CERTIFICATE OF LIABILITY INSURANCE (8)
nom: ::iOlney Mil-'Slas At: Mclaughlin Insurance FaxlD: Molaugh~n Insurance To: Pam Phelps
Date: 10fi12004 02:40 PM Page: 2 of 2
ACORD_
CERTIFICATE OF LIABILITY INSURANCE
csR MI
BCGINC1 10 7 04
THIS CERTIACATEIS ISSUED AS A MATTER OF INFORMATIO
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_
I'tlODUCER
McLaughlin Insurance Agency
828 Lynnl!'el.1s Parlaray
Ke1.rose IdA 02176
Phone: 781-665-2175
Fax: 781-665-0295
INSURERS AFFORDING COVERAG-=
NAIC i#
-
IIlSlA:R k.
IIISlAER B:
IIISlAER C:
IIlSlA:R D:
INSI.IlER e:
Baston Cu1inaxy, Group, Inc_
Hi.ehae1 J. DeHarco
55 CaIIIb.ridGe Parkway
ea.bridge SA 02141
COVERAGES
TtE POlICIES 0lF1NSUIWfCE LISTED BELOW HAIII; llEENlSSUED TO TtE HllftD N'WEDABOIIE FOR TtE POUCY PERIOD IOCATED_ NOTWITHSTANDING
/lH'( REOUIREMENT, TERM OR CONlITION OF /lH'( CONTRACT OROTHERDOCUUENI'lMTH RESPECT TO VMCH lHS CERTFlCATEIMY IE ISSlEDOR
IMYPERTAI't TIHE INSURANCE AfFORDED BY TtE POlICES DESCRIBED HEREIN IS SUB.ECT TO AU. THE TERMS. EXCLUSIONS AND CONDnlONS OF SUCH
POLICES. AGGREGATE LMrS SHOWN IlAYHAVE BEEN REDUCED BY PM) aJINS.
~ c: TYl'ElII'_ -- POUCY "='~ ~
__..-..n EACIlllCCtH8lCE s 500,000
-
A I ~GBERIlLUAIIUlY CKD6901568 08/01/04 08/01/05 _81& Il<alrenl:e) S 50,000
- h CUUSMAllE [i] ~
1tilElf>lA<'I""""""",,) s 5,000
I PERSOIW. & MN KIURV S 500,000 '
GaEllALAGGIlEGATE S 5,000,000
nloGlGREGI\TE llIIOT N'lU:SPER mocucrs. COIoFICP AGG S 1,000,000
I'CIlEYn ~ n LOC
AIIRIM08&E UMIIIJlV COMBIfEO SINGlE UMIT
,-- $1,000,000
A NNAUrO (Ea acddonI)
I--
.oLLOI/IIEDAlIiOS IlOIll.v IIWIl'f
r- s
r!- saiEDll.EDN./TOS CKD6901568 08/01/04 08/01/05 (Per person)
~ HREDAIlTOS IlOIlLY_
S
~ IIl:1III-ClWNED AUTOS (Per~
PROPBUYDAMH;E S
(Peracti:ferl)
=r:= AUTO OM..Y ~ EAACCmENT S
OTtER TlWI EAAa: $
.o&.ITO 0"-" AGG S
EX~ ---A1.M8UIY I'AQl DCaIlRBI:E S 3,000,000
B ~0ClCUl DcuusMAllE 1lUG-054Z7'JR. 08/01/04 08/01/05 .lGGREGATE s 3,000,000
R= $ ,
S
s s
-___ I IT~s~S I ,0Eil"
e EMI'LO_~ 1ICZ55360601 12/29/03 12/29/04 s 500,000
/lIIfPlKlf'RlET~ E.L EACHACCIleIT
Cll'FURlNEMlEREla:UlCEIl7 E.L DISEASE - EA BlI'1..O'iEE $ 500,000
'l'l5.__
SPECUlLPRO'<lSIONs _ EL DISEASE - POUCY 1NT S 500,000
OTHER
D Liquor Liability ZQOOO5B79 08/01/04 OB/01/05 $500,000
~OF_'LOCA~'1IEICUB/EXC1.USIONB_BYBIlIl_1ElIT'__
Be: e>per.tiOD.S of the Named Insured'.t the lIaJ:borview Center , Cl.eaxw.ter ,
J!'L
CERTIRCATEHOLDER CANCELLAnoN
TOWII001 --..MYClF1IE___POUCEIIlECMICEUED 1IEFOIIE1IE_~
--.11l&__aA._lO-.
10 OAYSWMTSI
To WhCHR it may concern
1IOm&-.o1llECI!IIIIFICAJE___mTJE LEFT. 8UT~TO 110 IIO~
DIPO!lI! IlO ___ OR..-.rt lII'.......- __ _l11IllG8I1ll 011.
ACORD 25 (~1108).