AGENCY CUSTOMER 1D; HARRM
LOC #:
ie
ACOR ADDITIONAL REMARKS SCHEDULE Page 1 of 1
AGENCY WAMED INSURED
Hariihy insurance Group BHA, lng,, otal
e:
POLICY HUMBER Marborough MA 01752-4566
CARRIER NAIC CODE
EFFECTIVE DATE;
ADDITIONAL REMARKS
THiS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FoRM TITLE; CERTIFICATE OF LIABILITY INSURANCE
** Garage Liability **
ach Accident Other Than Auto Only; 1.000,000/3,000,000
Garage Keepers Liability
Garage Keepers Liability
Loc f - 96-100 Gold Star Worcester, MA: $1,000,000
Loc 2 - 110-112 Gold Star Worcester, MA: $400.000
Loc 4 - 29 Glennie St Worcester, MA ; $1,000,000
Loc $- 401 Elm St Marborough, MA: $7,250,000
Loc 6 ~ 112-114 Gokistar, Worcester, MA: $875.000
Loc 7 -t - 18 Industrial Park, East, Oxford, MA: $602.000
Loc 7-2 - 12 industriat Park, East, Oxford, MA: $365,000
Loc. 8 -— 6 Viking Road, Webster, MA: $106,000
“* Supplemental Names °°
Automotive Management Inc,
Harr Imports Inc dba Harr Toyola Scion DBA HARR Loan Express
EJR Real Estale Trust
MHO Truck Equipment
MHO Pdunicipal Vobiclas of CT MHQ Supply Inc
EJR Assocates United Partnership
The Ham Motor Company DBA Loan Express DBA Harr Imports, inc.
Charlas K. Ridakoff, Il
Certificate holder ts included as Additional Insured 2s respects General (iabitity, Auto Liability and Excess Liability, on a primary and on-cantributory basis for
ongoing and completed operations, where required by wniten contract, subject to the forms, conditions, and provisions of the paficies. A Waiver of Subrogation
appiles on the Ganeral Liabillty and Auto Liability when required by writlan contract,
MAPC {téelropalitan Ares Planning Council) and GBPC (Greater Boston Police Council} shall be named as additional insured at the Ume of and for the duration
‘of contract,
ACORB 101 (2008/01) ® 2068 ACORD CORPORATION. Ail rights reserved.
The ACORD name and loge are ragistared marks af ACORD
