SDL Home Improvement 20-21' 1
ACOR" CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDD/YYYY)
01/1 0/2020
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 AFFORDED BY 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 policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
& Grinnell
CONTACT Cyndle Henderson CISR.CPIA
_NAMEWebber
A/CONNo Ext): (413) 586-0111 FAX No): (413) 586-6481
ADDRESS: chenderson@webberandgrinnell.com
8 North King Street
INSURER(S) AFFORDING COVERAGE NAIC #
NSURER A: Selective Ins Co of S Carolina 19259
Northampton MA 01060
INSURED
INSURER B: Selective Ins CO Of Southeast 39926
INSURER C:
SDL Home Improvement Contractors, Inc.
INSURER D:
24 Chestnut Street
INSURER E::
INSURER F
Hatfield MA 01038
rc ori17ir Arm •IIIAAecn• Master tXD U /zUZI KtVINIUN NUMIit K:
v THIS IS TO CERTIFY THAT THE POLICIES 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 BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 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 CLAIMS
INSR
LTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
CLAIMS -MADE OCCUR
DAMAGE 500,000
PREMISES Ea occunence $
MED EXP (Any one person) $ 15,000
A
S2291509
01/01/2020
01/01/2021
PERSONAL&ADV INJURY s 1.000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PRO ❑
JECT LOC
GENERAL AGGREGATE s 3,000,000
PRODUCTS - COMP/OPAGG $ 3,000,000
S
OTHER:
AUTOMOBILE LIABILITY
la MBINED SINGLE LIMIT $ 1,000,000
Ee
BODILY INJURY (Per person) s
ANYAUTO
BODILY INJURY (Per accident) S
A
OWNED XSCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
X AONLY X AUTOS ONLY
A9105420
01/01/2020
01/01/2021
PUTOS ROPERTY DAMAGE
er accident
P $
Underinsured motorist BI s 100,000
X
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE s 1,000,000
AGGREGATE s 1,000,000
A
EXCESS LIAB
HCLAIMS-MADE
S2291509
01/01/2020
01/01/2021
DED RETENTIONS
S
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? a
(Mandatory in NH)
NIA
WC9024456
02/23/2020
02/23/2021
X STATUTE X ER
E.L. EACH ACCIDENT S 500,000
E.L. DISEASE - EA EMPLOYEE S 500,000
500,000
E.L. DISEASE - POLICY LIMIT S
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The Workers Compensation policy does not include coverage for Paul Schmidt, Kendrick Dempsey and Douglas Schmidt.
r`nNlr`FI 1 ATION
�J 1988-2015 AGUKU GUKYUKAI JUN. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
DADMUN Design + Construction
ACCORDANCE WITH THE POLICY PROVISIONS.
60 School Street
AUTHORIZED REPRESENTATIVE
Hatfield MA 01038
�J 1988-2015 AGUKU GUKYUKAI JUN. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD