HomeMy WebLinkAboutCertificate of LiabilityAC"/?" CERTIFICATE OF LIABILITY INSURANCE
DATE (Meuoon v)
8/1/2022
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(fes) must have ADDITIONAL INSURED provisions or 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
Arthur J. Gallagher Risk Management Services, Inc.
250 Park Avenue, 5lh Floor
New York NY 10177
CONTACT
NAME:
PHONE e: 212-994-7100 F,vc No:212-994-7047
E4.1AIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIL9
INSURERA: ASCOT Insurance Company
23752
INSURED
Gateway Montville LLC
400 Waterfront Street
INSURERB:
INSURERG:
New Haven, CT 06512
INSURERD:
_ -
INSURER E'
INSURERF
cnVFRAr.rR CERTIFICATE NUMBER: 34017188 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,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
SUM
POLICYNUMBER
POLICY EFF
MMIDDIIYI'
POLICY EXP
MMIDD
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
Y
MAPL2010000650-03
10/1/2021
10/1/2022
EACH OCCURRENCE
$1,000.000
CLARAS-MADE 1X71 OCCUR
DAMAO Oft N D
PREMISES Ea occurrence
$60,000
X
MEO EXP (Any one person)
S 5,000
Terminal Ops
PERSONAL B ADV INJURY
S
GENC AGGREGATE LIMITAPPLIES PER:
GENERAL AGGREGATE
$2,000,000 _
PRODUCTS - COMPIOP AGG
$2,000,000
X POLICY JEC- LGG
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea acddent
$
BODILY INJURY(P. person)
$
ANY AUTO
BODILY INJURY(Per aI:dd.rn
S
OWNED SCHEWLED
AUTOS ONLY AS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTYDAMAGE
Per actldenl
$
$
UMBRELLALIAB
occu
OCCUR
EACH OCCURRENCE
S
AGGREGATE
$
EXCESS LIAR
S-61AOE
DED I I RETENTION$
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOWPARTNERJEXECUTNE
STANTE ERH
E.L. EACH ACCIDENT
S
E.LDISEASE-EAEMPLOYEE
$
OFFICEMAEMBEREXCLUDEDi ❑
(Manda(ery in NH)
NIA
E.L. DISEASE -POLICY LIMIT
$
Il yes, desmbe under
DE lips,
OF OPERATIONS I Vl
DESCRIPTION OF OPERATIONS I LOCATIONS I VE1/1CLES (ACORD 101, Addinonal Remarks Sehedule, may be aUla fn,d if more space is n,,ui,ed)
Marine Terminal Operators Comprehensive Liability Insurance (MGL):
Ascot Insurance Company (50%)
Navigators Insurance Company/The Hartford (50%)
$1,000,000 Per Occurrence, combined single limit; $2,000,000 Products and Completed Operations Aggregate
Certificate Holder is included as an Additional insured Where required by Written contract, pursuant to and subject to the policy's terms, definitions, conditions
and exclusions. Coverage is Primary and Non -Contributory.
The Town of Montville, its successors and assigns as their
interests may appear
AUn: Mayor
310 Norwich -New London Turnpike
Uncasville CT 06382
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
n 1988-2015 ACORD CORPORATION. All
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD