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CERTIFICATE OF LIABILITY INSURANCE
12103/ 020
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(ies) 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 andorsement(s).
PRODUCER
C Marsh Sponsored Programs
-NAME:
FNONE 855-267-8030 Nc
Marsh USA, Inc.
Two Alliance Center
3560 Lenox Road, Suite 2400
EMAIL
aooREss: marshfranchiseservice@marsh m.com
INSURERS AFFORDINGCOVERAGE
NAIC#
Atlanta, GA 30326
INSURMA: Arch Insurance Company
11150
INSURED
INSURER B:
Titus 278 Inc. Client # CFA17784
252 Washington St
Ste. A-100
INSURERC:
INSURERD:
INSURER E:
South Attleboro, MA 02703.5595
INSURERF:
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,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INBR
TR
TYPEOFINSURANCE
ADDLSUBR
POUCYNUMBER
POMILDICY EFF
PLOVLDICYO(P
LIMITS
COMMERCIAL GENERAL UABIL(IY
EACH OCCURRENCE
5
CLAIMSMAOE OCCUR
PRE, SES Ea occED
urrence
f
MED EXP(An ane pms..I
5
PERSONAL A ADV INJURY
$
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERALAGGREGATE
E
POLICY PROJECTT ❑ LOC
PRODUCTS - COMPIOP AGG
S
E
OTHER:
AIITOMOBILELWBILITY
COMBINED SINGLE LIMIT
Ea accitlem
S
BODILY INJURY(Per person)
S
ANYAUTO
OWNED 77 SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY(Per accident)
5
PROPERTY DAMAGE
Per accitlem
E
HIRED I NON -OWNED
AUTOS ONLY AUTOS ONLY
E
UMBRELLA LABOCCUR
EACH OCCURRENCE
S
AGGREGATE
5
EXCESS LAB
CIAIMSMADE
DED I I RETENTION $
E
WORKERSCOMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETORIPARTNE WEXECUTIVE
OFFI(Mantlemn In NH)WMEMBER EXCLUDED?
N/A
31WCI1725902
OVO7/2021
01/O7/2022
X STATUTE ER
E.L. EACH ACCIDENT
E 2,000,000
E.L. DISEASE - EA EMPLOYEE
E 2,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
52000000
DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101. Additional Remarks schedule, may be attached It mom space h requlmd)
Covered Location: #04100 Attleboro FSU 252 Washington St, Ste. A-100 South Attleboro, MA, 02703-5595
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Titus 278 Inc.
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
252 Washington St
Ste. A-100
—
AAUTHORREDREPREENTATME
f Marsh USA Inc.
South Attleboro, MA 02703.5595
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD