249 Certificate of Liability Isurance 2015 Lte: 6/30/2015 Time: 1:05 PM To: David Was105 Is 141JDCUCLl
)y Agency Page: 001
Dare Iwmm'YI
Acomior CERTIFICATE OF LIABILITY INSURANCE
THIS ERTIFICATE 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 AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE Of INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERISI, AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: N the certificate holder is an ADDITIONAL INSURED,the poliryQes)must be endorsed. If SUBROGATION IS WAIVED,subject to
the teens and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the
cedillcate holder In lieu of such endorsemenha).
PROWCW
THE ROWLEY AGENCY MC
139 Loudon Road
P 0 Box 511
Concord NH 03302-0511
Lu
.11 Susan Oilman
6/30/2015
piN (603)224-2562
'mans s9ilmanerovleyalmwy.cos
I FAX Ml(603)2Ht612
INS RS IS)AFFORO C COVERAGE
NAE#
INSURERA Cincinnati Insurance company
10677
INSURED
Larry 0 Cushing Ft SOPS, TEC.
d/D/a =shin; & Sons
PO Box 668
N
pole
INSURERS
MM 03608 INSURER F:
•
REVISION NUMBER:
CL/VeHRNee ..en...........
THIS 15 TO CERTIFY THAT THE POLICIES
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
EXCLUSIONS AND CONPHICNS OF SVCH
...._.._..._,
OF INSURANCE LISTED BELOW HAVE BEEN SSUED TO THE INSUR
TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT
THE NSURANCE AFFORDED BY THE POLICIES DESCRIBED
POLICE6F.CRAMS SHOWN MAY HAVE a P4 us CUCEP eY PAID CLAIMS
0 NAMED ABOVE FOR THE PO CY PERIOD
WITH RESPECT TO WHEN This
HEREIN I5 SUBJECT TO ALL THE TERMS.
m
Ce FEE
'o
3 •
3/ 1/01
utn
TR
A
TYPE
GENERAL LUNIIIY
sae
EPP0186864
l3/01/2
EACH OCCURRENCE _ $
X
comme5cWLessety L etry
2952Y • i
- -. 1,000,000
500,000
M_D EXe,leer uermsom
S 10,000
CAIMSMADE X
OCCUR
PraaONAL A)DV INJJRY
S 1,000,000
X
Contractual per
3ENEPAL AGGREGATE
5 2,000,000
0.1101(12/04)
PPODuCTS-COMPIOP AGG
i 2,000 000
PEP'
(,EN'L AGOR
—1 PoLICY(A)l(7
�GA�TT LIMO APPLES
ilLOC
F
A
AVmMOBILE
1BW2233S6
33/01/2015b1
/01/2016
'UW CU m'GIt'_FIT
Fa to Caere
1,000.000
X
X,
BODILY'NJURY(PG'PFFI1 l
M,vAulo
4LOveEC
AUTOS
HIRES 1,00S
x,
SCHEDCLEC
AUTOS
IlJNPANEO
}03
BODILY ReURY Pe accident
F
aROF£RTY DHAASE
(Pe clerk)
i
unm.,ree maoASlmmo-rea
$
A
X
UM6T1aLA use
o¢ras LIAR
X
OCCUR
CWMSMADE
IPP0186869
)3/01/201533/01
/2016
EAOI OCCURRENCE
F 9,000,000
AGGREGATE
6 9,000,000
$
CEO I X I RE,D.TIDN
A
WONaRSCOLPENdnWN
AM]6MR0( LIABILITY Y/N
N/A
NC192 0 19 70 8
SA States: NH MA
D3/01/201503
/01/2016
XIT 0.STM°CI IOPR_
El EACH ACODEM
{ 500 000
op
ANY PRONPIrORPARTNEPIEJLQITNE
OReCERAIEWE04)E%RLPEI➢] M
EL FISEASE-EA EMPLOYEES
500.000
(Written in MO
t O IcTcrm
•DE GRIVTION F O gATUFF Wow
E SIS A{.POLCY LIMIT
5 500,000
A
Installation Floater
Leased/Rented Equipment
0120186864
33/01/201503/01
/2016
222922.2221 taut
$5.%ONO Lreee.att
DESORPTION
Project:
OF OPERATIONS/LOCATIONSI VEHICLES Wb[M1ACOR01m.ACCRImL bmvb Scheel if cn .es •
299 Sylvester Road, Florence, MA.
CERTIFICATE HOLDER
Davio HatbaWiy 13F011109,SX
5 Burleifl Road
TPilbraaam, NA 01095
SHOULD ANY OP THE*Rolm DESCRIBED POLICIES Be CANCELED BEFORE
THE EnPNATNNF DATE THEREOF, NOTICE WILL BE D€ P/MED I l
ACCORDANCEWRM THE POLICY PIMPRECRIN.
Re ORzeDREPESENTATIVE
Susan Gilman/SJG
ACORD 25(2010/05)
INS02512(n'CO un
®19E18-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD