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NA-MASHPEE HIGH SCHOOL PROJECT MANAGEMENT
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NA-MASHPEE HIGH SCHOOL PROJECT MANAGEMENT
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8/3/2021 4:04:24 PM
Creation date
11/17/2016 3:31:09 PM
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CERTIFICATE OF PROPERTY INSURANCE <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE IS <br /> NOT AN INSURANCE POUCY AND DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCY(IES)LISTED BELOW. <br /> THIS IS TO CERTIFY THAT <br /> MAJOR THEATRE EQUIPMENT CORP. NAME AND <br /> 28 PIEDMONT STREET ADDRESS LIBERTY <br />'i BOSTON, MA 02116 OF INSURED <br /> MUTUAL® <br /> IS,AT THE DATE OF THIS CERTIFICATE, INSURED BY THE LIBERTY MUTUAL INSURANCE GROUP AT THE LOCATIONS SPECIFIED UNDER THE POUCY(IES)LISTED <br /> BELOW. THE INSURANCE AFFORDED BY THE LISTED POLIC%S) IS SUBJECT TO ALL THEIR TERMS,EXCLUSIONS AND CONDITIONS AND IS NOT ALTERED BY <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT R OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE USED. <br /> POLICY NUMBER: YY7-511-402339-046 EXP.DATE OF POLICY 2/17/97 <br /> TYPE OF POLICY CAUSE OF LOSS FORMS/INSURED <br /> X❑ Commercial Property ❑ Basic ❑ Broad Z�Special ❑ Earthquake ❑ <br /> 1 <br /> ❑ Business Owners ❑ Standard ❑ Special ❑ Earthquake <br /> ❑ Inland Marine - ❑ Specified Ferris Per Form ❑ (ALL)RisKs Subject to Policy Form ❑ <br /> ❑ Premier Property ❑ Causes of Loss Per Policy Form ❑ Earth Movement/Earthquake ❑ Rood <br /> ❑ Commercial Business Property ❑ Causes of Loss Per Policy Form ❑ Earth Movement/Earthquake ❑ Flood <br /> ❑ Electronic Data Processing ❑ causes/Risks of Loss Per Policy Form ❑ Includes Breakdown <br /> ❑ Boiler and Machinery ❑ Causes of Loss Per Policy Form <br /> ❑ ❑ <br /> INSURED LOCATION(S)OR SPECIFIC SUBJECT OF COVERAGE - <br /> LOC. 1: 28 PIEDMONT ST., BOSTON, MA <br /> VELOUR FABRIC-KM FABRICS $2300 <br /> DORAL FABRIC- F KRIEGER & DENIM LINING-F KRIEGER $5424 <br /> DESCRIPTION OF INSURED PROPERTYCOINSJ ' INSURED PROPERTY <br /> CONTRIB. <br /> ❑ Building(syReal Property. ❑ <br /> FXPersonal Property of the Insured ❑ $216,000 <br /> ❑ Personal Property of Others ❑ <br /> ❑ Boiler and Machinery Object Definition No: ❑ 1 ❑ 2 [:13 ❑ 4 ❑ 5 ❑ 6 <br /> El <br /> MORTGAGEE(S)/LOSS PAYEE(S)NAME(S)AND ADDRESS(ES) <br /> Project: Mashpee High School <br /> SPECIAL NOTICE-OHIO: ANY PERSON WHO,WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER,SUBMITS AN <br /> APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. <br /> NOTICE OF CANCELLATION:(NOT APPLICABLE UNLESS NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE <br /> COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST DAYS NOTICE OF <br />- SUCH CANCELLATION HAS BEEN MAILED TO: <br /> Liberty Mutual Group <br /> Town of Mashpee <br /> Mashpee, MA 02649 <br /> MICHELLE G.COUCH <br /> AUTHORIZED REPRESENTATIVE <br /> 8/13/96 PORTSMOUTH (800)293-2530 <br /> DATE ISSUED OFFICE PHONE NUMBER <br /> LIBERTY MUTUAL GROUP as respects such insurance as is afforded by its Companies. SS 815L R2 <br />
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