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{{#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  
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:
-GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE
POLICY 0PRO-OTHER:
$ 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\
JECT    DLOC GENERALAGGREGATE PRODUCTS - COMP/OP AGG 2,000,000 2,000,000 COMBINED SINGLE LIMIT
-ANY AUTO BODILY INJURY (Per person) $ A -ALL OWNED -SCHEDULED AUTOS AUTOS PSA0001996 3/5/2016 3/5/2017 BODILY INJURY (Per accident)
      -  AUTOMOBILE LIABILITY                                                                                                rEa accident\                    $       1,000,000
$ --NON-OWNED x HIRED AUTOS x AUTOS $ --$ x UMBRELLA LIAB M OCCUR EACH OCCURRENCE  
      -       ANY AUTO                                                                                                       BODILY INJURY (Per person)       $
$ 5 000 000 -A EXCESS LIAB CLAIMS-MADE AGGREGATE  
A ALL OWNED             SCHEDULED                 PSA0001996                                                    BODILY INJURY (Per accident) $
$ 5 000 000 OED I x I RETENTION$
AUTOS                 AUTOS                                                       3/5/2016       3/5/2017
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?
                                -   NON-OWNED x                                                                                           rp~~~~c~~t~AMAGE
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)
      -x      HIRED AUTOS
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.
                                -    AUTOS                                                                                                                     $
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.
M x   UMBRELLA LIAB OCCUR                                                                                 EACH OCCURRENCE                 $         5 000 000 EXCESS LIAB               CLAIMS-MADE                                                                           AGGREGATE                       $         5 000 000 A
750 East Pratt Street Baltimore, MD 21202 AUTHORIZED REPRESENTATIVE c Alderson/HWITTM  
I OED I x RETENTION$             10 000           PSE0003023                       5/1/2016       5/1/2017                                       $
..-..I
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?
© 1988-2014 ACORD CORPORATION.
(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)
All rights reserved.
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.
ACORD 25 (2014/01)
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.
INS025 r?o14011 The ACORD name and logo are registered marks of ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY)  
Plant, LLC 750 East Pratt Street Baltimore, MD                 21202                                       AUTHORIZED REPRESENTATIVE c   Alderson/HWITTM                       C~P-----*                ..-..I   :-~£__,.........
"'---" 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:
                                                                                                        © 1988-2014 ACORD CORPORATION. All rights reserved.
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed.
ACORD 25 (2014/01)                                     The ACORD name and logo are registered marks of ACORD INS025 r?o14011
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).
DATE (MMIDD/YYYY)
PRODUCER Jennifer Dissette Premark Associated Agencies, Inc.
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.
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:
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).
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.
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#
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.
Williamsville                           NY     14231-0530                             INSURER A :RLI Insurance Comoanv -                     A&E                     13056 INSURED                                                                                 INSURER B One Beacon Insurance Comoany                                         21970 MRB Group                                                                               INSURERC:
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE
145 Culver Road,                 Suite 160                                             INSURER D:
;:SUBR I POLICY EFF LIMITS LTR \Af\fn POLICY NUMBER MMIDD/YYYYl x COMMERaAL GENERAL LIABILITY EACH OCCURRENCE  
INSURER E:
$ 1,000,000 A I CLAIMS-MADE
Rochester                               NY     14620                                   INSURER F:
[iJ OCCUR DAMAGE TO RENTED PREMISES !Ea occurrencel  
COVERAGES                                     CERTIFICATE NUMBER:CL1631703524                                                 REVISION NUMBER:
$ 1,000,000 PSB0003207 5/1/2016 5/1/2017 MED EXP (Any one person) $ 10,000 -PERSONAL & ADV INJURY* $ 1,000,000  
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.
-GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE
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
$ 2,000,000
      =i GEN'L AGGREGATE LIMIT APPLIES PER:
=i 0 PRO-DLoc PRODUCTS -COMP/OP AGG $ 2,000,000 POLICY JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident\  
POLICY OTHER:
-ANY AUTO BODILY INJURY (Per person) $ A -ALL OWNED -SCHEDULED AUTOS AUTOS PSA0001996 3/5/2016 3/5/2017 BODILY INJURY (Per accident)  
0     PRO-JECT  DLoc GENERAL AGGREGATE PRODUCTS - COMP/OP AGG 2,000,000 2,000,000 AUTOMOBILE LIABILITY                                                                                                     COMBINED SINGLE LIMIT           $       1,000,000
$ --NON-OWNED PROPERTY DAMAGE x HIRED AUTOS x AUTOS IPer accidentl  
      -                                                                                                                          (Ea accident\
$ --$ x UMBRELLA LIAB M OCCUR EACH OCCURRENCE  
ANY AUTO                                                                                                         BODILY INJURY (Per person)     $                       '
$ 5,000,000  
A   -
-A EXCESS LIAB CLAIMS-MADE AGGREGATE
ALL OWNED       -   SCHEDULED
$ 5 000 000 OED I x I RETENTION$
      -x      AUTOS
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?
                                -x  AUTOS                         PSA0001996                         3/5/2016     3/5/2017     BODILY INJURY (Per accident) $
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)
      -       HIRED AUTOS
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.
                                -M  NON-OWNED AUTOS PROPERTY DAMAGE IPer accidentl                   $
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.
A
Ontario, NY 14519 AUTHORIZED REPRESENTATIVE c Alderson/HWITTM c--:_I-*--....... ...-.! 6 ... __ ..... HH**< &#xa9; 1988-2014 ACORD CORPORATION.
      -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                                     $
All rights reserved.
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
ACORD 25 (2014/01)
OFFICER/MEMBER EXCLUDED?
INS0251?014011 The ACORD name and logo are registered marks of ACORD '
(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)
Promark Agencies 64 70 Main Street Suite 2 P.O.Box530 Williamsville, New York 14231-0530
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.
BM! Ji. L "'
1503 Lake Road Ontario, NY               14519 AUTHORIZED REPRESENTATIVE c   Alderson/HWITTM                       c--:_I-*- -.. . .       ...-.!   . 6 __. . .
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:
                                                                                                                                                                    ~z            HH**<
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed.
                                                                                                            &#xa9; 1988-2014 ACORD CORPORATION. All rights reserved.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.
ACORD 25 (2014/01)                                     The ACORD name and logo are registered marks of ACORD INS0251?014011
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.
                                                  -.. ~-1_
i:vt1* (716) 633-8401 I Nol: (716) 633-8429 6470 Main St., Ste #2 jdissette@promarkinsurance.com PO Box 530 INSURER(S)
Promark Agencies 64 70 Main Street Suite 2 P.O.Box530 Williamsville, New York 14231-0530       BM! Ji. L
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.
DATE (MM'DD/YYYY)
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  
ACORD
$ 1,000,000  
    ~
-D CLAIMS-MADE
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.
[i] OCCUR DAMAGE TO RENTED A PREMISES IEa occurrence\  
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).
$ 1,000,000  
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#
-PSB0003207 5/1/2016 5/1/2017 MED EXP (Any one person) $ 10,000 -PERSONAL & ADV INJURY $ 1,000,000  
Williamsville                             NY   14231-0530                           INSURER A :RLI Insurance Companv -                     A&E                       13056 INSURED                                                                               INSURER B One Beacon Insurance Companv                                           21970 MRB Group                                                                             INSURER C:
-GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE
145 Culver Road,                   Suite 160                                         INSURER D:
$ 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\
INSURER E:
-ANY AUTO BODILY INJURY (Per person) $ A -ALL OWNED -SCHEDULED AUTOS AUTOS PSA0001996 3/5/2016 3/5/2017 BODILY INJURY (Per accident)
Rochester                                 NY     14620                               INSURER F:
$ --NON-OWNED x HIRED AUTOS x AUTOS $ --$ x UMBRELLA LIAB M OCCUR EACH OCCURRENCE  
COVERAGES                                       CERTIFICATE NUMBER;CL1631703524                                             REVISION NUMBER:
$ 5 000 000 -A EXCESS LIAB CLAIMS-MADE AGGREGATE  
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.
$ 5 000 000 OED I x I RETENTION$
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
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?
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:
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)
POLICY 0PRO-OTHER:
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.
JECT    DLOC GENERALAGGREGATE PRODUCTS - COMP/OP AGG 2,000,000 2,000,000 COMBINED SINGLE LIMIT
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.
      -  AUTOMOBILE LIABILITY                                                                                                rEa accident\                    $       1,000,000
750 East Pratt Street Baltimore, MD 21202 AUTHORIZED REPRESENTATIVE c Alderson/HWITTM  
      -       ANY AUTO                                                                                                       BODILY INJURY (Per person)       $
..-..I
A ALL OWNED             SCHEDULED                 PSA0001996                                                    BODILY INJURY (Per accident) $
_ _, .........  
AUTOS                 AUTOS                                                       3/5/2016       3/5/2017
&#xa9; 1988-2014 ACORD CORPORATION.
                                -   NON-OWNED x                                                                                           rp~~~~c~~t~AMAGE
All rights reserved.
      -x      HIRED AUTOS
ACORD 25 (2014/01)
                                -    AUTOS                                                                                                                     $
INS025 r?o14011 The ACORD name and logo are registered marks of ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY)  
M x   UMBRELLA LIAB OCCUR                                                                                 EACH OCCURRENCE                 $         5 000 000 EXCESS LIAB               CLAIMS-MADE                                                                           AGGREGATE                       $         5 000 000 A
"'---" 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 OED I x RETENTION$             10 000           PSE0003023                       5/1/2016       5/1/2017                                       $
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed.
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
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.
OFFICER/MEMBER EXCLUDED?
A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
(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)
PRODUCER Jennifer Dissette Premark Associated Agencies, Inc.
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.
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:
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.
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.
Plant, LLC 750 East Pratt Street Baltimore, MD                 21202                                       AUTHORIZED REPRESENTATIVE c   Alderson/HWITTM                       C~P-----*                ..-..I   :-~&#xa3;__,.........
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.
                                                                                                        &#xa9; 1988-2014 ACORD CORPORATION. All rights reserved.
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE
ACORD 25 (2014/01)                                     The ACORD name and logo are registered marks of ACORD INS025 r?o14011
;:SUBR I POLICY EFF LIMITS LTR \Af\fn POLICY NUMBER MMIDD/YYYYl x COMMERaAL GENERAL LIABILITY EACH OCCURRENCE  
 
$ 1,000,000 A I CLAIMS-MADE
DATE (MMIDD/YYYY)
[iJ OCCUR DAMAGE TO RENTED PREMISES !Ea occurrencel  
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.
$ 1,000,000 PSB0003207 5/1/2016 5/1/2017 MED EXP (Any one person) $ 10,000 -PERSONAL & ADV INJURY* $ 1,000,000  
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).
-GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE
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#
$ 2,000,000
Williamsville                           NY     14231-0530                             INSURER A :RLI Insurance Comoanv -                     A&E                     13056 INSURED                                                                                 INSURER B One Beacon Insurance Comoany                                         21970 MRB Group                                                                               INSURERC:
=i 0 PRO-DLoc PRODUCTS -COMP/OP AGG $ 2,000,000 POLICY JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident\  
145 Culver Road,                 Suite 160                                             INSURER D:
-ANY AUTO BODILY INJURY (Per person) $ A -ALL OWNED -SCHEDULED AUTOS AUTOS PSA0001996 3/5/2016 3/5/2017 BODILY INJURY (Per accident)  
INSURER E:
$ --NON-OWNED PROPERTY DAMAGE x HIRED AUTOS x AUTOS IPer accidentl  
Rochester                               NY     14620                                   INSURER F:
$ --$ x UMBRELLA LIAB M OCCUR EACH OCCURRENCE  
COVERAGES                                     CERTIFICATE NUMBER:CL1631703524                                                 REVISION NUMBER:
$ 5,000,000  
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.
-A EXCESS LIAB CLAIMS-MADE AGGREGATE
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
$ 5 000 000 OED I x I RETENTION$
      =i GEN'L AGGREGATE 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 E.L. EACH ACCIDENT $ 1 000 000 OFFICER/MEMBER EXCLUDED?
POLICY OTHER:
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)
0     PRO-JECT  DLoc GENERAL AGGREGATE PRODUCTS - COMP/OP AGG 2,000,000 2,000,000 AUTOMOBILE LIABILITY                                                                                                     COMBINED SINGLE LIMIT           $       1,000,000
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.
      -                                                                                                                          (Ea accident\
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.
ANY AUTO                                                                                                         BODILY INJURY (Per person)     $                       '
Ontario, NY 14519 AUTHORIZED REPRESENTATIVE c Alderson/HWITTM c--:_I-*--....... ...-.! 6 ... __ ..... HH**< &#xa9; 1988-2014 ACORD CORPORATION.
A   -
All rights reserved.
ALL OWNED       -   SCHEDULED
ACORD 25 (2014/01)
      -x      AUTOS
INS0251?014011 The ACORD name and logo are registered marks of ACORD '
                                -x  AUTOS                         PSA0001996                         3/5/2016     3/5/2017     BODILY INJURY (Per accident) $
Promark Agencies 64 70 Main Street Suite 2 P.O.Box530 Williamsville, New York 14231-0530
      -       HIRED AUTOS
:* ., -..
                                -M  NON-OWNED AUTOS PROPERTY DAMAGE IPer accidentl                   $
BM! Ji. L "'}}
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}}

Latest revision as of 04:24, 5 February 2020

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

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