|
.4coRa
<br />t� CERTIFICATE OF LIABILITY INSURANCE
<br />OATE(M712016 Y,
<br />05/27/2016
<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(ies) 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
<br />Aon Risk services Northeast, Inc.
<br />New York NY Office
<br />CONTACT
<br />NAME:
<br />PHNE
<br />(AIC.No. Eat): (866) 283 -7122 (aC No.): 800- 363 -0105
<br />E -MAIL
<br />ADDRESS:
<br />199 Water street
<br />New York NY 10038-3$51 USA
<br />INSURER(S) AFFORDING COVERAGE
<br />SAID#
<br />New York NV 10017 -2070 USA
<br />INSURED
<br />INSURERA: National Union Fire Ins Co of Pittsburgh
<br />19445
<br />JPMorgan Chase & Co.
<br />and subsidiary, affiliated, and
<br />associated companies therof
<br />INSURER B: New Hampshire Ins Co
<br />23841
<br />INSURER c Commerce & Industry ins Co
<br />19410
<br />INSURER D:
<br />270 Park Avenue
<br />New York NY 10017 -2070 USA
<br />INSURER E:
<br />REM I`dENE
<br />PISES Ea occurrence
<br />INSURER F:
<br />X
<br />MED EXP(Any one parson)
<br />COVERAGES CERTIFICATE NUMBER: 570062235566 REVISION NUMBER:
<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 />LTR
<br />TYPE OF INSURANCE
<br />INSO
<br />WVD
<br />POLICY NUMBER
<br />MM'ODIYVVY
<br />My IDDNYYY1
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />9 1911
<br />eJ6Caos i/Ll,4ifc cllGtC6C9c// .�/pa4
<br />New York NV 10017 -2070 USA
<br />GL 7
<br />EACH OCCURRENCE
<br />$2,000,000
<br />CLAIM &MADE ❑X OCCUR
<br />REM I`dENE
<br />PISES Ea occurrence
<br />$1,000,000
<br />X
<br />MED EXP(Any one parson)
<br />Excluded
<br />Blanket Contractual Llebllity
<br />X
<br />Host Liquor Uabillly Included
<br />PERSONAL B ADV INJURY
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />POLICY 1:1 PR0. JECT R❑ LOC
<br />PRODUCTS - CONNOR AGO
<br />$2,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />CA 7742129
<br />All other States
<br />06/01/201606/01
<br />/2017
<br />COMBINED SINGLE LIMIT
<br />Ea accdent
<br />$5,000,000
<br />BODILY INJURY( Per person)
<br />A
<br />X ANYAUTO
<br />CA 7742125
<br />06/01/ 201606
<br />/01/2017
<br />OWNED SCHEDULED
<br />MA
<br />BODILY INJURY (Par accident)
<br />A
<br />AUTOS ONLY AUTOS
<br />HIRED AUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />CA 7742126
<br />VA
<br />06/01/2016
<br />06/01/2017
<br />PRCPERTV DAMAGE
<br />Per accident
<br />A
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />BE19086930
<br />06/01/2016
<br />06/01/2017
<br />EACH OCCURRENCE
<br />$10,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$10,000,000
<br />DED I X
<br />RETENTION$10,000
<br />e
<br />B
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR I PARTNER I EXECUTIVE
<br />OFFICEWMEMBER E %CLUDEO9 �
<br />(Mandatory in NH)
<br />NIA
<br />WCO20681807
<br />All Other States
<br />WCO20681808
<br />ME
<br />06/01/2016
<br />06/01/2016
<br />06/01/2017
<br />06/01/2017
<br />X STATUTE EH.
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEAS &EA EMPLOYEE
<br />$1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be aaached if more space is required)
<br />The insurance maintained by 3PMorgan 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. Blanket contractual Liability, Host Liquor Liability is included in the General Liability
<br />policy, Waiver of subrogation is included where required. The Landlord, Landlords Agent(s), Landlords Lender(s) , Ground
<br />Lessor(s), vendor(s)I Clients and any other party as required by the signed contract, lease and /or agreement are listed as
<br />additional insured as their interests ma appear )no when pplicable.
<br />r Z-1 2- Z-0/
<br />O
<br />2
<br />d)
<br />N
<br />lU
<br />to
<br />d
<br />U
<br />CERTIFICATE HOLDER ! ✓I ®11RKIIVE11 CANCELLATION 0
<br />©1988.2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />Evidence of Insurance for
<br />)
<br />t9" Y /�.
<br />POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />JPMorgan Chase & Co.
<br />and subsidiary, affiliated and
<br />associated companies therof
<br />�,
<br />ry ' (Ti
<br />270 Park Avenue
<br />9 1911
<br />eJ6Caos i/Ll,4ifc cllGtC6C9c// .�/pa4
<br />New York NV 10017 -2070 USA
<br />©1988.2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
|