a '
DATE (MM/DD/VYTY)
ACORD CERTIFICATE OF LIABILITY INSURANCE ee
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: Ii 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 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 CONTACT Susan Gilman
THE ROWLEY AGENCY INC. PPHONE ,, (603) 224-2562 a on (609)22¢-8012,—
45 Constitution Avenue RRRREESi sgilman@rowleyagency.com eo]
P.O. Box 511 re ~~ at: NACH ‘
Concord yen eee ome cl 2s674
INSURED sul : ter Oak F. ns Co . 125615
Electric Light Company, Inc. INSURER CTravelers Indemnity Co of cr | 25666. |
Coastal Traffic, Ine. INSURERD: a tk
One Morgan Way tt ee a ats
Cape Neddick ME 03902 i SuRERIEE 7
COVERAGES CERTIFICATE NUMBER:15-16 all lines REVISION NUMBER:
THIS 1S 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 TOC ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD Rr ‘poiicy EFF | POLICY £xP [~
LTR TYPE OF INSURANCE i . POLICY NUMBER iMMIDDIYYYY] | (MM/DDVYYY} LOMITS
Rh | X | COMMERCIAL GENERAL LIABILITY COGG27168BTIL15 12/31/2015 | 12/31/2016] EACH OCCURRENCE g 1,000,000
acer lees a MAGE SD a ap a
"] crams-mane [x | OCCUR | PREMISES (Ea ocourrence)__ $300,000
| €G60001 (10/2001) MED EXP (Any one pérson) |S 10,000
ath, Pe ate PERSONALZADVINJURY {§ 1,000,000
on eee LMT wnuses PER: | GENERAL AGGREGATE =| $ 2,000,000
| POLICY x | SRS | aa PRODUCTS - CDOMP/OP AGG | } 2, 000, 000 |
OTHER: : Employes Benefits $ 1,000, 000 |
B | AUTOMOBILE LIABILITY 8106G271756COP15 12/31/2015 | 12/31/2016 | ROMBINED SINGLE LIMIT | ¢ 1,000,000
X / ANY AUTO BOOKY SRS person) | $
ALL OWNED [~~ ] SCHEDULED
jos iis BODILY INJURY (Per accldenty| $
x X | NON-OWNED PROPERTY DAMAGE 3
| | HIRED AUTOS §| * | auTos | {Pereccdant oP
Madical payments $
A j % | UMBRELLA LIAB x | occuR CUPE6G891269TIL15 12/31/2015 | 12/31/2016 EACH OCCURRENCE $ 5,000,000
ane | ENCE... 2 Lh. 3,000, 000 |
EXCESS LIAB CLAIMS-MADE AGGREGATE sony & 5,000,000
pep | * | RETENTIONS _ 10,000
C | WORKERS COMPENSATION UB6G271812TCT15 12/31/2015 | 12/31/2016] i
AND EMPLOYERS’ LABILITY vIN f Maui ¥ | Faure rue | Te cs
ANY PROPRIETORPARTNERIEXEGUTIVE [— 34 States: CT MA ME NH VT EL EACH AGGIDENT § 500,000
OFFICER/MEMBER EXCLIDED? IN yMea es an a nena anal career a t
(Mandatory in NN) en E.L, DISEASE - EAEMPLOYEH $ 500,000
If yes. describe under — ~T_
DESCRIPTION OF OPERATIONS below &L. DISEASE - POLICY LIMIT | $ 500,000
A | Leased/Rented Equipment | co6Gz71688TIL1S 12/31/2015 | 12/31/2016 | Limit of Liabilty 100,000
Installation Floater t Limit of Liability 200,000
|
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 104, Additional Remarks Schedule, may be attached If mora space Ja required)
Covering electrical contracting operations of the insured. City of Nashua is an additional insured on
general liability, auto liability and umbrella when required by written contract with named insured.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
oy Ios Nashua ACCORDANCE WITH THE POLICY PROVISIONS.
229 Main Street
Nashua, NH 03060
AUTNORIZED REPRESENTATIVE
Susan Gilman/SJG Aredaanot Or ban)
© 1988-2014 ACORD CORPORATION. All rights reserved,
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
INSO25 pntanin
