) o
ACCORD
Maer
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
4/12/2021
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 & 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).
Fred C. Church Insura Haye, — John Defgnan
. n nce
44 Wellman Street Tele Nip. exty. 978-458-1865 (AG, Nop: 978-454-1865
Lowell MA 01851
E-MAIL s_,
AppREss: jdeignan@fredeehurch.com
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: United Educators Insurance 10020
INSURED STUDCON-O1) euReR gs ; Philadelphia Insurance Company 23850
The Student Conservation Association, Inc.
4601 North Fairfax Drive INSURER. C:
Suite 900 INSURER D:
Arlington VA 22203 INSURERE
INSURER F :
COVERAGES CERTIFICATE NUMBER: 996393186
REVISION NUMBER:
THIS I§ 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 ADDL|SUBRI
POLICY EFF
(MMi
POLICY EXP
LTR TYPE OF INSURANCE INSD | wyp POLICY NUMBER DBA YYY} [IMMIDDNYYY} LIMITS
A | X | COMMERCIAL GENERAL LIABILITY A25353 4/1/2021 4/1/2022 | EACHOCCURRENCE $ 1,006,000
DAMAGE TO RENTED
CLAIMS-MAOE OCCUR PREMISES (Ea dccurrence) | $ 1,000,060
MED EXP {Any one person} $5,000
PERSONAL & ADVINJURY | S Included
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000
POLICY iter Loc PRODUCTS - COMP/OP AGG | S Included
OTHER: $
COMBINED SINGLE LiMIT
B | AUTOMOBILELIABILITY PHPK2256604 4/1/2024 4/1/2022 | ea accidenth $7,000,000
x | ANY AUTO BODILY INJURY (Per person) | 5
OWNED SCHEDULEO ;
OWNED ny |_| SgtEO BODILY INJURY (Par accident) | $
xX | HIRED x | NON-OWNED PROPERTY DAMAGE $
| **_| AUTOS ONLY AUTOS ONLY {Per agcident)
$
A UMBRELLA LIAB X | occur A2535B 4/1/2021 4/1/2022 | EAGH OCCURRENCE $25,000,000
X% | EXCESS LIAB CLAIMS-MADE AGGREGATE $
cep | X | RETENTIONS 4 ann gon >
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS’ LIABILITY YIN Srarute |__| ER
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L, EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? [| NIA
(Mandatory in NH} EL, OISEASE - EA EMPLOYEE] $
If yes, describe under
DESCRIPTION OF OPERATIONS below ELL. DISEASE - POLICY LIMIT | §
B | Property PHPK2256602 4/1/2021 4/1/2022 | Blanket Building $5,174,000
Blanket Contents $5,201,038
Deductible $6,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES {ACORD 104, Additional Remarks Schedule, may be attached if more space Is required)
If required by written contract, Certificate Holder is included as additional insured on ihe General Liability, Auto and Umbrella. Coverage is provided ona
Primary Non-Contributory basis as per General Liability form number CGL 06-2008 and CGL636X-1 0410; Auto Blanket Additional Insured - Primary and
Non-Contributory form 461-0478 1212. If required by written contract, and allowed by State Law, a waiver of subrogation applies for General Liability, Auto and
Umbrella per General Liability form CGL 06-2008, Business Auto Broadening Endorsement form 461-0155 0907. Umbrella liability is follow form.
CERTIFICATE HOLDER
CANCELLATION
CITY OF NASHUA NEW HAMPSHIRE
229 MAIN STREET
NASHUA NH 03060
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
AGCORDANGCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Pf od
ACORD 25 (2016/03)
@ 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
