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ACORD
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CERTIFICATE OF LIABILITY INSURANCE
DATE (Mi/DDYYYY)
05/06/2021
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, tho policy(les) must be endorsed. ff 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 holdor in tiew of euch endorsemont(s)
PROOUCER CONTACT
PHONE FAX
Automatic Data Processing Insurance Agency, Inc. ine No, Ext) {ArC, No).
1 Adp Boulevard
Roseland, NJ 07068 INSURER(S) AFFORDING COVERAGE NAIC @
insuRERA. “Wesco Insurance Company 25014
INSURED CRISP CONTRACTING LLC wsurerB: Maine Mutual -MMG Insurance Co.
411 Lock Street msurernc: United Financial Casualty
Ste 204 INSURER D :
Nashua, NH 03064 INSURER E
INSURER F .
COVERAGES CERTIFICATE NUMBER; 4492898 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 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.
INSR TYPE OF INSURANCE an lern | POLICY NUMBER | MOBY | (MMI DIY) UMITS
wa COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE is 1,000,000
DAMAGE TO RENTED '
cuamsmane WA occur | PREMISES (Ea occurence) | $ 250,000
MEO EXP (Any one person) | $ 10 ,000
B |./ Blanket Al Form x $C12774108 04/28/2021 | 04/28/2022 7 onal RADVINJURY | $ 1,000,000
GEN AGGREGATE UMIT APPLIES PER GENERAL AGGREGATE | $ 2,000,000
| POLICY Seer Loc | PRODUCTS - COMPIOP AGG | $ 2,000,000
OTKER | i$
COMBINED SINGLE LIMIT |
AUTOMOBILE LIABILITY {€2 sccdent) $ 1,000,000
ANY AUTO i BODILY INJURY (Par person} | $
— ALL OWNED ) SCHEDULED ,
c Atos rests xX 01730073-1 04/18/2021 | 04/18/2022 BOOLY INJURY (Pe? acodent) | §
[~— NON-OWNED “PROPERTY DAMAGE ‘5
HIREDAUTOS |__| auTos | Per acedenn) —.
| 3
| UMBRELLA LIAB occur EACH OCCURRENCE ls
EXCESS LIAB CLAIMS-MADE AGGREGATE is
DED RETENTION S Ls
WORKERS COMPENSATION \ PER OTH |
AND EMPLOYERS: LIABILITY YIN ' X | starure eR 400.000
ANY PROPRIETOR PARTNERVEXECUTIVE H ACCIDENT ,
A OFFICERMEMEER EXCLUDED? nia N | WWC3144042 05/11/2021 | 05/11/2022 | EL EACH ACCIDE ‘= 100.000
Gaandatory in _EL. DISEASE - EA EMPLOYEE $§ '
tf yes. descrpe vhoe f | 500,000
DESCRIPTION OF OPERATIONS beow EL DISEASE - POLICY LIMIT | $ ,
|
DESCRIPTION OF OPERATIONS | LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER
CANCELLATION
CITY OF NASHUA NH
229 MAIN STREET
PO BOX 2019
NASHUA, NH 03061
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Vu,
ACORD 25 (2014/01)
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