SCHEDULED _.. ._...�...�
AUTOS ONLY AUTOS 8 5DILY INJURY acral nt7 3--
�pp ��gg _.
AVER ONLY . AN
CS ONYIaoc
}'
UMBRELLA LIAR OCCUR rEACHOCCUFiRENC .J _
EXCESS LIAR I CLAIMS MADE ( AGGREGATE ATF
_.
DED FIETENTION$
WORKERS COMPENSATION PER OTH-
P EMPLOYERS`UABIIJTY Y d N I 1 �-1 ST lT`E�- ER
ANY PROPRIETOR/PARTNER/EXECUTIVE I E.L EACH t CCIDENT S
(�FFIr;cRlha h'$�R EXCI 11'01 N I A
(Mandatory in NF4)
F,L_DISEASE EAEMPLOYFE' $_
I[ es,describe under
DESCRIPTION OF OPERATIONS oe'ow ' E L DISEASE-POLICY LIM3T S
A 1Prof.Liability 031711011 111/2020 1/112021 Per Claim Limit 5,000,000'
A 1 031711011 1/1/2020 111/2021 ,Aggregate Limit 5,000,000
DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached 1r more space is required)
All Coverages are in accordance With the policy terms and conditions.
RE RFQ1#26-19
CERTIFICATE HOLIER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Cit of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City ACCORDANCE WITH THE POLICY PROVISIONS.
Engineering,RFQ#26-19
P.O.BoX 4748
Clearwater,FL 33758-4748 AUTHORIZED REPRESENTATIVE
t�r
ACORD 25(2016/03) - 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD