ACOR D DATE (MMIDDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE
05/03/2021
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 endorsement(s).
PRODUCER NAME. Patricia LeBlanc
Brown & Brown of New Hampshire PHONE yy, (803) 424-9901 (Ave, No}: (886) 848-1223
309 Daniel Webster Highway EMAIL 5; pleblanc@bbnhins.com
INSURER(S) AFFOROING COVERAGE NAIC #
Merrimack NH 03054 INSURERA: The Travelers Indemnity Company of Connecticut 25682
INSURED INSURER B: [he Phoenix Insurance Company 25623
Flow Assessment Services LLC INsURERC; [tavelers Property Casualty Company of America 25674
72 Priscilla Ln. INSURER D: Admiral Insurance Company 24856
INSURER E :
Auburn NH 03032 INSURER FE:
COVERAGES CERTIFICATE NUMBER: — 2021 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 CR 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,
ADDLSUER POLICY EFF | POLICY EXP
fy TYPE OF INSURANCE INSD | W¥D POLICY NUMBER (MADDIYYYY) | (MMIDDIYYYY} LIMITS
><¢| COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000,060
| DAMAGE TO RENTED
| CLAIMS-MADE OCCUR PREMISES (Ea occurrence) 5 300,000
MED EXP {Any one person} § 5,000
A ¥ P.660-7R164868-TCT-21 01/01/2021 | 01/01/2022 | personaLeapvinsury | s 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s_2,000,000
<I poucy [88 [| tcc PRODUCTS -COMPIOP AGG | 2,000,000
OTHER: $
AUTOMOBILE LIABILITY FOMBINED SINGLE LIMIT $ 1,000,000
><| ANY AUTO BODILY INJURY (Per person} | $
OWNED SCHEDULED - 24-43- ;
B BUTOS ONLY AUTOS ¥ BA-7R164217-21-43-G 01/01/2021 | 04/01/2022 | BODILY INJURY (Per accident) | 5
HIRED NON-OWNED PROPERTY DAMAGE 3
Li) AUTOS ONLY AUTOS ONLY | (Per accident}
$
26] UMBRELLALIAB | ><] occur EACH OCCURRENCE 3_5.000,000
c EXCESS LIAB CLAIMS-MADE CUP-7R165472-21-43 01/01/2021 | 01/01/2022 | anorecaTe s 5,000,000
cep | ><| rerention 5 10,000 §
WORKERS COMPENSATION PER OTH.
AND EMPLOYERS’ LIABILITY YIN >< Stiure [>< Ee 7000000
Cee OIRO ONC URES TC UTIVE NIA UB-18084133 09/48/2021 | 03/48/2022 [EL EACHACCIDENT s_
(Mandatory In NF) E.L DISEASE -EA EMPLOYEE | s 1,000,000
If yes, describe under 4.000.000
DESCRIPTION OF OPERATIONS below EL. pséase-poticyuimit | ¢ 1000,
Contractors Pollut 4 Aggregate $5,000,000
onltactors FOWGON an .
BD Professianal Liability FEI-ECC-28148-00 04/01/2027 | 01/01/2022 | Each Claim $5,000,000
DESCRIPTION OF OPERATIONS | LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space fs required)
The City of Nashua is listed as additional insured for ongoing and completed operations when required by written contract or agreement.
Workers Compensation 3A States: CT, DE, MA, MD, ME, NH, NJ, NY, PA, RI, VA, VT
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
The City of Nashua AGGORDANCE WITH THE POLICY PROVISIONS.
229 Main Street
AUTHORIZED REPRESENTATIVE
City Hall
Nashua NH 03060 “Patucer Li Aten
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