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ACCORD
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CERTIFICATE OF LIABILITY INSURANCE
[cate (amopyyyy ~~)
5/3/2021
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 be endorsed, If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policles may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In fleu of such endorsement(s).
PRODUCER aaeEC’ Jennifer Letendre
THE ROWLEY AGENCY INC. FacNe cin. (603) 224-2562 Fe wor, s609220-0012
45 Constitution Avenue Stoness; Jle@tendre@rowleyagency .com
&.0. Box 511 INSURERS) AFFOROING COVERAGE WAIC
Concord NH 03302-0511 INSURERA.Firemen's Ins Co of Wash. DC 21784
RNSURED INSURERS Acadia Insurance Company 31325
Harvey Construction Corporation wsurere Liberty Insurance Underwriters, Inc 19917
10 Harvey Road INSURER 0:
INSURER E.
Bedford NH 03110 INSURER F:
COVERAGES CERTIFICATE NUMBER:19/20 CERT w/20/21 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 REC REMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE iSSVED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TC ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIO CLAIMS
AOOL[SUBR
INS TYPE OF INSURANCE POLICY NUMBER a pas LIMITS
X | COMMERCIAL OENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
[DAMAGE TO RENTED
A | cuwms.tace | x ] occur kes 300,000
| CPA0184919-23 7401/2019 | 7/01/2020 | MEO EXP tAny one parsony | $ 5.000
| PERSONAL BAOVNUURY | $ 1,000,000
GENL AGGREGATE UMIT APPLIES PER GENERAL AGGREGATE $ 2,900,000
POLICY | x [22 | sroc PROOUCTS - COMP/OPAGG | $ 2,000,000
OTHER: Employes Banatss $ 1,000,000
AUTOMOBILE LIABILITY COMBINE D SINGLE LIMIT $ 1,000,000
A i ANY AUTO: BODILY INJURY (Per person) | $
x Autos Neo ares” CAAC144920-23 9704/2029 | 9/01/2020 | BODILY (NJURY (Per accident) | $
x) NCN OWNED PROPERTY OAMAGE
_X | nireo autos AUTOS {Per scardent s
| Uninsured motorist Bi-single ima | $ 1,000, 000
umereLAuas — | X | occur €UA5402622-10 EACH OCCURRENCE $ 10,000,000
B LX | Excesstias CLAIMS.MADE AGGREGATE $ 10,000,000
peo | X [RETENTION s 0 7/01/2019 | 7/01/2020 $
WORKERS COMPENSATION OTT
AND EMPLOYERS’ LIABILITY on SOS da bh a 2 xi sranure | [eR
ANY PROPRIETORIPARTNER/E XECUTIVE
OFFICERMEMBER EXCLUDED? [N NIA EL_EACH ACCIDENT s $00,000
A | (Mandatory in NH} NPAO242726-22 3/01/2020 3/01/2021 | EL DISEASE . EAEMPLOVEE | $ $00,000
Ives, duscibe undss
OE SCRIPTION OF OPERATIONS betow EL OISEASE -POLICYiMaT | $ $00,000
C | excess Liability 1000307691-01 7/01/2019 | 7/01/2020 | EXCESS nebtityacc 15,000,000
DESCRIPTION OF OPERATIONS # LOCATIONS / VEHICLES (ACORD 101, Addie Ramerks Schedule, mey be had [f mors epece (a requirsd)
Croject: New D.0.W. Administration office Building, Four Hills Landfill, 640 W Hollis Street, Nashua NH
03062. The City of Nashua and HKT Architects and their consultants are additional insureds w/respects to
general liability when required by written contract.
CERTIFICATE HOLDER
CANCELLATION
City of Nashua
229 Main St
Nashua, NH 063060
SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE OELIVERED IN
ACCOROANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
CK CG
BIE Simpson/JLP
ACORD 25 (2014/01}
INSO25 (ac1dot;
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