a fo TT
ACORD CERTIFICATE OF LIABILITY INSURANCE Dare qmDoiry¥)
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 have ADDITIONAL INSURED provisions or 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
AUTOMATIC DATA PROCESSING INSURANCE AGCY INC (ae Ho, Ext): (877) 677-0428 (Ae, No): (877) 677-0430
1 ADP BLVD MS 625 E-MAI
ROSELAND, NJ 07068 ADDRESS: spcbicadp@travelers.com
(877) 677-0428 INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : THE TRAVELERS INDEMNITY COMPANY OF AMERICA
INSURED INSURER B :
NESRA ENGINEERINGLLC
170 BUNGAY RD INSURER C :
N ATTLEBORO, MA 02760 INSURER D:
INSURER E:
INSURER F :
COVERAGES CERTIFICATE NUMBER: 114658451231072 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.
INSR ADDL] SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD| WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
COMMERCIAL GENERAL LIABILITY EASE OED $
|CLAIMS-MADE [| OCCUR PREMISES (Ea occurrence) $
MED EXP (Any one person) $
. | PERSONAL & ADVINJURY | $
| GEN L AGGREGATE RO APPLIES PER: GENERAL AGGREGATE $
|__| POLIGY iEoT [] LOG PRODUCTS - COMP/OP AGG | $
|__| OTHER: $
COMBINED SINGLE LIMIT g
AUTOMOBILE LIABILITY (Ea accident)
ANY AUTO BODILY INJURY (Per person) | $
|__| AUTOS ONLY AUTOS BODILY INJURY (Per accident)| $
AIRE WON OWNED PROPERTY DAMAGE
|__| AUTOS ONLY AUTOS ONLY (Per accident} $
; $
|__| UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
|__| DED RETENTION $
$
A [WORKERS COMPENSATION N/A UB-38370900-21 05/24/2021 |os/24/2022 |X |e Rrure | [Qk
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EAGH ACCIDENT $1,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE | $ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
THE CITY OF NASHUA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
229 MAIN STREET CITY HALL THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
NASHUA, NH 03060 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE iy
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
