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ROOST LIABILITY INSURANCE From:Johm Walsh Insurance 978 745 9557 09/11/2017 15:23 #454 P-002/003 9BIRD04 OP ID: DP ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE IMNVDDnrrvl 09/11/2017 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(les) 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 PRODUCER holder In lieu of such endorsement($). --- PROWLER NAME,CONTACT John J Walsh Ins Agency,Inc PHONE Mark W.Bettencourt Palms P 0 Box 4407 PHONE n1.976-745.3300_ !INc Nol:97&745-9557 Salem MA 07970-6407 EMAIL Mark iV Bettencourt aooRlese;__ INS VRER S AFFORDING COVERAGE NAIL P INSURER A The Hartford INSURED Birds 8 Bees,LLC INSURERS: —r DBA Roost 8 Company —.R 40 Front Street INSURER C: Salem,MA 01970INSU DD_- INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSF':--- DER' --TPODCVEFF POLICYEXP "------—..-- LTR TYPE OF INSURANCE PODGY NUMBER MMIDOIYYYY MMIOOIYVW ! 11MITG A t COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1_000,000 "73A}3A7ETri AEATE6—_ CLAIMS MADE ]OCCUk I OHSBANW6438 10106/20161 1010612017 PREMISE$ Ea_ once s 1,000,000 LMEO E%P IAnY one DarsdnJ s _ 10,00 _ 'PERSONAL aAOVINJURY S 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: i GENERAL AGGREGATE 5 2,000,00 POUCYI PRODUCTS AGG S L 'PRO.JECT l�LOC 2,000,00( - -- OTHER 5 AVTOMDBILE LIABILITY i COMBINED biNtil-L LIMI - l ANYAUTO I I BODILY INJURY(Per pemon) S Il ALLOOWNED i ISACHHEOULEO BODILY INJURY(Perawdent) S :—� t— NON OWNED I ` Pp-PROPER AA7AZ5� IS HIRED AUTOS - AUTOS S 'UMBRELLA Lea SUR EACH OCCURRENCE EXCESS I." iCLAIMS."DE AGGREGATE 5 _ 'DET77 RETENTIONS S !WORKERS COMPENSATION 1 I PER AND EMPLOYERS'LIABILITY _ STATUTE Eft ANY PROPRIETORIPARTNERIEXECUTIVE YIN - _E L.EACH ACCIDENT OFFICERIMEMBER EXCLUOEO? NIA (Mandatory In NH) E_L DISEASEEAEMPLOYE S If Yeo,deecnbe under DESCRIPTION OF OPERATIONS beb ELLDISEASE POLICY LIMIT 5 A !Business Contents �011SBANW6438 1010612117611010612017 PROPERTY 1D4,50 Special Peril Form IDED 1,00 1 DESCRIPTION OFOPERATONS I LOCATIONS I VEHICLES (ACORD/et,Additional Remarks Schedule,may he attached if MOM3pace la reeulred) City of Salem and The Salem Redevelopment Authority as Additional Insureds CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI of Salem Dept of Planning THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN H P g ACCORDANCE WITH THE POLICY PROVISIONS. 8 Community Development 120 Washington Street AUTHORIZEO REPRESENTATIVE Salem,MA 01970 Mark W.Bettencourt ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD