ACORD GATE paMDDIYY)
CERTIFICATE OF LIABILITY INSURANCE
12/23/2020
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 Lisa Gordon
Cleary insurance Inc ONE... {617} 723-0700 TAG, Noy: (617) 723-7275
226 Causeway Street AppRESS; '90rdon@clearyinsurance.com
INSURER(S) AFFORDING COVERAGE NAIC &
Boston MA 02114-2155 INSURERA:; "Win City Fire Insurance Co. 29459
INSURED INsuRER Be: Hartford Fire Insurance Co. 19682
Mass Crane & Hoist Services, Inc. INSURER ¢: Hartford Insurance Co. of MW 37478
500-1 Potash Hill Road iInsuRER Dp; Houston Casualty Company 42374
INSURER E; llinois Union Insurance Company 27960
Tyngsborough MA 01879 IASURER F :
COVERAGES CERTIFICATE NUMBER: 2020 LIABILITY 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 DESCRIBEO HEREIN IS SUBJECT TOALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ee TYPE OF INSURANCE oe AWD mE POLICY NUMBER ia aD Brey) (aa aa en LIMITS
><] COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1,000,000
| cramsmave [><] occur PREMISES (ea onourence) | $ 1000,000
>< BVPD Ded: $25,000 MED EXP (Any ona person) s 10,000
A [><] XCU Y O8CESOF 4039 0701/2020 | 07/01/2021 | personal aabvinsuRy | § 1:000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s_ 2,000,000
POLICY Fee [><] Loc PRODUCTS-coMPIOPAGG | 2,000,000
OTHER: $
; COMBINED SINGLE LIMIT
| AUTOMOBILE LIABILITY (Ea accident) $ 1,000,006
><] ANY AUTO BODILY INJURY (Per person) | $
|_| OWNED SCHEDULED
B |_| Auras OnLy Soros ¥ OBUENAA1544 07/01/2020 | 07/01/2021 | BODILY INJURY (Per accident) | $
HIRED NON-OWNED PROPERTY DAMAGE 3
|__| AUTOS ONLY AUTOS ONLY | (Per accident)
s
i> UMBRELLA LIAB > occur | EACH OCCURRENCE gs 10,000,000
A EXGESS LIAB CLA MADE OBHUSL3670 07/01/2020 | 07/01/2021 |, Gonecate 5 10,000,000
pep | ><] retention ¢_ 10,000 s
WORKERS COMPENSATION PER O1r-
AND EMPLOYERS’ LIABILITY VIN >< Starure Len 7000000
© [AT CoonmtaeR EMCLuoee? NIA oBwecMest1 07/01/2020 | 07/01/2021 | E4-EACHACCIDENT $
(Mandstory In NH) EL. DISEASE - EAeMPLOvEE | $_1-000,000
IFyes, describa under 7,000,000
DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT | $s UUYYE
Professional Liability 1,000,000
Professional Liability
D.E | Pollution Liability HCC2067492 / CPYG27415738 | 07/01/2020 | 07/01/2021 | Pollution Liability 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedules, may be attached if more space Is required)
Ory Well Hoist Replacement IFB1093-122920
City of Nashya, New Hampshire is included as Additional Insureds on a primary and non-contributory basis with respect to General Liability and Auto Liability
when required by written contract or agreement and per the terms of insurance coverage form HGO001 09/16 & HD 99 02 09/12.
Notice of Cancellation 30 day notice will be provided to Certificate Holder other than for non-payment of premium. 10 day notice will be provided for
non-payment of premium.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Nashua, New Hampshire ACCORDANCE WITH THE POLICY PROVISIONS.
229 Main Street
AUTHORIZED REPRESENTATIVE
Nashua NH 03060 chum ket
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