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HomeMy WebLinkAboutcert. of insuranceClient#: 555 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATEIMIWDDNYYY) 10/01/03 PRODUCER Sheppard Riley Coughlin 99 High Street . Boston, MA 02110-2320 617 346-1900 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Kronor Incorporated 297 Billerica Road Chelmsford, MA 01824 INSURER A: St. Paul Mercury 24791 INSURER a: St. Paul Guardian 24775 INSURER C: INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSF LTR JIDD'L NSRC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE fMMIDDLYY) POLICY ExPIRATION OAXE.[MMIDDIYYI LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY - TE06902807 .. 10/01/03 10/01/04 EACH OCCURRENCE . $1,000,000 . X DAMAGE TO RENTED PREMISES(faaccurrence1 $1,000,000 $10,000 CLAIMS MADE 'OCCUR EX MED EXP.(Any one person) X E&O Claims Made PERSONAL&ADVINJURY $1,000,000 $1,000,000 Ago. GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS • COMP/OP AGG $2,000,000 •I POLICY f ] n LOC B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BA01274038 10/01/03 10/01/04 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 _� BODILY INJURY (Per person)$ _ X X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY TE06902807 10/01/03 10/01/04 EACH OCCURRENCE $10,000,000 OCCUR Ej CLAIMS MADE DEDUCTIBLE RETENTION $ 10,000 AGGREGATE $10,000,000 $ R$ X $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yyes, describe under SPECIAL PROVISIONS below WVA6903322 Excluding OH, WA WV, WY 10/01/03 10/01/04 X TORY 1 IMIT5 IOER• I E.L. EACH ACCIDENT $500,000 E.L. DISEASE • EA EMPLOYEE $500,000 E.L. DISEASE • POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is added as additional Insured as respects cia ms arising out of the negligence of Kronor employees while performing work for the certificate holder under contract. CERTIFICATE HOLDER CANCELLATION City of Miami Attn: Dawn Shelton 444 SW 2nd Avenue Miami, FL 33130 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL , 3n DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001/08)1 of 2 #M67349 AUTHORIZED REPRESENTATIVE 7 4), VDB © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). 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). The Certificate of Insurance on the reverse side of this form does not constitute a contract between the Issuing tnsurer(s), authorized representative or producer, and the certificate holder, nor does It affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (2001/05) 2 of 2 #M67349