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HARRMOT01 JHOGAN
ACCORD CERTIFICATE OF LIABILITY INSURANCE asians
THES CERTIFICAT2 1S ISSUED AS A MATTER OF iXFCRMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTHICATE HOLDER. THIS
GERTIFICATE GOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, YHI8 CERTIFICATE OF INGURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE SSiING INSURER(S), AUTHORIZED
DESCRIPTIONS (Continuad from Page 4)
- [Bach Accident Other Than Auto Only: 1,000,000/5,000,000
| Garage Kacpers Lisbility
Loo 1 - 98-109 Gold Star Worcester, MA; $400,000
Loc 2 - 110-112 Gald Star Worcester, MA: $400,000
Loc 4-25 Glennie 8t Worcester, MA : $490,000
Loc 5+ 409-411 Hartford Tapk Shrewsbury, MA: $250,000
Loc 7 - 401 Eim St Marlborough, GA: $1,809,000
Loo 8 - 112-14 Gold Star Worcester, MA: $400,000
Cihenta: 36823 ee
DATE BRANT
ACORD. CERTIFICATE OF LIABILITY INSURANCE [===
THIS CERTIFICATE [8 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIMICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THS CERTIFICATE OF INSURANCE DOGS NOT CONSITTUTE & CONTRACT BETWEEN THE RISUING INSURERS}, AUTHORIZED
clita OR PROOUCER, SM) PE CRRTEICATE BOLUM:
if ie poncyfiae
Exuarr &
Other Documents:
1. Insurance Guarantee(s)__(to be provided for Contract execution)
The Harr-Motor Company d/b/a Harr Chrysler Jeep Dodge Ram
100 Gold Star Boulevard
Worcester, MA 01606
508-595-3220
Wayside Ford, Inc.
428 Maple Street
Marlboro, MA 01752
508-460-8400
Subcontractors
4. See Attached List
Exniair C
Special Terms & Conditions
4. Vendor attests to and werrents any end all representations made in Vendor's Complete Price
and Complete Technical Proposals including, but not limited to, any and all representations
and warranties made by It that exceed those of the manufacturers of products and
assemblies used In its manufacture of subject apparatus and fitmants.
2. Vendor shall indemnify Guyer for any and all loss of value of manufacturers’ warranties
ExHierT B
Request for Proposal #
Ear A
Notice Addressees
For MAPC:
Name
Titis
Organization
Street Address
Clty, State, ZIP
Phone
Fax
For the VENDOR:
_DaAvID Eyciésty wet
* Name
GENERAL MAvaGet.
* The
Ava inc
Organization
Gor GM Srgser
* Street Address
Maes Gofoven, uA . O152.
* Street Address
Bop- 6 72-Zbiy
* Phone
“573-2
* Fax
_beyersi sy mee. SMe , CoM
* emall
IN WITNESS WHEREOF, the parties have caused this AGREEMENT to be executed by their duly
authorized officers on the date written below.
For MAPC by or on behalf of the Greater Boston Police Council and its Members:
For the i ,
* Signature
ee
* Tile
* Name
os
Date
‘ 4
“See
* Affix Corporate Seal
(or mark “n/e*)
