|
[Type here]
<br />[Type here]
<br />A-2010-204-01
<br />-�
<br />2;01
<br />`tE"'�CERTIFICATE OF LIABILITY INSURANCE
<br />CATE(MM/DD/rl
<br />D6127,zD,6
<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 pollcy(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($).
<br />PRODUCER
<br />Aon Risk services Northeast, Inc.
<br />New York NY office
<br />CONTACT
<br />E'
<br />P C. No. Ext): 08663 283-7122 IA,IC. No.I: g�'363-4105
<br />E-MAIL
<br />ADDRESS:
<br />199 water street
<br />New York NY 10038-3551 USA
<br />INSURERS) AFFORDING COVERAGE NAICe
<br />INSURED
<br />INSURERA: National Union Fire Ins CO Of Pittsburgh 19445
<br />1PMOrgan Chase & CO.
<br />and subsidiary, affiliated, and
<br />associated companies therof
<br />270 Park Avenue
<br />New York NY 10017-2070 USA
<br />INSURERS: NEW Hampshire Ins CO 23841
<br />INSURER c: commerce & industry Ins co 19410
<br />C; comm
<br />INSURER D:
<br />INSURER E;
<br />INSURERF:
<br />r.r)VFRAr:FR r.FRTIFI(:ATF NIIMRFR. K7nlA)9T1SRR
<br />RFVIRInN NIIMRFR:
<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, Limits shown are as requested
<br />MISS
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />LAND
<br />POLICY NUMBER
<br />IMYYIR POLICY EFF
<br />POLICY FXP
<br />MWDDM'YV
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LNIBILRV
<br />GL
<br />EACH OCCURRENCE $2,000,000
<br />CLAIMS -MADE X�OGCVR
<br />PREMISES Me occurtaTO RINTED nce $1,000,000
<br />X
<br />MED EXP (Any one person) E%Cl Uded
<br />Bimkel Conhactual Jabllily
<br />X
<br />Host Liquor Lleblllty Included
<br />PERSONAL& ADV INJURY $2,000,000
<br />GIE, AGGREGATE LIMIT APPLIES PER:
<br />GENERAL ORREGATE $2,000,000
<br />POLICY ❑PRO- LOC
<br />ECT
<br />PRODUCTS . COMPIOP AGG $2,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />CP, 7742129
<br />All other States
<br />06/01/201606/01/2017
<br />COMBINED SINGLE LIMIT $5,000,000
<br />ea aci t
<br />SOOILY INJURY( Per person)
<br />A
<br />X ANY AUTO
<br />CA. 7742125
<br />06/01/2016
<br />06/01/2017
<br />BODILY INJURY(Perecdden0
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLYAUTOS
<br />HIRED AUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />MA
<br />CA 7742126
<br />VA
<br />06/01/2016
<br />06/01/2017
<br />PROPERa,,t) GE
<br />Por acddnt
<br />X
<br />UMBRELIALIAD
<br />X
<br />OCCUR
<br />BE 9086930
<br />06 6
<br />UMF/-2-017
<br />O /2017
<br />EACH OCCURRENCE $10,000,000
<br />AGGREGATE $10,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DED I X RETENTION$10, 000
<br />B
<br />B
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY YINAll
<br />ANY PROPRIETOR/ PARTNER I EXECUTIVEIN
<br />OFF105NMCMDER EXCLVOCD4
<br />(Montlalory In NH)
<br />Byyes,deecdhs under
<br />DESCRIPTION OF OPERATItlN3 balew
<br />NIA
<br />WCO206 80
<br />Other States
<br />wCO20681808
<br />ME
<br />06/01/2016
<br />06/01/2016
<br />06/01 2017
<br />06/01/2017
<br />j( STATUTE CRH
<br />E.L. EACHACCIDENT $1,000,000
<br />E,L. DISEASE -EA EMPLOYEE $1,000,000
<br />E.L. DISEASE -POLICY LIMIT $1,000,000
<br />DESCRIPTION OF OPERATIONS LOCATIONS IVEHICLES(ACORD 101,Addle ... I Remarks Sctledule, maybe attached III space miamilrad) -
<br />The insurance maintained by 1PMorgan Chase & Co. provides for the following Coverage enhancements in keeping with the terms of
<br />the signed contracts, leases and/or agreements in place: Blanket Additional Insured where required. Coverages are Primary and
<br />Non-contributory where required, Elan et contractual Liability, Most Liquor Liability is included in the General Liability
<br />policy, waiver of subrog9ation is included where required. The Landlord Landlords Agent(s), Landlords Lender(s), Ground
<br />Lessor (s) Veodor(s), C1 Tents and any other party as required by the signed contract, lease and/or agreement are listed as
<br />additional insure dd as their interests may appear and when applicable,
<br />CERTIFICATE HOLDER
<br />r *. 1 A■ ■ ��.�, SHOULD ANY OF THE ABOVE 09SCRISED POLICIES BE CANCELLED BEFORE THE
<br />,ry „i C„fpt(��'•��lttF �■ EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />Evidence of Insurance for �(t / A^� �—S AUTHORIZED REPRESENTATIVE
<br />)PNosubs Chase &
<br />and subsidiary, affiliated tared and ti��
<br />associated companies therof '�7LI.
<br />New Park Avenue s J6�0.6' sLaXcm.� a �acL
<br />New York NY 10017-2070 USA
<br />01988.2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />Cs
<br />
|