®
ACORD
a
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYYYY)
11/24/2020
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 lieu 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 conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
PRODUCER
CONTACT Susan Gilman
general liability,
THE ROWLEY AGENCY INC. PHONE exp, (603) 224-2562 (AVG, Noy: (603) 224-8022
45 Constitution Avenue EMAL es: sgilman@rowleyagency.com
P.O. Box 511 INSURER(S) AFFORDING COVERAGE NAIC #
Concord NH 03302-0511 INSURERA: Citizens Insurance Company of America
INSURED INSURERB:Allmerica Financial Benefits 41840
Electric Light Company, Inc. INSURERC:Hanover Insurance Co. 22292
Coastal Traffic, Inc. INSURER D:Massachusetts Bay Ins. Co. 22306
One Morgan Way INSURER E:
Cape Neddick ME 03902 INSURER F:
COVERAGES CERTIFICATE NUMBER:20-21 Cert 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 POLICYEFF | POLICY EXP
LTR TYPE OF INSURANCE INSD | WvD POLICY NUMBER (MM/DD/YYYY)_| (MM/DD/YYYY) LIMITS
A | X | COMMERCIAL GENERAL LIABILITY ZBVD78 9474-02 12/31/2020 | 12/31/2021 | EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED 300,000
CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $ :
X | cG0437 - $100,000 Limit MED EXP (Any one person) $ 10,000
PERSONAL & ADV INJURY $ 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
X | poticy FRO: Loc PRODUCTS - COMP/OPAGG__| $ 2,000,000
OTHER: $
B | AUTOMOBILE LIABILITY AWVD789471-02 12/31/2020 | 12/31/2021 | GMoodent) $ 1,000,000
X | ANYAUTO BODILY INJURY (Per person) $
ALL OWNED SCHEDULED j
‘AUTOS ‘AUTOS BODILY INJURY (Per accident) | $
x NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS (Per accident)
$
c UMBRELLA LIAB X | occur UHVD78 9477-02 12/31/2020 | 12/31/2021 | EACH OCCURRENCE $ 5,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000
DED | ¥ | RETENTION $ 10 ,000 $
D_ |WORKERS COMPENSATION WBVD78 9462-02 12/31/2020 | 12/31/2021 | x | RER OTH
AND EMPLOYERS’ LIABILITY YIN /32/ /32/ STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE 3A States: ME NH CT MA E.L. EACH ACCIDENT $ 500,000
OFFICER/MEMBER EXCLUDED? [3 | NIA
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE | $ 500,000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT _| $ 500,000
A | Leased/Rented Equipment ZBVD78 9474-02 12/31/2020 | 12/31/2021 | $100,000 Limit
A | Installation Floater ZBVD78 9474-02 12/31/2020 | 12/31/2021 | $100,000 Limit
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Covering electrical contracting operations of the insured. City of Nashua is an additional insured on
auto liability and umbrella when required by written contract with named insured.
CERTIFICATE 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
ACORD 25 (2014/01)
INS0285 (201401)
© 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
