94 Bridge insurance Sig m a_One Issue Date:Jan 11, 2022
This certificate is issued as a matter of information only
\ I A Workers'Compensation Trust and confers no rights upon the certificate holder.
The Granite State Workers'Compensation Manufacturers Trust
PO Box 1387 This certificate does not amend,extend or alter
Concord,NH 03301-1387 the coverage afforded by the policies below.
Certificate Holder Certificate of Insurance
Companies Affording Coverage
Indaba Holdings,Inc dba NH Signs Company Granite State Workers'Comp Mfr.Trust
Letter A
66 Gold Ledge Avenue
Auburn,NH 03032 Company Safety National
Letter B
This policy is effective at 12:00 am on 1/1/2022 ,and will expire at 12:01 am on1/1/2023 .
This policy will automatically be renewed unless notified by either party by October 1st of any fund year.
Coverages
This is to certify that the Workers'Compensation and Employer's Liability Insurance has been issued to the insured
named above for the policy period indicated,not withstanding 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,exclusions and conditions of such policies.
Type of Insurance/Carrier Policy Number Effective Date Expiration Date LIMITS
A:Workers'Compensation
&Employer's Liability E.L. Each Accident $1,000,000
Granite State Workers'Comp Mfr.Tr WC0120221003211 1/1/2022 1/1/2023 E.L.Disease-Pol Limit $1,000,000
E.L.Disease-Each Emp $1,000,000
B:Excess Insurance Workers'Compensation Statutory
Employer's Liability $1,000,000
Safety National SP4066128 1/1/2022 1/1/2023
Description of Operations X Officers Excluded
March,Peter C
March,Noeleen A
Member Cancellation
Should any of the above described policies be
Indaba Holdings,Inc dba NH Signs cancelled before the expiration date thereof,the
66 Gold Ledge Avenue issuing company will endeavor to mail 30 days
Auburn,NH 03032 written notice to the certificate holder named
to the left,but failure to mail such notice shall
impose no obligation or liability of any kind upon
the company,its agents or representatives.
Administered by:
Comp-SIGMA Ltd. Jan 11, 2022
Workers'Compensation Alternatives Aut i epresentative Date