e
ACORD
Ware
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYYYY}
5/26/2016
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
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
certificate holder in fieu of such endorsement(s).
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy{ies} must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and canditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
PRODUCER
THE ROWLEY AGENCY INC.
45 Constitution Avenue
P.O. Box 511
Concord NH 03302-0511
WWSURED mmo swe SSS T e es sen
Electric Light Company, Inc.
Coastal Traffic, Inc.
One Morgan Way
Cape Neddick ME 03902
Namen Susan Gilman
PRONE (603) 224-2562
FAX
(AIC, No, Ext): {AIC, Ng): (503) 224-8012
| ADDRESS: 5“ sgilman@r rowleyagency . com
INSURER(S} AFFORDING GOVERAGE _
INSURERA:Travelers Prop Cas Co of Amer
INSURERB:Charter Oak Fire Ins Co 25615
INSURER C ‘Travelers Indemnity Co of CT 25666
INSURER D:
INSURER E: a
INSURER F :
COVERAGES
CERTIFICATE NUMBER:15-16 all lines
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.
Covering electrical contracting operations of the insured.
general liability, auto liability and umbrella when required by written contract with named insured.
INSR ADDLISUBR POLICY EFF | POLICY EXP
LTR TYPE OF INSURANCE ins! ee POLICY NUMBER (MM/DDIYYYY} | (MMIDDIVYYY) LERITS
A | X | COMMERCIAL GENERAL LIABILITY CO66271688TIL15 12/31/2015 | 12/31/2616 | EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED
} CLAIMS-MADE x OCCUR PREMISES (Ea occurrence) $ 300,000
_X | €G0001 20/2001) MED EXP (Any one person} $ 10,000
Po PERSONAL &AOVINJURY 1 2,000,000
| GEN. AGGREGATE Lina APPLIES PER: GENERAL AGGREGATE _ $ _ 2,000,000
|__| POLICY [x] 58 SECT J Loc PRODUCTS - COMP/OP AGG | & 2,000,000
OTHER: Employee Benefits $ 1,000,900
Bp | AUTOMOBILE LIABILITY "| 81066271 756COF15 12/33/2015 | 12/31/2016 | GOMBINED SINGLELIMIT Ig 1,000,000
X | any auto i BODILY INJURY (Per person) | $
ALL OWNED Sotee BODILY INJURY (Per accident)} $
xX _ X | NON-OWNED PROPERTY DAMAGE $
| * | HIRED AUTOS AUTOS {Per accident)
| I Medical payments $ .
A x UMBRELLA LIAB | * | OCCUR CUP6G881269TILIS 12/31/2015 | 12/31/2016! EACH OCCURRENCE $ 5,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000
peo | X | RETENTIONS 10,000 $
C |WORKERS COMPEKSATION UB6G271812TCTI5S 42/32/2015|12/31/2016| ¥ | PER OTH-
AND EMPLOYERS' LIABILITY YIN (33/ (suf | starure |__| ee
ANY PROPRIETORIPARTNER/EXECUTIVE [ 3A States: CT MA ME NH VT E.L. EACH ACCIDENT $ 500,000
OFFICER/MEMBER EXCLUDED? [NO NTA
(Mandatory in NH) — E.L, DISEASE - EA EMPLOYER $ 500,000
ff yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | & 500,006
A | Leased/Rented Equipment CO6G271688TILIS 12/31/2015 | 12/31/2016} Limit of Liability 100,000
installation Floater Limit of Liability 200,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Nashua is an additional insured on
GERTIFICATE HOLDER
CANCELLATION
City of Nashua
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
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Susan Gilman/SJG Ke eaem/ Dr hran)
ACORD 25 (2014/01)
INSO25 2014015
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