NA-MASHPEE HIGH SCHOOL PROJECT MANAGEMENT

Home Browse Search

- -- - -- -- - - - - -- - - Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. This is to Certify that MAJOR THEATRE EQUIPMENT CORP. Name and LIBERTY 28 PIEDMONT STREET �— address of p BOSTON, MA 02116 insured. MUTUAL® Is,at the issue date of this certificate,insured by the Company under the policy(ies)listed below. The insurance afforded by the listed policy(ies)is subject to all their terms,exclusions and conditions and is not altered by any requirement,term or condition of any contract or other document with respect to whhich this certificate may be issued. EXP.DATE • ❑ CONTINUOUS TYPE OF POLICY ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY 71 POLICY TERM WORKERS 2/17/97 WC1-51J-402339-306 COVERAGE AFFORDED UNDER WC EMPLOYERS LIABILITY COMPENSATION LAW OF THE FOLLOWING STATES: Bodily Injury By Accident MA Each $500,000 Accident Bodily Injury By Disease $500,000 Policy Limit Bodily Injury By Disease $500,000 Each Person GENERAL2/17/97 YY7-511-402339-046 General Aggregate-Other than Products/Completed Operefions LIABILITY $2,000,000 ® OCCURRENCE Products/Completed Operations Aggregate $1,000,000 ❑ CLAIMS MADE Bally Injury and Property Damage Liability Per $1,000,000 Occurrence - Personal and Advertising Injury Per Person/ RETRO DATE $1,000,000 Organization Other Other AUTOMOBILE 2/17/97 AS1-511-402339-036 Each Accident-Single Limit LIABILITY B.I.and P.D.Combined © OWNED $1,000,000 Each Person X❑ NON-OWNED $1,000,000 Each AccidentorOccurrence X❑ HIRED $500,000 Each Accident or Occurrence OTHER 2/17/97 THt-511 402339-026 $2,000,000 LIMIT OF LIABILITY UMBRELLA EXCESS LIABILITY ADDITIONAL COMMENTS PROJECT: MASHPEE HIGH SCHOOL If the certificate expiration date is continuous or extended term,you will be notified if coverage is terminated or reduced before the certificate expiration date. SPECIAL NOTICE-0X10: ANY PERSON WHO,WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER,SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED Liberty Mutual Group UNDER THE ABOVE POLICIES UNTIL AT LEAST DAYS / NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: 1�1 (^.�� GERMATE TOWN OF MASHPEE MICHELLE G. COUCH HOLDER MASHPEE, MA 02649 AUTHORIZED REPRESENTATIVE I PORTSMOUTH (800)293-2530 8/13/96 J OFFICE PHONE NUMBER DATE ISSUED This certificate is executed by LIBERTY MUTUAL GROUP as respects such insurance as is afforded by Those Companies BS 772L R2