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38B-139 (4)
02/27/2006 01:06 413 -773 -9542 j�,8 13 PAGE 02/02 i.),... 3 —bb f , • ' , DATE (MMIbONYYY) Ac6R . INSURANCE . 10/19/2012. MT Y ) ..--- CERTIFICATE OF LIABILITY I THIS CERTIFICATE IS ISSUED AS A'MATTER OF INFORMATION ONLY AND CONFERS' NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE' DOES NOT' AFFIRMATIVELY OR NEGATIVELY 'AMEND, EXTEND OR ALTER THE COVERAGE AFFORDECI.'EY THE POLICIES' BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. _ IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pbllcy(los) must be endorsed. If SUBROGATION IS WAIVED, sub)ect to • the temis and conditions of the policy; Certain pollcles may require an andorsettlent A statement On this certificate does.not confer rights to the cortlflcato.holder In, lieu of Such endarsement(S) rR,abuCtR ._ ; 9 A.ef. ClitiDti -T1 01311.i'Rn . .. AgttaelXn &,saociAte's PHONE ( 415,).586 -7.373 .. . u/C .?5a4 -oos9 355 B7wldrte St., P. O. Bost 357 E. A AIL — R i , INsuRERLI ArOck0INC COV£kAds . „ NAIL N . NorOlampto>, HA 01063 . . vmmA:'1raveletra I)n,demts�:ty CO of 1115, 45674 . INSURED .... INSURSRa LI BERTY MUTUAL 00005 QUALITY CLEANIE,+TG & RESTOR$, 'SON INC INSURER 0: , 134 S SHOIATltiiTE RD !nausea D; T ._ __ . .. . INSUR..E? - - GREENPIELD MA 01301, INSURER, Fa , COVERAGES .. CERTIFICATE NUMHER:N°•sTER REVISION NUMBER: THi3 IS TO CERTIFY THAT THE poLICIIcS 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 f3E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDF.0 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CI-AIMS, _ • N • ADDI. SUER POLICY EF - POLICY EXP LIMITS TYPE OF INSURANCE ,. •DLICY . , UR „ ..l ,,,, • , Mee 05NERALLIAatLITY EACH OCCURRENCE= $ 1,000,000 MADE TO RENTED COMMFRCIAL GENERAL LIABILITY PREMISES Ioccurmca) S 300,000 A CLAIMS -MADE 1 X 1 OCCUR 16eD23e ,L474/T7.12 MED $ 5,000 •4/20/2012 4/2o/2013 PERSONAL a ADVINJURY 9 1, 000,000 . QENERALAGGREGATE S 2,000,000 G1iN'L AGGREGATE LIMIT APPLIES PLR! PRODUCTS . COMPIOP A00 $ 2 , 0 00,000 f POLICY PRD, LOC S AUT0MOh1LELIABILITY NEED - IN(3 ' A ANY AUTO ROr)ILY INJURY (Per Person) $ 250,000 ALL ° MEC © SCHEDULED 9A- 9434C3z7- 12.9EL 1/12/2012 1/7,2/2013 BObILY INJURY (Poe Becident) $ 500000 AUTOS PROPERTY DAMA3k © HIRED AUTOS NO T0 - G8 IP err✓teaentl WNF � AU - -- unInsurod�olotlel S 250_,000 III UMBRELLA Wntl m OCCUR EACH OCCURRENCE $ II EXCESS LIAO CLAIMS -MADE. AGGREGATE . r $ OED PETE T . N $ .�,.�. B WORKERS COMPEN$AT10N 1nlc STA TU• 0TH. AND EMPLOYERS' LIABILITY tM I.L ANY FROI'RIET0RJPARTNERIEXECUt1VF, N/ EA,.EACHACCIDENT s 100,000 OFFICERA EM9ER EXCWUbEo9 17 WCt31a37B5R6017 s/19/R077. 6ft9/z013 ' (Mandatory In NH) E,L. DISEASE • EA EMPLOYEE 2 500 r 000 ' If yyea Co OFnr E .L. DISEASE • POLICY LIMIT 5 100,000 DF,84�RIP eI ION Of OpfiRAtlON6 bnlnw _ DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (AttMnh ACORD 101, Addldonel Remerke Schedule, trmore epoen (e requlrodl CERTIFICATE HOLDER - CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 9EFORE THE EXPIRATION GATE THEREOF, NOTICE WILL FIE DELIVERED IN ACCORDANCE WITH THE POLICY PkOVISIONS. 'OR, XNFO ONLY • nuTHCRIZeD REPRESENTATIVE C ../ tH21 0 ' ' C . ' 1A/6 . : ACORD 26 (2010/05) 0108R-2010 ACORD CORPORATION, All rights reserved. INS025 1201non)01 The ACORD name and logo are registered marks of ACORD .......r•I