COI_4-1-2020_exp.pdf

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Attached to
Master Agreement AZ|CTR053242
Contract number
CTR053242
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance issued on 4/2/2021 by Hays Companies Inc. for Public Consulting Group LLC, located in Boston, Massachusetts. The insurance coverage involves multiple insurers, including Great Northern Insurance Company, Federal Insurance Company, Allied World Assurance Co (U.S.) Inc, and ACE American Insurance Company.

The certificate covers multiple types of insurance with various policy periods from 12/31/2020 to 4/1/2022, including Commercial General Liability (with a $1,000,000 each occurrence limit), Automobile Liability, Umbrella Liability (with a $10,000,000 each occurrence limit), Workers Compensation, and Professional/Cyber Liability (with a $10,000,000 each claim/aggregate limit and a $500,000 retention). The policies provide comprehensive coverage across different risk categories, with specific limits and effective dates for each type of insurance. The certificate serves as evidence of insurance for the named insured, Public Consulting Group LLC, and is valid for the specified policy periods.

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Text version

4/2/2021

Hays Companies Inc.

133 Federal Street, 4th Floor

Boston MA 02110

Courtney Mitchell cmitchell@hayscompanies.com

Public Consulting Group LLC 148 State St.

10th Floor Boston MA 02109

Great Northern Insurance Company 20303 Federal Insurance Company 20281 Allied World Assurance Co (U.S.) Inc 19489 ACE American Insurance Company 22667

21-22 PCG Master

A

X

X

X

35855036 4/1/2021 4/1/2022

1,000,000

1,000,000

10,000

1,000,000

2,000,000

Included

Employee Benefits 1,000,000

B

X X 73540440 4/1/2021 4/1/2022

1,000,000

C

X

X 10,000 0311-2674 4/1/2021 4/1/2022

10,000,000

10,000,000

B 71724811 12/31/2020 12/31/2021

X

1,000,000

1,000,000

1,000,000

D Professional/Cyber Liability D95159837 4/1/2021 4/1/2022 Each Claim/Aggregate: $10,000,000

Claims Made Retroactive Date 2/27/1997 Retention: $500,000

Evidence of Insurance

James Hays/CEMITC

The ACORD name and logo are registered marks of ACORD

CERTIFICATE HOLDER

© 1988-2014 ACORD CORPORATION. All rights reserved.

ACORD 25 (2014/01)

AUTHORIZED REPRESENTATIVE

CANCELLATION

DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE

LOCJECT

PRO-

POLICY

GEN'L AGGREGATE LIMIT APPLIES PER:

OCCURCLAIMS-MADE

COMMERCIAL GENERAL LIABILITY

PREMISES (Ea occurrence) $

DAMAGE TO RENTED

EACH OCCURRENCE $

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GENERAL AGGREGATE $

PRODUCTS - COMP/OP AGG $

$RETENTIONDED

CLAIMS-MADE

OCCUR

AGGREGATE $

EACH OCCURRENCE $UMBRELLA LIAB

EXCESS LIAB

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

INSR

LTR TYPE OF INSURANCE POLICY NUMBER

POLICY EFF

(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY) LIMITS

PER

STATUTE

OTH-

ER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE

E.L. DISEASE - POLICY LIMIT

ANY PROPRIETOR/PARTNER/EXECUTIVE

If yes, describe under DESCRIPTION OF OPERATIONS below

(Mandatory in NH)

OFFICER/MEMBER EXCLUDED?

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY Y / N

AUTOMOBILE LIABILITY

ANY AUTO

ALL OWNED SCHEDULED

HIRED AUTOS

NON-OWNED

AUTOS AUTOS

AUTOS

COMBINED SINGLE LIMIT

BODILY INJURY (Per person)

BODILY INJURY (Per accident)

PROPERTY DAMAGE $

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.

INSD

ADDL

WVD

SUBR

N / A

(Ea accident)

(Per accident)

OTHER:

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 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).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

INSURED

PHONE

(A/C, No, Ext):

PRODUCER

ADDRESS:

E-MAIL

FAX

(A/C, No):

CONTACT

NAME:

NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

INSURER(S) AFFORDING COVERAGE

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INS025 (201401)

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