Client#: 25254
ACORD.
CERTIFICATE OF LIABILITY INSURANCE
SANBHEAD
DATE (MMUDD/YYYY}
6/05/2020
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 ES WAIVED, subject to the terms and conditions of the polley, certain policies may require an endorsement. A statement on
this ceriificate does not confer any rights to the certificate holder in lleu of such endorsement(s).
PRODUCER
Greyling Ins. Brokerage/EPIC
3780 Mansell Road, Suite 370
Alpharetta, GA 30022
[FUGNG, nxn, 770.552.4225
CONTACT Katie Kresner
[FAX oy. 866.550.4082
EMAL... Katie.Kresner@greyling.com
INSURER(S) AFFORDING COVERAGE |
NAIC #
INSURER A: Twin City Flre Insurance Co. ‘29459
) INSURED . INSURER B : Hartford Casualty Ins. Co. "29424
Sanborn, Head & Associates, Inc. INSURER c: Continental Casualty Company 204423
20 Foundry St INSURER D :
Cencord, NH 03301-5419
INSURER E:
INSURER F : }
COVERAGES CERTIFICATE NUMBER: 20-21 REVISION NUMBER:
THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FCR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR GTHER 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.
ADDL 'SUBR
POLICY EFF : POLICY EXP .
hae TYPE OF INSURANCE ADDL SUPE POLICY NUMBER (MBDA) (MMOD YY) LIMITS
A |X| COMMERCIAL GENERAL LIABILITY i | 20SBWAJ8772 (06/12/2020 06/12/2021 each occURRENCE $7,000,000
| CLAIMS-MADE [ x’ OCGUR BATE ee ce $1,000,000
| | i | MED EXP (Any one parson) 31 0,000
|_| _ PERSONAL & ADV'NJURY $1,000,000
| GEN'L AGGREGATE LIMIT APPLIES PER: | : GENERAL AGGREGATE ‘$2,000,000
|_| poucy | x! iEer Lx | Loc f | | PRODUCTS - COMP/OP aaa '¢2,000,000
OTHER: |} | ‘$
A, | AUTOMOBILE LIABILITY 20UEGIB8152 06/12/2020 06/12/2021 aohea OM | 61,000,000
X] any auto | BODILY INJURY (Per person) | $
| SHIR owLy | SCHEDULED ! "BODILY INJURY (Per accident) | §
|_| Ruts OnLy | AUTOS ONLY {Ber neve) noe i$
'$
B | X| UMBRELLALIAB | X | occuR ; | 20XHGXU6001 06/12/2020 06/1 pa EACH OGCURRENGE $6,000,000
EXCESS LIAB CLAIMS-MADE : AGGREGATE $6,000,000
DED X_ RETENTIONS 10000 ! ‘3
A, | WORKERS COMPENSATION vn. |2OWEGABSOR2 joe/12/2020 06/12/2021. x [fine | Oe
ANY PROPRIETOR /PARTNEREXECUTIVE: NINA : | ' E.L. EACH ACCIDENT . $1,000,000
(Mandatory in NH} _E.L. DISEASE - EA EMPLOYEE’ $1,000,000
lf yes, describe under 1 : i
DESCRIPTION OF OPERATIONS below ; E.L. DISEASE - POLICY Lim _' $1,000,000
C |Professional Liab | AEH591889064 06/12/2020 06/1 2/2021: Per Claim $5,000,000
includ. Pollution | | Aggregate $7,000,000
Liability it |
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The City of Nashua, New Hampshire is named as an Additional Insured on the above referenced liability
policies with the exception of workers compensation & professional liability where required by written
contract.
_CERTIFICATE HOLDER
CANCELLATION
City of Nashua, New Hampshire
840 West Hollis Street
Nashua, NH 03062-0000
SHOULD ANY OF THE ABOVE \opeene one BE CANCELLED BEFORE
THE EXPIRATION DATE " F, ILL BE DELIVERED IN
ACCORDANCE WITH THE
AUTHORIZED REPRESENTATIVERIGK, Wat “" e
LAG. ign
ACORD 25 (2016/03) 1 of 1
#52243655/M2243442
© 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
KKRE1
