ML16118A288: Difference between revisions

From kanterella
Jump to navigation Jump to search
(Created page by program invented by StriderTol)
(Created page by program invented by StriderTol)
Line 15: Line 15:


=Text=
=Text=
{{#Wiki_filter:ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM'DD/YYYY) 3/17/2016 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:
{{#Wiki_filter:DATE (MM'DD/YYYY)
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed.
ACORD
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).
CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I        3/17/2016 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.
PRODUCER Jennifer Dissette Premark Associated Agencies, Inc.
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).
i:vt1* (716) 633-8401 I Nol: (716) 633-8429 6470 Main St., Ste #2 jdissette@promarkinsurance.com PO Box 530 INSURER(S)
PRODUCER                                                                               ~2~I~?T Jennifer Dissette Premark Associated Agencies,                         Inc.                             f,.~gN,t i:vt1* (716) 633-8401                           I rie~ Nol:   (716) 633-8429 6470 Main St.,               Ste #2                                                 ~DMD~~ss: jdissette@promarkinsurance.com PO Box 530                                                                                               INSURER(S) AFFORDING COVERAGE                                     NAIC#
AFFORDING COVERAGE NAIC# Williamsville NY 14231-0530 INSURER A :RLI Insurance Companv -A&E 13056 INSURED INSURER B One Beacon Insurance Companv 21970 MRB Group INSURER C: 145 Culver Road, Suite 160 INSURER D: INSURER E: Rochester NY 14620 INSURER F: COVERAGES CERTIFICATE NUMBER;CL1631703524 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.
Williamsville                             NY   14231-0530                           INSURER A :RLI Insurance Companv -                     A&E                       13056 INSURED                                                                               INSURER B One Beacon Insurance Companv                                           21970 MRB Group                                                                             INSURER C:
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.
145 Culver Road,                   Suite 160                                         INSURER D:
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF LTR TYPE OF INSURANCE 1*0Cn 1m1n POLICY NUMBER IMM/DD/YYYYI LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE  
INSURER E:
$ 1,000,000  
Rochester                                 NY     14620                               INSURER F:
-D CLAIMS-MADE
COVERAGES                                       CERTIFICATE NUMBER;CL1631703524                                             REVISION NUMBER:
[i] OCCUR DAMAGE TO RENTED A PREMISES IEa occurrence\  
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.
$ 1,000,000  
INSR                                                 ADDL SUBR                                   POLICY EFF LTR                 TYPE OF INSURANCE             1*0Cn 1m1n         POLICY NUMBER           IMM/DD/YYYYI ,~g}-~%Yv~1                              LIMITS x   COMMERCIAL GENERAL LIABILITY                                                                                   EACH OCCURRENCE                   $       1,000,000 A
-PSB0003207 5/1/2016 5/1/2017 MED EXP (Any one person) $ 10,000 -PERSONAL & ADV INJURY $ 1,000,000  
        -
-GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE
        -
$ 2,000,000 R 0PRO-DLOC PRODUCTS -COMP/OP AGG $ 2,000,000 POLICY JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 rEa accident\
D     CLAIMS-MADE     [i] OCCUR DAMAGE TO RENTED PREMISES IEa occurrence\         $       1,000,000 PSB0003207                       5/1/2016     5/1/2017       MED EXP (Any one person)         $           10,000
-ANY AUTO BODILY INJURY (Per person) $ A -ALL OWNED -SCHEDULED AUTOS AUTOS PSA0001996 3/5/2016 3/5/2017 BODILY INJURY (Per accident)
        -
$ --NON-OWNED x HIRED AUTOS x AUTOS $ --$ x UMBRELLA LIAB M OCCUR EACH OCCURRENCE  
PERSONAL & ADV INJURY             $       1,000,000
$ 5 000 000 -A EXCESS LIAB CLAIMS-MADE AGGREGATE  
        -
$ 5 000 000 OED I x I RETENTION$
R  GEN'LAGGREGATE LIMIT APPLIES PER:
10 000 PSE0003023 5/1/2016 5/1/2017 $ WORKERS COMPENSATION x I I I OTH-AND EMPLOYERS' LIABILITY ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 0 E.L. EACH ACCIDENT $ 1 000 000 OFFICER/MEMBER EXCLUDED?
POLICY 0PRO-OTHER:
N/A A (Mandatory in NH) PSW0001923 5/1/2016 5/1/2017 E.L. DISEASE -EA EMPLOYEE $ 1 000 000 I below E.L. DISEASE -POUCY LIMIT $ 1 000 000 B Professional Liability DPL-4987-15 12/31/2015 12/31/2016 Per Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be atached if more spaceis required)
JECT    DLOC GENERALAGGREGATE PRODUCTS - COMP/OP AGG
Holder is an additional insured for the general liability only in regards toservices provided by the insured to the entity when required by executed written contract.
                                                                                                                                                                $
Professional Liability limits shown are per claim and aggregate for all projects of the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RE Ginna Nuclear Power THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Plant, LLC ACCORDANCE WITH THE POLICY PROVISIONS.
                                                                                                                                                                $
750 East Pratt Street Baltimore, MD 21202 AUTHORIZED REPRESENTATIVE c Alderson/HWITTM  
                                                                                                                                                                $
..-..I
2,000,000 2,000,000 COMBINED SINGLE LIMIT
_ _, .........  
      -  AUTOMOBILE LIABILITY                                                                                                rEa accident\                    $       1,000,000
© 1988-2014 ACORD CORPORATION.
      -       ANY AUTO                                                                                                       BODILY INJURY (Per person)       $
All rights reserved.
      -                        -
ACORD 25 (2014/01)
A ALL OWNED             SCHEDULED                 PSA0001996                                                     BODILY INJURY (Per accident) $
INS025 r?o14011 The ACORD name and logo are registered marks of ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY)  
AUTOS                AUTOS                                                      3/5/2016       3/5/2017
"'---" 3/17/2016 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:
                                -   NON-OWNED x                                                                                           rp~~~~c~~t~AMAGE
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed.
      -x      HIRED AUTOS
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.
                                -    AUTOS                                                                                                                     $
A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
M
PRODUCER Jennifer Dissette Premark Associated Agencies, Inc.
                                                                                                                                                                $
Cv+I* (716) 633-8401 I Nol: (716) 633-8429 6470 Main St., Ste #2 jdissette@promarkinsurance.com PO Box 530 INSURER!Sl AFFORDING COVERAGE NAIC# Williamsville NY 14231-0530 INSURER A :RLI Insurance Comoanv -A&E 13056 INSURED INSURER B One Beacon Insurance Comoany 21970 MRB Group INSURERC:
      -
145 Culver Road, Suite 160 INSURER D: INSURER E: Rochester NY 14620 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1631703524 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.
x   UMBRELLA LIAB OCCUR                                                                                 EACH OCCURRENCE                 $         5 000 000 EXCESS LIAB               CLAIMS-MADE                                                                           AGGREGATE                       $         5 000 000 A
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.
I OED I x RETENTION$             10 000           PSE0003023                       5/1/2016       5/1/2017                                       $
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE
WORKERS COMPENSATION AND EMPLOYERS' LIABILITY                YIN x I ~f~TUTE I I OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE                                                                                       E.L. EACH ACCIDENT               $         1 000 000 A
;:SUBR I POLICY EFF LIMITS LTR \Af\fn POLICY NUMBER MMIDD/YYYYl x COMMERaAL GENERAL LIABILITY EACH OCCURRENCE  
OFFICER/MEMBER EXCLUDED?
$ 1,000,000 A I CLAIMS-MADE
(Mandatory in NH)                       0  N/A PSW0001923                       5/1/2016       5/1/2017       E.L. DISEASE - EA EMPLOYEE $               1 000 000 I g~~~~;;;'f-f~~ 'bn~'6PERATIONS below                                                                                 E.L. DISEASE - POUCY LIMIT $               1 000 000 B       Professional Liability                               DPL-4987-15                     12/31/2015 12/31/2016 Per Claim                                           2,000,000 Aggregate                                 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be atached if more spaceis required)
[iJ OCCUR DAMAGE TO RENTED PREMISES !Ea occurrencel  
Holder is an additional insured for the general liability only in regards toservices provided by the insured to the entity when required by executed written contract. Professional Liability limits shown are per claim and aggregate for a l l projects of the named insured.
$ 1,000,000 PSB0003207 5/1/2016 5/1/2017 MED EXP (Any one person) $ 10,000 -PERSONAL & ADV INJURY* $ 1,000,000  
CERTIFICATE HOLDER                                                                     CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RE Ginna Nuclear Power                                                       THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
-GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE
Plant, LLC 750 East Pratt Street Baltimore, MD                 21202                                       AUTHORIZED REPRESENTATIVE c   Alderson/HWITTM                       C~P-----*                ..-..I   :-~£__,.........
$ 2,000,000
                                                                                                        © 1988-2014 ACORD CORPORATION. All rights reserved.
=i 0 PRO-DLoc PRODUCTS -COMP/OP AGG $ 2,000,000 POLICY JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident\  
ACORD 25 (2014/01)                                     The ACORD name and logo are registered marks of ACORD INS025 r?o14011
-ANY AUTO BODILY INJURY (Per person) $ A -ALL OWNED -SCHEDULED AUTOS AUTOS PSA0001996 3/5/2016 3/5/2017 BODILY INJURY (Per accident)  
 
$ --NON-OWNED PROPERTY DAMAGE x HIRED AUTOS x AUTOS IPer accidentl  
DATE (MMIDD/YYYY)
$ --$ x UMBRELLA LIAB M OCCUR EACH OCCURRENCE  
ACORD
$ 5,000,000  
  "'---"
-A EXCESS LIAB CLAIMS-MADE AGGREGATE
THIS CERTIFICATE IS ISSUED AS A CERTIFICATE OF LIABILITY INSURANCE MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I      3/17/2016 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.
$ 5 000 000 OED I x I RETENTION$
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).
10 000 PSE0003023 5/1/2016 5/1/2017 $ WORKERS COMPENSATION x I I I OTH-AND EMPLOYERS' LIABILITY ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 000 000 OFFICER/MEMBER EXCLUDED?
PRODUCER                                                                               ~2~~~CT Jennifer Dissette Premark Associated Agencies,                         Inc.                               r.~W'!.\:. Cv+I* (716) 633-8401                       I rie~ Nol: (716) 633-8429 6470 Main St.,               Ste #2                                                   ~t1DA~ss: jdissette@promarkinsurance.com PO Box 530                                                                                                     INSURER!Sl AFFORDING COVERAGE                               NAIC#
N/A A (Mandatory in NH) PSW0001923 5/1/2016 5/1/2017 E.L. DISEASE -EA EMPLOYEE $ 1 000 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1 000 000 B Professional Liability DPL-4987-15 12/31/2015 12/31/2016 Per Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remall<s Schedule, may be atached if more spaceis required)
Williamsville                           NY     14231-0530                             INSURER A :RLI Insurance Comoanv -                     A&E                     13056 INSURED                                                                                 INSURER B One Beacon Insurance Comoany                                         21970 MRB Group                                                                               INSURERC:
The County of Ontario is an additional insured for the general liability only in regards to services provided by the insured to the entity when required by executed written contract.
145 Culver Road,                 Suite 160                                             INSURER D:
CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE R.E. Ginna Nuclear Power Plant THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1503 Lake Road ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER E:
Ontario, NY 14519 AUTHORIZED REPRESENTATIVE c Alderson/HWITTM c--:_I-*--....... ...-.! 6 ... __ ..... HH**< &#xa9; 1988-2014 ACORD CORPORATION.
Rochester                               NY     14620                                   INSURER F:
All rights reserved.
COVERAGES                                     CERTIFICATE NUMBER:CL1631703524                                                 REVISION NUMBER:
ACORD 25 (2014/01)
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.
INS0251?014011 The ACORD name and logo are registered marks of ACORD '
INSR                                                       ;:SUBR MMIDD/YYYYl r~2hl~/'v~y, I POLICY EFF LTR                 TYPE OF INSURANCE            I~~.,"~ \Af\fn       POLICY NUMBER                                                                 LIMITS x     COMMERaAL GENERAL LIABILITY                                                                                       EACH OCCURRENCE                 $       1,000,000 DAMAGE TO RENTED A               I CLAIMS-MADE   [iJ OCCUR                                                                                   PREMISES !Ea occurrencel       $       1,000,000 PSB0003207                         5/1/2016     5/1/2017     MED EXP (Any one person)       $           10,000
Promark Agencies 64 70 Main Street Suite 2 P.O.Box530 Williamsville, New York 14231-0530
      -
:* ., -..
PERSONAL & ADV INJURY*         $       1,000,000
BM! Ji. L "'
      -
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM'DD/YYYY) 3/17/2016 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:
      =i GEN'L AGGREGATE LIMIT APPLIES PER:
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed.
POLICY OTHER:
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.
0     PRO-JECT  DLoc GENERAL AGGREGATE PRODUCTS - COMP/OP AGG
A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
                                                                                                                                                                $
PRODUCER Jennifer Dissette Premark Associated Agencies, Inc.
                                                                                                                                                                $
i:vt1* (716) 633-8401 I Nol: (716) 633-8429 6470 Main St., Ste #2 jdissette@promarkinsurance.com PO Box 530 INSURER(S)
                                                                                                                                                                $
AFFORDING COVERAGE NAIC# Williamsville NY 14231-0530 INSURER A :RLI Insurance Companv -A&E 13056 INSURED INSURER B One Beacon Insurance Companv 21970 MRB Group INSURER C: 145 Culver Road, Suite 160 INSURER D: INSURER E: Rochester NY 14620 INSURER F: COVERAGES CERTIFICATE NUMBER;CL1631703524 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.
2,000,000 2,000,000 AUTOMOBILE LIABILITY                                                                                                     COMBINED SINGLE LIMIT           $       1,000,000
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.
      -                                                                                                                          (Ea accident\
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF LTR TYPE OF INSURANCE 1*0Cn 1m1n POLICY NUMBER IMM/DD/YYYYI LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE  
ANY AUTO                                                                                                         BODILY INJURY (Per person)     $                       '
$ 1,000,000  
A   -
-D CLAIMS-MADE
ALL OWNED       -   SCHEDULED
[i] OCCUR DAMAGE TO RENTED A PREMISES IEa occurrence\  
      -x      AUTOS
$ 1,000,000  
                                -x  AUTOS                         PSA0001996                         3/5/2016     3/5/2017     BODILY INJURY (Per accident) $
-PSB0003207 5/1/2016 5/1/2017 MED EXP (Any one person) $ 10,000 -PERSONAL & ADV INJURY $ 1,000,000  
      -       HIRED AUTOS
-GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE
                                -M  NON-OWNED AUTOS PROPERTY DAMAGE IPer accidentl                   $
$ 2,000,000 R 0PRO-DLOC PRODUCTS -COMP/OP AGG $ 2,000,000 POLICY JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 rEa accident\
                                                                                                                                                                $
-ANY AUTO BODILY INJURY (Per person) $ A -ALL OWNED -SCHEDULED AUTOS AUTOS PSA0001996 3/5/2016 3/5/2017 BODILY INJURY (Per accident)
A
$ --NON-OWNED x HIRED AUTOS x AUTOS $ --$ x UMBRELLA LIAB M OCCUR EACH OCCURRENCE  
      -x       UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE EACH OCCURRENCE AGGREGATE
$ 5 000 000 -A EXCESS LIAB CLAIMS-MADE AGGREGATE  
                                                                                                                                                                $
$ 5 000 000 OED I x I RETENTION$
                                                                                                                                                                $
10 000 PSE0003023 5/1/2016 5/1/2017 $ WORKERS COMPENSATION x I I I OTH-AND EMPLOYERS' LIABILITY ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 0 E.L. EACH ACCIDENT $ 1 000 000 OFFICER/MEMBER EXCLUDED?
5,000,000 5 000 000 OED   Ix I RETENTION$       10 000                 PSE0003023                         5/1/2016     5/1/2017                                     $
N/A A (Mandatory in NH) PSW0001923 5/1/2016 5/1/2017 E.L. DISEASE -EA EMPLOYEE $ 1 000 000 I below E.L. DISEASE -POUCY LIMIT $ 1 000 000 B Professional Liability DPL-4987-15 12/31/2015 12/31/2016 Per Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be atached if more spaceis required)
WORKERS COMPENSATION AND EMPLOYERS' LIABILITY                YIN x I ~f~TUTE I I OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE                                                                                         E.L. EACH ACCIDENT               $       1 000 000 A
Holder is an additional insured for the general liability only in regards toservices provided by the insured to the entity when required by executed written contract.
OFFICER/MEMBER EXCLUDED?
Professional Liability limits shown are per claim and aggregate for all projects of the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RE Ginna Nuclear Power THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Plant, LLC ACCORDANCE WITH THE POLICY PROVISIONS.
(Mandatory in NH)                       ~    N/A PSW0001923                         5/1/2016     5/1/2017   E.L. DISEASE - EA EMPLOYEE $             1 000 000 If yes, describe under DESCRIPTION OF OPERATIONS below                                                                                         E.L. DISEASE - POLICY LIMIT $             1 000 000 B     Professional Liability                                     DPL-4987-15                     12/31/2015 12/31/2016 Per Claim                                       2,000,000 Aggregate                                 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remall<s Schedule, may be atached if more spaceis required)
750 East Pratt Street Baltimore, MD 21202 AUTHORIZED REPRESENTATIVE c Alderson/HWITTM  
The County of Ontario is an additional insured for the general l i a b i l i t y                                                  only in regards to services provided by the insured to the entity when                                         required by executed written contract.
..-..I
CERTIFICATE HOLDER                                                                     CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE R.E.       Ginna Nuclear Power Plant                                         THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
_ _, .........  
1503 Lake Road Ontario, NY               14519 AUTHORIZED REPRESENTATIVE c   Alderson/HWITTM                       c--:_I-*- -.. . .       ...-.!   . 6 __. . .
&#xa9; 1988-2014 ACORD CORPORATION.
                                                                                                                                                                    ~z            HH**<
All rights reserved.
                                                                                                            &#xa9; 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01)
ACORD 25 (2014/01)                                     The ACORD name and logo are registered marks of ACORD INS0251?014011
INS025 r?o14011 The ACORD name and logo are registered marks of ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY)  
 
"'---" 3/17/2016 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:
                                                  -.. ~-1_
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.
Promark Agencies 64 70 Main Street Suite 2 P.O.Box530 Williamsville, New York 14231-0530       BM! Ji. L
A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
 
PRODUCER Jennifer Dissette Premark Associated Agencies, Inc.
DATE (MM'DD/YYYY)
Cv+I* (716) 633-8401 I Nol: (716) 633-8429 6470 Main St., Ste #2 jdissette@promarkinsurance.com PO Box 530 INSURER!Sl AFFORDING COVERAGE NAIC# Williamsville NY 14231-0530 INSURER A :RLI Insurance Comoanv -A&E 13056 INSURED INSURER B One Beacon Insurance Comoany 21970 MRB Group INSURERC:
ACORD
145 Culver Road, Suite 160 INSURER D: INSURER E: Rochester NY 14620 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1631703524 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.
CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I        3/17/2016 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.
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE
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).
;:SUBR I POLICY EFF LIMITS LTR \Af\fn POLICY NUMBER MMIDD/YYYYl x COMMERaAL GENERAL LIABILITY EACH OCCURRENCE  
PRODUCER                                                                               ~2~I~?T Jennifer Dissette Premark Associated Agencies,                         Inc.                             f,.~gN,t i:vt1* (716) 633-8401                           I rie~ Nol:   (716) 633-8429 6470 Main St.,               Ste #2                                                 ~DMD~~ss: jdissette@promarkinsurance.com PO Box 530                                                                                               INSURER(S) AFFORDING COVERAGE                                     NAIC#
$ 1,000,000 A I CLAIMS-MADE
Williamsville                             NY   14231-0530                           INSURER A :RLI Insurance Companv -                     A&E                       13056 INSURED                                                                               INSURER B One Beacon Insurance Companv                                           21970 MRB Group                                                                             INSURER C:
[iJ OCCUR DAMAGE TO RENTED PREMISES !Ea occurrencel  
145 Culver Road,                   Suite 160                                         INSURER D:
$ 1,000,000 PSB0003207 5/1/2016 5/1/2017 MED EXP (Any one person) $ 10,000 -PERSONAL & ADV INJURY* $ 1,000,000  
INSURER E:
-GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE
Rochester                                 NY     14620                               INSURER F:
$ 2,000,000
COVERAGES                                       CERTIFICATE NUMBER;CL1631703524                                             REVISION NUMBER:
=i 0 PRO-DLoc PRODUCTS -COMP/OP AGG $ 2,000,000 POLICY JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident\  
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.
-ANY AUTO BODILY INJURY (Per person) $ A -ALL OWNED -SCHEDULED AUTOS AUTOS PSA0001996 3/5/2016 3/5/2017 BODILY INJURY (Per accident)  
INSR                                                 ADDL SUBR                                   POLICY EFF LTR                 TYPE OF INSURANCE             1*0Cn 1m1n         POLICY NUMBER           IMM/DD/YYYYI ,~g}-~%Yv~1                              LIMITS x   COMMERCIAL GENERAL LIABILITY                                                                                   EACH OCCURRENCE                   $       1,000,000 A
$ --NON-OWNED PROPERTY DAMAGE x HIRED AUTOS x AUTOS IPer accidentl  
        -
$ --$ x UMBRELLA LIAB M OCCUR EACH OCCURRENCE  
        -
$ 5,000,000  
D     CLAIMS-MADE     [i] OCCUR DAMAGE TO RENTED PREMISES IEa occurrence\         $       1,000,000 PSB0003207                       5/1/2016     5/1/2017       MED EXP (Any one person)         $           10,000
-A EXCESS LIAB CLAIMS-MADE AGGREGATE
        -
$ 5 000 000 OED I x I RETENTION$
PERSONAL & ADV INJURY             $       1,000,000
10 000 PSE0003023 5/1/2016 5/1/2017 $ WORKERS COMPENSATION x I I I OTH-AND EMPLOYERS' LIABILITY ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 000 000 OFFICER/MEMBER EXCLUDED?
        -
N/A A (Mandatory in NH) PSW0001923 5/1/2016 5/1/2017 E.L. DISEASE -EA EMPLOYEE $ 1 000 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1 000 000 B Professional Liability DPL-4987-15 12/31/2015 12/31/2016 Per Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remall<s Schedule, may be atached if more spaceis required)
R  GEN'LAGGREGATE LIMIT APPLIES PER:
The County of Ontario is an additional insured for the general liability only in regards to services provided by the insured to the entity when required by executed written contract.
POLICY 0PRO-OTHER:
CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE R.E. Ginna Nuclear Power Plant THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1503 Lake Road ACCORDANCE WITH THE POLICY PROVISIONS.
JECT    DLOC GENERALAGGREGATE PRODUCTS - COMP/OP AGG
Ontario, NY 14519 AUTHORIZED REPRESENTATIVE c Alderson/HWITTM c--:_I-*--....... ...-.! 6 ... __ ..... HH**< &#xa9; 1988-2014 ACORD CORPORATION.
                                                                                                                                                                $
All rights reserved.
                                                                                                                                                                $
ACORD 25 (2014/01)
                                                                                                                                                                $
INS0251?014011 The ACORD name and logo are registered marks of ACORD '
2,000,000 2,000,000 COMBINED SINGLE LIMIT
Promark Agencies 64 70 Main Street Suite 2 P.O.Box530 Williamsville, New York 14231-0530
      -  AUTOMOBILE LIABILITY                                                                                                rEa accident\                    $       1,000,000
:* ., -..
      -       ANY AUTO                                                                                                       BODILY INJURY (Per person)       $
BM! Ji. L "'}}
      -                        -
A ALL OWNED             SCHEDULED                 PSA0001996                                                     BODILY INJURY (Per accident) $
AUTOS                AUTOS                                                      3/5/2016       3/5/2017
                                -   NON-OWNED x                                                                                           rp~~~~c~~t~AMAGE
      -x      HIRED AUTOS
                                -    AUTOS                                                                                                                     $
M
                                                                                                                                                                $
      -
x   UMBRELLA LIAB OCCUR                                                                                 EACH OCCURRENCE                 $         5 000 000 EXCESS LIAB               CLAIMS-MADE                                                                           AGGREGATE                       $         5 000 000 A
I OED I x RETENTION$             10 000           PSE0003023                       5/1/2016       5/1/2017                                       $
WORKERS COMPENSATION AND EMPLOYERS' LIABILITY                YIN x I ~f~TUTE I I OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE                                                                                       E.L. EACH ACCIDENT               $         1 000 000 A
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)                       0  N/A PSW0001923                       5/1/2016       5/1/2017       E.L. DISEASE - EA EMPLOYEE $               1 000 000 I g~~~~;;;'f-f~~ 'bn~'6PERATIONS below                                                                                 E.L. DISEASE - POUCY LIMIT $               1 000 000 B       Professional Liability                               DPL-4987-15                     12/31/2015 12/31/2016 Per Claim                                           2,000,000 Aggregate                                 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be atached if more spaceis required)
Holder is an additional insured for the general liability only in regards toservices provided by the insured to the entity when required by executed written contract. Professional Liability limits shown are per claim and aggregate for a l l projects of the named insured.
CERTIFICATE HOLDER                                                                     CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RE Ginna Nuclear Power                                                       THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
Plant, LLC 750 East Pratt Street Baltimore, MD                 21202                                       AUTHORIZED REPRESENTATIVE c   Alderson/HWITTM                       C~P-----*                ..-..I   :-~&#xa3;__,.........
                                                                                                        &#xa9; 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01)                                     The ACORD name and logo are registered marks of ACORD INS025 r?o14011
 
DATE (MMIDD/YYYY)
ACORD
  "'---"
THIS CERTIFICATE IS ISSUED AS A CERTIFICATE OF LIABILITY INSURANCE MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I      3/17/2016 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).
PRODUCER                                                                               ~2~~~CT Jennifer Dissette Premark Associated Agencies,                         Inc.                               r.~W'!.\:. Cv+I* (716) 633-8401                       I rie~ Nol: (716) 633-8429 6470 Main St.,               Ste #2                                                   ~t1DA~ss: jdissette@promarkinsurance.com PO Box 530                                                                                                     INSURER!Sl AFFORDING COVERAGE                               NAIC#
Williamsville                           NY     14231-0530                             INSURER A :RLI Insurance Comoanv -                     A&E                     13056 INSURED                                                                                 INSURER B One Beacon Insurance Comoany                                         21970 MRB Group                                                                               INSURERC:
145 Culver Road,                 Suite 160                                             INSURER D:
INSURER E:
Rochester                               NY     14620                                   INSURER F:
COVERAGES                                     CERTIFICATE NUMBER:CL1631703524                                                 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                                                       ;:SUBR MMIDD/YYYYl r~2hl~/'v~y, I POLICY EFF LTR                 TYPE OF INSURANCE            I~~.,"~ \Af\fn       POLICY NUMBER                                                                 LIMITS x     COMMERaAL GENERAL LIABILITY                                                                                       EACH OCCURRENCE                 $       1,000,000 DAMAGE TO RENTED A               I CLAIMS-MADE   [iJ OCCUR                                                                                   PREMISES !Ea occurrencel       $       1,000,000 PSB0003207                         5/1/2016     5/1/2017     MED EXP (Any one person)       $           10,000
      -
PERSONAL & ADV INJURY*         $       1,000,000
      -
      =i GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY OTHER:
0     PRO-JECT  DLoc GENERAL AGGREGATE PRODUCTS - COMP/OP AGG
                                                                                                                                                                $
                                                                                                                                                                $
                                                                                                                                                                $
2,000,000 2,000,000 AUTOMOBILE LIABILITY                                                                                                     COMBINED SINGLE LIMIT           $       1,000,000
      -                                                                                                                          (Ea accident\
ANY AUTO                                                                                                         BODILY INJURY (Per person)     $                       '
A   -
ALL OWNED       -   SCHEDULED
      -x      AUTOS
                                -x  AUTOS                        PSA0001996                         3/5/2016     3/5/2017     BODILY INJURY (Per accident) $
      -       HIRED AUTOS
                                -M  NON-OWNED AUTOS PROPERTY DAMAGE IPer accidentl                   $
                                                                                                                                                                $
A
      -x       UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE EACH OCCURRENCE AGGREGATE
                                                                                                                                                                $
                                                                                                                                                                $
5,000,000 5 000 000 OED  Ix I  RETENTION$       10 000                 PSE0003023                         5/1/2016     5/1/2017                                     $
WORKERS COMPENSATION AND EMPLOYERS' LIABILITY                YIN x I ~f~TUTE I I OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE                                                                                         E.L. EACH ACCIDENT               $       1 000 000 A
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)                       ~    N/A PSW0001923                         5/1/2016     5/1/2017   E.L. DISEASE - EA EMPLOYEE $             1 000 000 If yes, describe under DESCRIPTION OF OPERATIONS below                                                                                         E.L. DISEASE - POLICY LIMIT $             1 000 000 B     Professional Liability                                     DPL-4987-15                     12/31/2015 12/31/2016 Per Claim                                       2,000,000 Aggregate                                 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remall<s Schedule, may be atached if more spaceis required)
The County of Ontario is an additional insured for the general l i a b i l i t y                                                  only in regards to services provided by the insured to the entity when                                         required by executed written contract.
CERTIFICATE HOLDER                                                                     CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE R.E.       Ginna Nuclear Power Plant                                         THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
1503 Lake Road Ontario, NY               14519 AUTHORIZED REPRESENTATIVE c   Alderson/HWITTM                       c--:_I-*- -.. . .       ...-.!   . 6 __. . .
                                                                                                                                                                    ~z            HH**<
                                                                                                            &#xa9; 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01)                                     The ACORD name and logo are registered marks of ACORD INS0251?014011
 
                                                  -.. ~-1_
:* .,
Promark Agencies 64 70 Main Street Suite 2 P.O.Box530 Williamsville, New York 14231-0530       BM! Ji. L}}

Revision as of 21:11, 30 October 2019

Re Ginna Nuclear Power Plant, LLC - Certificate of Liability Insurance
ML16118A288
Person / Time
Site: Ginna Constellation icon.png
Issue date: 03/17/2016
From: Alderson C
Acord Corporation, Promark Associated Agencies
To:
Document Control Desk, Office of Nuclear Reactor Regulation
References
Download: ML16118A288 (3)
v • d • e


Text

DATE (MM'DD/YYYY)

ACORD

~

CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I 3/17/2016 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).

PRODUCER ~2~I~?T Jennifer Dissette Premark Associated Agencies, Inc. f,.~gN,t i:vt1* (716) 633-8401 I rie~ Nol: (716) 633-8429 6470 Main St., Ste #2 ~DMD~~ss: jdissette@promarkinsurance.com PO Box 530 INSURER(S) AFFORDING COVERAGE NAIC#

Williamsville NY 14231-0530 INSURER A :RLI Insurance Companv - A&E 13056 INSURED INSURER B One Beacon Insurance Companv 21970 MRB Group INSURER C:

145 Culver Road, Suite 160 INSURER D:

INSURER E:

Rochester NY 14620 INSURER F:

COVERAGES CERTIFICATE NUMBER;CL1631703524 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 ADDL SUBR POLICY EFF LTR TYPE OF INSURANCE 1*0Cn 1m1n POLICY NUMBER IMM/DD/YYYYI ,~g}-~%Yv~1 LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A

-

-

D CLAIMS-MADE [i] OCCUR DAMAGE TO RENTED PREMISES IEa occurrence\ $ 1,000,000 PSB0003207 5/1/2016 5/1/2017 MED EXP (Any one person) $ 10,000

-

PERSONAL & ADV INJURY $ 1,000,000

-

R GEN'LAGGREGATE LIMIT APPLIES PER:

POLICY 0PRO-OTHER:

JECT DLOC GENERALAGGREGATE PRODUCTS - COMP/OP AGG

$

$

$

2,000,000 2,000,000 COMBINED SINGLE LIMIT

- AUTOMOBILE LIABILITY rEa accident\ $ 1,000,000

- ANY AUTO BODILY INJURY (Per person) $

- -

A ALL OWNED SCHEDULED PSA0001996 BODILY INJURY (Per accident) $

AUTOS AUTOS 3/5/2016 3/5/2017

- NON-OWNED x rp~~~~c~~t~AMAGE

-x HIRED AUTOS

- AUTOS $

M

$

-

x UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5 000 000 A

I OED I x RETENTION$ 10 000 PSE0003023 5/1/2016 5/1/2017 $

WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN x I ~f~TUTE I I OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 000 000 A

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH) 0 N/A PSW0001923 5/1/2016 5/1/2017 E.L. DISEASE - EA EMPLOYEE $ 1 000 000 I g~~~~;;;'f-f~~ 'bn~'6PERATIONS below E.L. DISEASE - POUCY LIMIT $ 1 000 000 B Professional Liability DPL-4987-15 12/31/2015 12/31/2016 Per Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be atached if more spaceis required)

Holder is an additional insured for the general liability only in regards toservices provided by the insured to the entity when required by executed written contract. Professional Liability limits shown are per claim and aggregate for a l l projects of the named insured.

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

Plant, LLC 750 East Pratt Street Baltimore, MD 21202 AUTHORIZED REPRESENTATIVE c Alderson/HWITTM C~P-----* ..-..I  :-~£__,.........

© 1988-2014 ACORD CORPORATION. All rights reserved.

ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 r?o14011

DATE (MMIDD/YYYY)

ACORD

"'---"

THIS CERTIFICATE IS ISSUED AS A CERTIFICATE OF LIABILITY INSURANCE MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I 3/17/2016 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).

PRODUCER ~2~~~CT Jennifer Dissette Premark Associated Agencies, Inc. r.~W'!.\:. Cv+I* (716) 633-8401 I rie~ Nol: (716) 633-8429 6470 Main St., Ste #2 ~t1DA~ss: jdissette@promarkinsurance.com PO Box 530 INSURER!Sl AFFORDING COVERAGE NAIC#

Williamsville NY 14231-0530 INSURER A :RLI Insurance Comoanv - A&E 13056 INSURED INSURER B One Beacon Insurance Comoany 21970 MRB Group INSURERC:

145 Culver Road, Suite 160 INSURER D:

INSURER E:

Rochester NY 14620 INSURER F:

COVERAGES CERTIFICATE NUMBER:CL1631703524 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  ;:SUBR MMIDD/YYYYl r~2hl~/'v~y, I POLICY EFF LTR TYPE OF INSURANCE I~~.,"~ \Af\fn POLICY NUMBER LIMITS x COMMERaAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED A I CLAIMS-MADE [iJ OCCUR PREMISES !Ea occurrencel $ 1,000,000 PSB0003207 5/1/2016 5/1/2017 MED EXP (Any one person) $ 10,000

-

PERSONAL & ADV INJURY* $ 1,000,000

-

=i GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY OTHER:

0 PRO-JECT DLoc GENERAL AGGREGATE PRODUCTS - COMP/OP AGG

$

$

$

2,000,000 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000

- (Ea accident\

ANY AUTO BODILY INJURY (Per person) $ '

A -

ALL OWNED - SCHEDULED

-x AUTOS

-x AUTOS PSA0001996 3/5/2016 3/5/2017 BODILY INJURY (Per accident) $

- HIRED AUTOS

-M NON-OWNED AUTOS PROPERTY DAMAGE IPer accidentl $

$

A

-x UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE EACH OCCURRENCE AGGREGATE

$

$

5,000,000 5 000 000 OED Ix I RETENTION$ 10 000 PSE0003023 5/1/2016 5/1/2017 $

WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN x I ~f~TUTE I I OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 000 000 A

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH) ~ N/A PSW0001923 5/1/2016 5/1/2017 E.L. DISEASE - EA EMPLOYEE $ 1 000 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 000 000 B Professional Liability DPL-4987-15 12/31/2015 12/31/2016 Per Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remall<s Schedule, may be atached if more spaceis required)

The County of Ontario is an additional insured for the general l i a b i l i t y only in regards to services provided by the insured to the entity when required by executed written contract.

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

1503 Lake Road Ontario, NY 14519 AUTHORIZED REPRESENTATIVE c Alderson/HWITTM c--:_I-*- -.. . . ...-.! . 6 __. . .

~z HH**<

© 1988-2014 ACORD CORPORATION. All rights reserved.

ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS0251?014011

-.. ~-1_

  • .,

Promark Agencies 64 70 Main Street Suite 2 P.O.Box530 Williamsville, New York 14231-0530 BM! Ji. L

DATE (MM'DD/YYYY)

ACORD

~

CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I 3/17/2016 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).

PRODUCER ~2~I~?T Jennifer Dissette Premark Associated Agencies, Inc. f,.~gN,t i:vt1* (716) 633-8401 I rie~ Nol: (716) 633-8429 6470 Main St., Ste #2 ~DMD~~ss: jdissette@promarkinsurance.com PO Box 530 INSURER(S) AFFORDING COVERAGE NAIC#

Williamsville NY 14231-0530 INSURER A :RLI Insurance Companv - A&E 13056 INSURED INSURER B One Beacon Insurance Companv 21970 MRB Group INSURER C:

145 Culver Road, Suite 160 INSURER D:

INSURER E:

Rochester NY 14620 INSURER F:

COVERAGES CERTIFICATE NUMBER;CL1631703524 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 ADDL SUBR POLICY EFF LTR TYPE OF INSURANCE 1*0Cn 1m1n POLICY NUMBER IMM/DD/YYYYI ,~g}-~%Yv~1 LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A

-

-

D CLAIMS-MADE [i] OCCUR DAMAGE TO RENTED PREMISES IEa occurrence\ $ 1,000,000 PSB0003207 5/1/2016 5/1/2017 MED EXP (Any one person) $ 10,000

-

PERSONAL & ADV INJURY $ 1,000,000

-

R GEN'LAGGREGATE LIMIT APPLIES PER:

POLICY 0PRO-OTHER:

JECT DLOC GENERALAGGREGATE PRODUCTS - COMP/OP AGG

$

$

$

2,000,000 2,000,000 COMBINED SINGLE LIMIT

- AUTOMOBILE LIABILITY rEa accident\ $ 1,000,000

- ANY AUTO BODILY INJURY (Per person) $

- -

A ALL OWNED SCHEDULED PSA0001996 BODILY INJURY (Per accident) $

AUTOS AUTOS 3/5/2016 3/5/2017

- NON-OWNED x rp~~~~c~~t~AMAGE

-x HIRED AUTOS

- AUTOS $

M

$

-

x UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5 000 000 A

I OED I x RETENTION$ 10 000 PSE0003023 5/1/2016 5/1/2017 $

WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN x I ~f~TUTE I I OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 000 000 A

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH) 0 N/A PSW0001923 5/1/2016 5/1/2017 E.L. DISEASE - EA EMPLOYEE $ 1 000 000 I g~~~~;;;'f-f~~ 'bn~'6PERATIONS below E.L. DISEASE - POUCY LIMIT $ 1 000 000 B Professional Liability DPL-4987-15 12/31/2015 12/31/2016 Per Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be atached if more spaceis required)

Holder is an additional insured for the general liability only in regards toservices provided by the insured to the entity when required by executed written contract. Professional Liability limits shown are per claim and aggregate for a l l projects of the named insured.

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

Plant, LLC 750 East Pratt Street Baltimore, MD 21202 AUTHORIZED REPRESENTATIVE c Alderson/HWITTM C~P-----* ..-..I  :-~£__,.........

© 1988-2014 ACORD CORPORATION. All rights reserved.

ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 r?o14011

DATE (MMIDD/YYYY)

ACORD

"'---"

THIS CERTIFICATE IS ISSUED AS A CERTIFICATE OF LIABILITY INSURANCE MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I 3/17/2016 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).

PRODUCER ~2~~~CT Jennifer Dissette Premark Associated Agencies, Inc. r.~W'!.\:. Cv+I* (716) 633-8401 I rie~ Nol: (716) 633-8429 6470 Main St., Ste #2 ~t1DA~ss: jdissette@promarkinsurance.com PO Box 530 INSURER!Sl AFFORDING COVERAGE NAIC#

Williamsville NY 14231-0530 INSURER A :RLI Insurance Comoanv - A&E 13056 INSURED INSURER B One Beacon Insurance Comoany 21970 MRB Group INSURERC:

145 Culver Road, Suite 160 INSURER D:

INSURER E:

Rochester NY 14620 INSURER F:

COVERAGES CERTIFICATE NUMBER:CL1631703524 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  ;:SUBR MMIDD/YYYYl r~2hl~/'v~y, I POLICY EFF LTR TYPE OF INSURANCE I~~.,"~ \Af\fn POLICY NUMBER LIMITS x COMMERaAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED A I CLAIMS-MADE [iJ OCCUR PREMISES !Ea occurrencel $ 1,000,000 PSB0003207 5/1/2016 5/1/2017 MED EXP (Any one person) $ 10,000

-

PERSONAL & ADV INJURY* $ 1,000,000

-

=i GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY OTHER:

0 PRO-JECT DLoc GENERAL AGGREGATE PRODUCTS - COMP/OP AGG

$

$

$

2,000,000 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000

- (Ea accident\

ANY AUTO BODILY INJURY (Per person) $ '

A -

ALL OWNED - SCHEDULED

-x AUTOS

-x AUTOS PSA0001996 3/5/2016 3/5/2017 BODILY INJURY (Per accident) $

- HIRED AUTOS

-M NON-OWNED AUTOS PROPERTY DAMAGE IPer accidentl $

$

A

-x UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE EACH OCCURRENCE AGGREGATE

$

$

5,000,000 5 000 000 OED Ix I RETENTION$ 10 000 PSE0003023 5/1/2016 5/1/2017 $

WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN x I ~f~TUTE I I OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 000 000 A

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH) ~ N/A PSW0001923 5/1/2016 5/1/2017 E.L. DISEASE - EA EMPLOYEE $ 1 000 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 000 000 B Professional Liability DPL-4987-15 12/31/2015 12/31/2016 Per Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remall<s Schedule, may be atached if more spaceis required)

The County of Ontario is an additional insured for the general l i a b i l i t y only in regards to services provided by the insured to the entity when required by executed written contract.

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

1503 Lake Road Ontario, NY 14519 AUTHORIZED REPRESENTATIVE c Alderson/HWITTM c--:_I-*- -.. . . ...-.! . 6 __. . .

~z HH**<

© 1988-2014 ACORD CORPORATION. All rights reserved.

ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS0251?014011

-.. ~-1_

  • .,

Promark Agencies 64 70 Main Street Suite 2 P.O.Box530 Williamsville, New York 14231-0530 BM! Ji. L

Retrieved from "https://kanterella.com/w/index.php?title=ML16118A288&oldid=2020979"