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:
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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