2024-25 COI SOUSA SIGNS AC R" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS 4/3/2024
UPON THE CERT11 1CATE 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 INSLIRED,the policy(ies)must 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 Miche e Weldon
NAME:: l.
Wieczorek insurance PHONE (6�i3;5ES-3311 FAx
C No Fxf:166 Concord St. (A/C Nn). (603)668-8413
ADDREss:znichellei� xzinsuranc®_com ADDRESS-
INSL'aZER(S)AFFORDING COVERAGE NAIC 4
INSURED INURED ter NH 03104 INSURERA:MMG Insurance Cc 15997 _
Sousa Signs T•T.r' INSURER B:Eastern Alliance Insurance Companv 70724
Eipd 225 LLC INSURER C
225 EAST ININDUSTRIALPARR DR INSURER D:
INSURER E:
Manchester NR 03109 INSURER F:
COVERAGES CERTIFICATE NUMBER:24/25 REVISION NUMBER:
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 MAYBE 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 PAIE`_'LAIMS.
iNSR ADDL SUBR
LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY IXP
MMIDD MNUDD/WYY LIMITS
X COMMERCIAL GENERAL LIABILITY EACH QCCURRENCE $ 1,000,000 i
A CLAIMS-MADE i x OCCUR DAMAGE7bRENTED 1,000,Q PREMISES Ea occurrence $ _
X EP10982529 4/15/2024 4/15/2025 MED EXP(Any one person) $ 5,000
f PERSONAL&ADV INJURY $
GEN'LAGGREGATE LiMITAPPLIES PER (PRO GENERAL AGGREGATE $ 2,000,000
X POLICY JECT a LOC
PRODUCTS-COMP/OP AGG $ 2,000,000
OTHER- I
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000
A X ANY AUTO BODILY INJURY(Per person) $
AUTOS AUTOS RA10982529 4/15/2024 4/15/2025 BODILY INJURY(Per accident) $
ALL OWNED SCHEDULED
HIRED AUTOS NON-OWNED PROPERTY DAMAGE
AUTOS Per accident $
X UMBRELLA LABXMedical payments $ 5,000
OCCUR EACH OCCURRENCE $ 5,000,000
A EXCESS LIAR CLAIMS-MADE
AGGREGATE $ 5,000,000
DED I X I RETENTION S 10 00o RU109825?9 4/15/2024 4/15/2025 $
WORKERS COMPENSATION per 3.a: NET, ME, i PER OTH-
AND EMPLOYERS'LIABILITY Y/N x STATUTE ER
ANY PROPRiETOR/PARTNERlEXECUTIVE Excl: Jestin, Louise S
OFFICER/MEmerR EXCLUDED' �NIA E.L.EACH ACCIDENT $_ 1,000,000
$ (Mandatory in NH) Thom Sousa 4/10/2024 4/10/2025 E.L.DISEASE-EA EMPLOYEE Ifyes,describeunder $ 1,000,000
DESCRIPTION OF OPERATIONS below 01-0000115899 i E.L.DISEASE-POLICY LIMIT $ 1 000,000
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
hwoodhopkins@eharter.rzet
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS_
AUTHORIZED REP:.;_SEN T ATNIE
I I Robert `✓d_eCzo_--e C/MIr_H �`` •A +-
1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
INS025(201401)