NA-MASHPEE HIGH SCHOOL PROJECT MANAGEMENT

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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 h� AN INSURANCE POLICY AND DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. This is to Certify that FOR THEATRE EQUIPMENT CORP. Name and LIBERTY 28 PIEDMONT STREET address of MUTUAL, BOSTON,MA 02116 Insured. Is,at thissue date of this certificate,insured by the Company under the policy)listed below. The insurance afforded by the listed polies)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 which this certificate maybe issued. EXP.DATE • ❑ CONTINUOUS TYPE OF POLICY ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ® POLICYTERM WORKERS 2/17/97 WC1-51J-402339-306 COVERAGE AFFORDED UNDER EMPLOYERS LIABILITY LAW OF THE FOLLOWING STATES:S: Bodily Injury By Accident COMPENSATION MA Each $500,000 Accident Bodily Injury By Disease $500,000 Policy Limit Bodily injury By Disease $500,000 Each Person YY7-511-402339-046 General Aggregate-Other than Products/Completed Operations GENERAL 2/17/97 LIABILITY $2,000,000 Products/Completed Operations Aggregate ® OCCURRENCE $1,000,000 ❑ CLAIMS MADE Bodily Injury and Property Damage Liability Per $1,000,000 Occurrence Personal and Advertising Injury Per PersoN RETRO DATE $1,000,000 Organization Other Other AUTOMOBILEy17/97 ASI-511-402339-036 Each Accident-Single Limit B.I.and P.D.Combined LIABILITY ® OWNED $1,000,000 Each Person © NON-OWNED $1,000,000 Each Accident a Occurrence M HIRED $500,000 Each Accident a Occurrence OTHER 2/17i97 THi-511-402339-026 $2,000,000 LIMIT OF LIABILITY UMBRELLA EXCESS UABIUTY ADDITIONAL COMMENTS PROJECT: MASHPEE HIGH SCHOOL ' If the certificate expiration data is continuous or extended term,you will be notified if coverage is terminated or reduced before the cer[iticare ezpirafion date. AN APPLICATION ORI FlLESNA CLAIM CONTAIN NG A FALSE OR DECEPTNE STATOEMENT 5 GUILTY OF NISURANCE FflAUDD AGAINST AN INSURER.SUBMITS - - - NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAVS IS ENTERED BELOW.) BEFORE Liberty Mutual Group THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: F V TOWN OF MASHPEE MICHELLE G. COUCH HOLDER MASHPEE, MA 02649 E AUTHORIZED REPRESENTATIVE agEe PORTSMOUTH (800)293-2530 8/13/96 J OFFICE PHONE NUMBER DATE ISSUED Thiscertiric,te is executedb,,LIBERTY MUTUAL GROUPas respects such insuranceas isafforded be Those Companies BS 772L IL'.