## KAPLANSKY INSURANCE AGENCY INC

114 HARVARD STREET BROOKLINE MA 02446



# New England Safety Partners 61 Chapel St Newton MA 02458

ACORD 25 (2014/01)

# CERTIFICATE
.OF
.LIABILITY
.INSURANCE SIS DATE (MM/DD/YYYY) 

# R045 

# 4/10/2015 THIS CERTIFICATEIS 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 be endorsed. If SUBROGATIONIS 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 CONTACT NAME: 

# KAPLANSKY INSURANCE AGENCY INC PHONE (A/C, No, Ext): 

# (617) 738-5400 FAX (A/C, No): 

# (617) 738-8214 

# 088739

# P: (617) 738-5400 

# F:(617) 738-8214 E-MAIL ADDRESS: 

# 114 HARVARD STREET INSURER(S) AFFORDING COVERAGE NAIC# 

# BROOKLINE MA 02446 INSURER A : 

## Sentinel Ins Co LTD INSURED INSURER B : INSURER C : 

# NEW ENGLAND SAFETY PARTNERS LL INSURER D : 

# 61 CHAPEL ST INSURER E : 

# NEWTON MA 02458 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,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 

# 1,000,000 CLAIMS-MADE 

## X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $

# 1,000,000 A X 

# General Liab 08 SBM NN5071 03/23/2015 03/23/2016 MED EXP (Any one person) $

# 10,000 PERSONAL & ADV INJURY $

# 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

# 2,000,000 POLICY PROJECT 

## X LOC PRODUCTS - COMP/OP AGG $

# 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY
N/ A PER STATUTE OTHER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ( Mandatory in NH

) Y/N E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 

# Those usual to the Insured's Operations.

CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 

# New England Safety Partners 61 Chapel St Newton MA 02458 AUTHORIZED REPRESENTATIVE



## © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD

## KAPLANSKY INSURANCE AGENCY INC

114 HARVARD STREET BROOKLINE MA 02446



# NEW ENGLAND SAFETY PARTNERS LL 61 CHAPEL ST NEWTON MA 02458

ACORD 25 (2014/01)

# CERTIFICATE
.OF
.LIABILITY
.INSURANCE SIS DATE (MM/DD/YYYY) 

# R045 

# 4/10/2015 THIS CERTIFICATEIS 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 be endorsed. If SUBROGATIONIS 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 CONTACT NAME: 

# KAPLANSKY INSURANCE AGENCY INC PHONE (A/C, No, Ext): 

# (617) 738-5400 FAX (A/C, No): 

# (617) 738-8214 

# 088739

# P: (617) 738-5400 

# F:(617) 738-8214 E-MAIL ADDRESS: 

# 114 HARVARD STREET INSURER(S) AFFORDING COVERAGE NAIC# 

# BROOKLINEMA 02446 INSURER A : 

## Sentinel Ins Co LTD INSURED INSURER B : INSURER C : 

# NEW ENGLAND SAFETY PARTNERS LL INSURER D : 

# 61 CHAPEL ST INSURER E : 

# NEWTONMA 02458 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,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $

# 1,000,000 CLAIMS-MADE 

## X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $

# 1,000,000 A X 

# General Liab 08 SBM NN5071 03/23/2015 03/23/2016 MED EXP (Any one person) $

# 10,000 PERSONAL & ADV INJURY $

# 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

# 2,000,000 POLICY PROJECT 

## X LOC PRODUCTS - COMP/OP AGG $

# 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY
N/ A PER STATUTE OTHER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ( Mandatory in NH

) Y/N E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 

# Those usual to the Insured's Operations.

CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 

# Inno4 LLC 266 SUMMER ST BOSTON, MA 02210 AUTHORIZED REPRESENTATIVE



## © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD