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Premiere Design Solutions, Inc (reduced)
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8/24/2020 10:53:24 AM
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8/21/2020 10:48:43 AM
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VnlunF-'1 <br />VIP In. Ptr' <br />ACORO, <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />01/30/2020 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER 781-245-5400 <br />Poole Professional B&B of MAP <br />107 Audubon Rd, #2, Ste 305 <br />Wakefield, MA 01880 <br />Christopher A. Poole <br />CONTACT Christopher A. Poole <br />HONE 781-245-5400 FAX 781-245-5463 <br />(A/C, No, Ext): (A/C, No): <br />ADDRESS: <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE u OCCUR <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A: Travelers Property Casualty Co 25674 <br />01/01/2020 <br />RN U D <br />.G. Vandernwell Engineers PCP <br />274 SummerStreetg <br />Boston, MA 02210 <br />INSURER B: Travelers Indemnity Co of CT 25682 <br />Valle Fore Insurance Company 20508 <br />INSURER y g p y <br />INSURER D:XL Specialty Insurance Company 37885 <br />INSURER E : <br />INSURER F: <br />PnX1l=0A!_CC r`CDTicif, ATC d111AADCD. D01110In41 K11 IAADCn. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />DDL <br />UBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXPLTR <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE u OCCUR <br />6806H928766 <br />01/01/2020 <br />01/01/2021 <br />EACH OCCURRENCE $ 1,000'000 <br />DAMAGE TO RENTED 1,000,000 <br />PREMISES Ea occurrence $ <br />X Contractual Liab <br />MED EXP (Any oneperson) $ 10,000 <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑X PECOT- D LOC <br />GENERAL AGGREGATE $ 2'000'000 <br />PRODUCTS-COMP/OPAGG $ 2,000,000 <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />CMBINED SINGLE LIMIT 1,000,000 <br />EaOaccident $ <br />BODILY INJURY Perperson) $ <br />ANY AUTO <br />BA75081_417 <br />01/01/2020 <br />01/01/2021 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident $ <br />PROPERTY DAMAGE <br />Per accident $ <br />X <br />HIRED X NON -0 NED <br />AUTOS ONLY AUTOS ONLY <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE $ 10,000'000 <br />AGGREGATE $ 10'000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />CUP8163Y625 <br />01/01/2020 <br />01/01/2021 <br />DED I X I RETENTION $ 10,000 <br />C <br />WORKERS COMPENSATIONPER <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MCER/MEMBER EXCLUDED? <br />(Mandatoryin NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N / A <br />6049607312 <br />MA NH NJ NY PA VA FL AZ <br />05/01/2019 <br />05/01/2020 <br />OTH- <br />X STATUTE ER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT 1,000,000 <br />D <br />Arch/Eng E&O <br />DPR9956120 <br />02/15/2020 <br />02/15/2021 <br />Per Claim 5,000,000 <br />incl PollutionLiab <br />RETRO 1/1/1947 <br />Aggregate 5,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />I <br />j SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />R.G. Vanderweil Engineers LLP THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />g ACCORDANCE WITH THE POLICY PROVISIONS. <br />R.G. Vanderweil Engineers PC <br />274 Summer Street <br />Boston, MA 02210 AUTHORIZED REPRESENTATIVES <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo areHegistered marks of ACORD <br />
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