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CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYYYY}
5/29/2019
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 policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PROOUCER
Name” Donna Bickford
FAX
THE ROWLEY AGENCY INC. PHONE 4. (603) 224~2562 | FAX op, (6037224-8012
45 Constitution Avenue Rpburss: Cbickford@ rowleyagency.com
P.O. Box 511 INSURER(S) AFFORDING COVERAGE NAIC #
Concord NH 03302-0511 INSURERA;Citizens Insurance Co, 31534
INSURED INSURER B: Hanover Insurance Co, 22292
Palmer And Sicard, Ine INSURER C:
140 Epping Road INSURER D;
INSURER E:
Exeter NH 03833 INSURER F ;
COVERAGES CERTIFICATE NUMBER: 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 &Y 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 ADOL |SUBR POLIGY EFF. | POLICY EXP
LTR TYPE OF INSURANCE Insp | wp POLICY NUMBER (MM/DDIYYYY)_| (MMIDOMVYYY) LIMITS
X | COMMERCIAL GENERAL L ABILITY EACH OCCURRENCE $ 1,000,000
on JAMAGE TO RENT
A CLAIMS-MATE [x| OCCUR PREMISES (ea occurrence) $ 100,000
X | cG0001 04/13 ZBV930257706 10/1/2018 10/1/2019 | MED EXP (Any one person) 3 10,000
PERSONAL & ADV INJURY 8 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000
poucy |X |55& | foc PRODUCTS -COMPIOPAGG | $ 2,000,000
OTHER: 3
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY (Ea accident $ 1,000,000
az X | any auto BODILY INJURY (Per person) | $
nUTGe [| een eee ABV9202579 10/1/2018 | 10/1/2019 | BODILY INJURY (Per accident) | ¢
x | x | NCN-OWNED PROPERTY DAMAGE $
HIRED AUTOS Al. TOS (Per accident)
s
X | UMBRELLA LIAB X | occur EACH OCCURRENCE s 10,000,000
B EXCESS LIAB CLAIMS-MADE AGGREGATE 10,000,000
pep | X | reTeNTION 0 uHVv924232706 10/1/2018 | 10/1/2019 5
WORKERS COMPENSATION PER -TOTH-
AND EMPLOYERS" LIABILITY Tr * | statute LER
ANY PROPRIETOR/PARTNER/EXECUTIVE ry WEVD367978 E.L. EACH ACCIDENT g 1,000,000
OFFICER/MEMBER EXCLUDED? NOYNIA
B | (Mandatory in NH} 3A STATES: MA ME 10/1/2016 10/1/2019 | EL DISEASE -EAEMPLOYEE | $ 1,000,000
If yas, describe under
DESCRIPTION OF OPERATIONS below NO EXCLUDED OFFICERS E.L. DISEASE - POLICY LIMIT__| $ 1,000,000
A | INSTALLATION FLOATER 2BV930257706 10/1/2018 10/1/2019 | LIMIT (DED. $500): $600,000
LEASED/RENTED EQUIPMENT LIMIT (DED. $500}: $200,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Covering operations of the insured during the policy period.
CERTIFICATE HOLDER
CANCELLATION
City of Nashua
229 Main Street
Nashua, NH 03061
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLIGY PROVISIONS.
AUTHORIZED REPRESENTATIVE
,
brane SG BEC
{7
Donna Bickford/DTB
ACORD 25 (2014/01}
INS025 (201401)
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