07/30/2021
@ DATE (MM/DD/YYYY,
ACORD CERTIFICATE OF LIABILITY INSURANCE
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 BONTACT Andrea Nicklin
FIAI/Cross Insurance IAG ND, Ext, (603) 669-3218 (Are, No); (603) 645-4334
1100 Elm Street EMA ss: Manch.certs@crossagency.com
INSURER(S) AFFORDING COVERAGE NAIC #
Manchester NH 03101 INSURERA: S€lective Insurance Co. of SC 19259
INSURED INSURERB: S€lective Insurance Co of Southeast 39926
Schroeder Construction Management Inc. INSURER C:
2 Townsend West, Unit 3 INSURER D:
INSURER E:
Nashua NH 03063 INSURER F:
COVERAGES CERTIFICATE NUMBER: = 21-22 All w/MA & NH WC 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 ADDLISUBR POLICY EFF_| POLICY EXP
LTR TYPE OF INSURANCE INSD | WWD POLICY NUMBER (MM/DDIYYYY) | (MM/DDIYYYY) LIMITS
x< COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED
| CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $ 500,000
MED EXP (Any one person) $ 15,000
A Y $2437296 08/01/2021 | 08/01/2022 | seeconaLaapvinuury | 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE g_ 2,000,000
POLICY oRo. Loc propucts-compiopace | 5 2:000,000
OTHER: Cyber Liability Coverage | $ 100,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
(Ea accident)
><] any auto BODILY INJURY (Per person) | $
OWNED SCHEDULED ;
A AUTOS ONLY SuToS $2437296 08/01/2021 | 08/01/2022 | BODILY INJURY (Per accident) | $
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY (Per accident)
$
><} UMBRELLA LIAB ><! occur EACH OCCURRENCE g 4,000,000
A EXCESS LIAB CLAIMS-MADE $2437296 08/01/2021 | 08/01/2022 | ,ccrecate s 4,000,000
DED | | RETENTION $ $
WORKERS COMPENSATION x] PER OTH-
AND EMPLOYERS' LIABILITY YIN STATUTE ER 7900000
BO CROMCNIBER OXCLUDLDD UTIVE NIA WC9083197 (3a.) MA & NH 08/01/2021 | 08/01/2022 [EL EACHACCIDENT go
(Mandatory in NH) E.L. DISEASE -EA EMPLOYEE | ¢ 1,000,000
If yes, describe under 1.000.000
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $ UY“?
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Proof of Insurance for bidding purposes.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Nashua, NH ACCORDANCE WITH THE POLICY PROVISIONS.
229 Main Street
AUTHORIZED REPRESENTATIVE
|
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