Attachment_Supplemental_Insurance_MSC_Certificate_of_Insurance.pdf

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

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 endorsement(s).

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.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

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.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

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

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

5/30/2024

NFP Property & Casualty Services Inc.

45 Executive Drive Plainview NY 11803

COMPLEX RISK NE

516-327-2700 516-327-2800

RiskCerts@nfp.com

ACE Property & Casualty Insurance Company 20699 ACE Fire Underwriters Insurance Company 20702

MSC Industrial Direct Co., Inc; Sid Tool Co., Inc.

& MSC Industrial Supply Co., Inc. Its Affiliates & Subsidiaries 525 Harbour Place Dr.

Davidson, NC 28036-7444 insurancemailbox@mscdirect.com

ACE American Insurance Company 22667 Everest National Insurance Company 10120 Chubb Custom Insurance Company 38989

1911453746

C X 2,000,000 X 1,000,000

EXCLUDED

2,000,000

4,000,000 X

HDOG48898233 10/1/2023 10/1/2024

4,000,000

Policy Aggregate Cap 10,000,000 C 2,000,000

X

X X

ISAH10817353 10/1/2023 10/1/2024

A D

X X 20,000,000 X

G28164877008

XC5EX01442231

10/1/2023 10/1/2023

10/1/2024 10/1/2024

20,000,000 X 10,000

C B C

X

N

WLRC55518087

SCFC55517988

WLRC55517897

10/1/2023 10/1/2023 10/1/2023

10/1/2024 10/1/2024 10/1/2024

*See Below 1,000,000

1,000,000

1,000,000 E Products Liability

Specified Products Claims Made

36081469 10/1/2023 10/1/2024 Each Occurrence Limit Aggrgate Retro Date: 10/01/20

$5,000,000 $5,000,000

*Excludes Monopolistic States (OH, ND, WA) and Puerto Rico.

State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees is included as an additional insured in accordance with the policy provisions of the Automobile Liability Policy as required by written contract. State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees is included as an additional insured in accordance with the policy provisions of the General Liability Policy as required by written contract. Waiver of Subrogation in favor of the additional insured(s) as allowed by law, as respects General Liability, Workers' Compensation/Employers Liability and Auto Liability in accordance with the policy provisions as required by written contract.

The insured will endeavor to provide 30 days' prior written notice of policy cancellation or modification.

Arizona Department of Administration State Procurement Office 1802 W Jackson #100 Phoenix AZ 85007