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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),
{{#Wiki_filter:DATE (MM'DD/YYYY)
AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT:
ACORD
If the certificate holder is an ADDITIONAL  
    ~
: INSURED, the policy(ies) must be endorsed.
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.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.
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).
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#
PRODUCER Jennifer Dissette Premark Associated  
Williamsville                             NY   14231-0530                           INSURER A :RLI Insurance Companv -                     A&E                       13056 INSURED                                                                               INSURER B One Beacon Insurance Companv                                           21970 MRB Group                                                                             INSURER C:
: Agencies, Inc.
145 Culver Road,                   Suite 160                                         INSURER D:
i:vt1* (716) 633-8401 I
INSURER E:
Nol: (716) 633-8429 6470 Main St., Ste #2 jdissette@promarkinsurance.com PO Box 530 INSURER(S)
Rochester                                 NY     14620                               INSURER F:
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.
COVERAGES                                       CERTIFICATE NUMBER;CL1631703524                                             REVISION NUMBER:
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.
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.
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  
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
$ 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:
-D CLAIMS-MADE  
POLICY 0PRO-OTHER:
[i] OCCUR DAMAGE TO RENTED A PREMISES IEa occurrence\  
JECT    DLOC GENERALAGGREGATE PRODUCTS - COMP/OP AGG 2,000,000 2,000,000 COMBINED SINGLE LIMIT
$ 1,000,000  
      -  AUTOMOBILE LIABILITY                                                                                                rEa accident\                    $       1,000,000
-PSB0003207 5/1/2016 5/1/2017 MED EXP (Any one person) $ 10,000 -PERSONAL  
      -       ANY AUTO                                                                                                       BODILY INJURY (Per person)       $
& ADV INJURY $ 1,000,000  
A ALL OWNED             SCHEDULED                 PSA0001996                                                     BODILY INJURY (Per accident) $
-GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE
AUTOS                AUTOS                                                      3/5/2016       3/5/2017
$ 2,000,000 R 0PRO-DLOC PRODUCTS  
                                -   NON-OWNED x                                                                                           rp~~~~c~~t~AMAGE
-COMP/OP AGG $ 2,000,000 POLICY JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 rEa accident\
      -x      HIRED AUTOS
-ANY AUTO BODILY INJURY (Per person) $ A -ALL OWNED -SCHEDULED AUTOS AUTOS PSA0001996 3/5/2016 3/5/2017 BODILY INJURY (Per accident)
                                -    AUTOS                                                                                                                     $
$ --NON-OWNED x HIRED AUTOS x AUTOS $ --$ x UMBRELLA LIAB M OCCUR EACH OCCURRENCE  
M x   UMBRELLA LIAB OCCUR                                                                                 EACH OCCURRENCE                 $         5 000 000 EXCESS LIAB               CLAIMS-MADE                                                                           AGGREGATE                       $         5 000 000 A
$ 5 000 000 -A EXCESS LIAB CLAIMS-MADE AGGREGATE  
I OED I x RETENTION$             10 000           PSE0003023                       5/1/2016       5/1/2017                                       $
$ 5 000 000 OED I x I RETENTION$
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
10 000 PSE0003023 5/1/2016 5/1/2017  
OFFICER/MEMBER EXCLUDED?
$ WORKERS COMPENSATION x I I I OTH-AND EMPLOYERS' LIABILITY ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 0 E.L. EACH ACCIDENT  
(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)
$ 1 000 000 OFFICER/MEMBER EXCLUDED?
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.
N/A A (Mandatory in NH) PSW0001923 5/1/2016 5/1/2017 E.L. DISEASE -EA EMPLOYEE  
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.
$ 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)
Plant, LLC 750 East Pratt Street Baltimore, MD                 21202                                       AUTHORIZED REPRESENTATIVE c   Alderson/HWITTM                       C~P-----*                ..-..I   :-~£__,.........
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.
                                                                                                        © 1988-2014 ACORD CORPORATION. All rights reserved.
Professional Liability limits shown are per claim and aggregate for all projects of the named insured.
ACORD 25 (2014/01)                                     The ACORD name and logo are registered marks of ACORD INS025 r?o14011
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  
DATE (MMIDD/YYYY)
..-..I
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).
© 1988-2014 ACORD CORPORATION.
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#
All rights reserved.
Williamsville                           NY     14231-0530                             INSURER A :RLI Insurance Comoanv -                     A&E                     13056 INSURED                                                                                 INSURER B One Beacon Insurance Comoany                                         21970 MRB Group                                                                               INSURERC:
ACORD 25 (2014/01)
145 Culver Road,                 Suite 160                                             INSURER D:
INS025 r?o14011 The ACORD name and logo are registered marks of ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY)  
INSURER E:
"'---" 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),
Rochester                               NY     14620                                   INSURER F:
AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT:
COVERAGES                                     CERTIFICATE NUMBER:CL1631703524                                                 REVISION NUMBER:
If the certificate holder is an ADDITIONAL  
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.
: INSURED, the policy(ies) must be endorsed.
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
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.
      =i GEN'L AGGREGATE LIMIT APPLIES PER:
A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
POLICY OTHER:
PRODUCER Jennifer Dissette Premark Associated  
0     PRO-JECT  DLoc GENERAL AGGREGATE PRODUCTS - COMP/OP AGG 2,000,000 2,000,000 AUTOMOBILE LIABILITY                                                                                                     COMBINED SINGLE LIMIT           $       1,000,000
: Agencies, Inc.
      -                                                                                                                          (Ea accident\
Cv+I* (716) 633-8401 I
ANY AUTO                                                                                                         BODILY INJURY (Per person)     $                       '
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:
A   -
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.
ALL OWNED       -   SCHEDULED
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.
      -x      AUTOS
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE
                                -x  AUTOS                         PSA0001996                         3/5/2016     3/5/2017     BODILY INJURY (Per accident) $
;:SUBR I POLICY EFF LIMITS LTR \Af\fn POLICY NUMBER MMIDD/YYYYl x COMMERaAL GENERAL LIABILITY EACH OCCURRENCE  
      -       HIRED AUTOS
$ 1,000,000 A I CLAIMS-MADE  
                                -M  NON-OWNED AUTOS PROPERTY DAMAGE IPer accidentl                   $
[iJ OCCUR DAMAGE TO RENTED PREMISES
A
!Ea occurrencel  
      -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                                     $
$ 1,000,000 PSB0003207 5/1/2016 5/1/2017 MED EXP (Any one person) $ 10,000 -PERSONAL  
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
& ADV INJURY* $ 1,000,000  
OFFICER/MEMBER EXCLUDED?
-GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE
(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)
$ 2,000,000
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 0 PRO-DLoc PRODUCTS  
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.
-COMP/OP AGG $ 2,000,000 POLICY JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident\  
1503 Lake Road Ontario, NY               14519 AUTHORIZED REPRESENTATIVE c   Alderson/HWITTM                       c--:_I-*- -.. . .       ...-.!   . 6 __. . .
-ANY AUTO BODILY INJURY (Per person) $ A -ALL OWNED -SCHEDULED AUTOS AUTOS PSA0001996 3/5/2016 3/5/2017 BODILY INJURY (Per accident)  
                                                                                                                                                                    ~z            HH**<
$ --NON-OWNED PROPERTY DAMAGE x HIRED AUTOS x AUTOS IPer accidentl  
                                                                                                            &#xa9; 1988-2014 ACORD CORPORATION. All rights reserved.
$ --$ x UMBRELLA LIAB M OCCUR EACH OCCURRENCE  
ACORD 25 (2014/01)                                     The ACORD name and logo are registered marks of ACORD INS0251?014011
$ 5,000,000  
 
-A EXCESS LIAB CLAIMS-MADE AGGREGATE
                                                  -.. ~-1_
$ 5 000 000 OED I x I RETENTION$
Promark Agencies 64 70 Main Street Suite 2 P.O.Box530 Williamsville, New York 14231-0530       BM! Ji. L
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  
DATE (MM'DD/YYYY)
$ 1 000 000 OFFICER/MEMBER EXCLUDED?
ACORD
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  
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.
: Schedule, may be atached if more spaceis required)
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).
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.
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#
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.  
Williamsville                             NY   14231-0530                           INSURER A :RLI Insurance Companv -                     A&E                       13056 INSURED                                                                               INSURER B One Beacon Insurance Companv                                           21970 MRB Group                                                                             INSURER C:
: Ontario, NY 14519 AUTHORIZED REPRESENTATIVE c Alderson/HWITTM c--:_I-*-
145 Culver Road,                   Suite 160                                         INSURER D:
-....... ...-.! 6 ... __ ..... HH**< &#xa9; 1988-2014 ACORD CORPORATION.
INSURER E:
All rights reserved.
Rochester                                 NY     14620                               INSURER F:
ACORD 25 (2014/01)
COVERAGES                                       CERTIFICATE NUMBER;CL1631703524                                             REVISION NUMBER:
INS0251?014011 The ACORD name and logo are registered marks of ACORD '
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.
Promark Agencies 64 70 Main Street Suite 2 P.O.Box530 Williamsville, New York 14231-0530  
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:
BM! Ji. L "'
POLICY 0PRO-OTHER:
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),
JECT    DLOC GENERALAGGREGATE PRODUCTS - COMP/OP AGG 2,000,000 2,000,000 COMBINED SINGLE LIMIT
AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT:
      -  AUTOMOBILE LIABILITY                                                                                                rEa accident\                    $       1,000,000
If the certificate holder is an ADDITIONAL  
      -       ANY AUTO                                                                                                       BODILY INJURY (Per person)       $
: INSURED, the policy(ies) must be endorsed.
A ALL OWNED             SCHEDULED                 PSA0001996                                                    BODILY INJURY (Per accident) $
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.
AUTOS                 AUTOS                                                       3/5/2016       3/5/2017
A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
                                -   NON-OWNED x                                                                                           rp~~~~c~~t~AMAGE
PRODUCER Jennifer Dissette Premark Associated  
      -x      HIRED AUTOS
: Agencies, Inc.
                                -    AUTOS                                                                                                                     $
i:vt1* (716) 633-8401 I
M x   UMBRELLA LIAB OCCUR                                                                                 EACH OCCURRENCE                 $         5 000 000 EXCESS LIAB               CLAIMS-MADE                                                                           AGGREGATE                       $         5 000 000 A
Nol: (716) 633-8429 6470 Main St., Ste #2 jdissette@promarkinsurance.com PO Box 530 INSURER(S)
I OED I x RETENTION$             10 000           PSE0003023                       5/1/2016       5/1/2017                                       $
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.
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
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.
OFFICER/MEMBER EXCLUDED?
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  
(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)
$ 1,000,000  
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.
-D CLAIMS-MADE  
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.
[i] OCCUR DAMAGE TO RENTED A PREMISES IEa occurrence\  
Plant, LLC 750 East Pratt Street Baltimore, MD                 21202                                       AUTHORIZED REPRESENTATIVE c   Alderson/HWITTM                       C~P-----*                ..-..I   :-~&#xa3;__,.........
$ 1,000,000  
                                                                                                        &#xa9; 1988-2014 ACORD CORPORATION. All rights reserved.
-PSB0003207 5/1/2016 5/1/2017 MED EXP (Any one person) $ 10,000 -PERSONAL  
ACORD 25 (2014/01)                                     The ACORD name and logo are registered marks of ACORD INS025 r?o14011
& ADV INJURY $ 1,000,000  
 
-GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE
DATE (MMIDD/YYYY)
$ 2,000,000 R 0PRO-DLOC PRODUCTS  
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.
-COMP/OP AGG $ 2,000,000 POLICY JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 rEa accident\
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).
-ANY AUTO BODILY INJURY (Per person) $ A -ALL OWNED -SCHEDULED AUTOS AUTOS PSA0001996 3/5/2016 3/5/2017 BODILY INJURY (Per accident)
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#
$ --NON-OWNED x HIRED AUTOS x AUTOS $ --$ x UMBRELLA LIAB M OCCUR EACH OCCURRENCE  
Williamsville                           NY     14231-0530                             INSURER A :RLI Insurance Comoanv -                     A&E                     13056 INSURED                                                                                 INSURER B One Beacon Insurance Comoany                                         21970 MRB Group                                                                               INSURERC:
$ 5 000 000 -A EXCESS LIAB CLAIMS-MADE AGGREGATE  
145 Culver Road,                 Suite 160                                             INSURER D:
$ 5 000 000 OED I x I RETENTION$
INSURER E:
10 000 PSE0003023 5/1/2016 5/1/2017  
Rochester                               NY     14620                                   INSURER F:
$ WORKERS COMPENSATION x I I I OTH-AND EMPLOYERS' LIABILITY ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 0 E.L. EACH ACCIDENT  
COVERAGES                                     CERTIFICATE NUMBER:CL1631703524                                                 REVISION NUMBER:
$ 1 000 000 OFFICER/MEMBER EXCLUDED?
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.
N/A A (Mandatory in NH) PSW0001923 5/1/2016 5/1/2017 E.L. DISEASE -EA EMPLOYEE  
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
$ 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)
      =i GEN'L AGGREGATE LIMIT APPLIES PER:
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.
POLICY OTHER:
Professional Liability limits shown are per claim and aggregate for all projects of the named insured.
0     PRO-JECT  DLoc GENERAL AGGREGATE PRODUCTS - COMP/OP AGG 2,000,000 2,000,000 AUTOMOBILE LIABILITY                                                                                                     COMBINED SINGLE LIMIT           $       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 Plant, LLC ACCORDANCE WITH THE POLICY PROVISIONS.
      -                                                                                                                          (Ea accident\
750 East Pratt Street Baltimore, MD 21202 AUTHORIZED REPRESENTATIVE c Alderson/HWITTM  
ANY AUTO                                                                                                         BODILY INJURY (Per person)     $                       '
..-..I
A   -
_ _, .........  
ALL OWNED       -   SCHEDULED
&#xa9; 1988-2014 ACORD CORPORATION.
      -x      AUTOS
All rights reserved.
                                -x  AUTOS                         PSA0001996                         3/5/2016     3/5/2017     BODILY INJURY (Per accident) $
ACORD 25 (2014/01)
      -       HIRED AUTOS
INS025 r?o14011 The ACORD name and logo are registered marks of ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY)  
                                -M  NON-OWNED AUTOS PROPERTY DAMAGE IPer accidentl                   $
"'---" 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),
A
AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT:
      -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                                     $
If the certificate holder is an ADDITIONAL  
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
: INSURED, the policy(ies) must be endorsed.
OFFICER/MEMBER EXCLUDED?
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.
(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)
A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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.
PRODUCER Jennifer Dissette Premark Associated  
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.
: Agencies, Inc.
1503 Lake Road Ontario, NY               14519 AUTHORIZED REPRESENTATIVE c   Alderson/HWITTM                       c--:_I-*- -.. . .       ...-.!   . 6 __. . .
Cv+I* (716) 633-8401 I
                                                                                                                                                                    ~z            HH**<
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:
                                                                                                            &#xa9; 1988-2014 ACORD CORPORATION. All rights reserved.
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.
ACORD 25 (2014/01)                                     The ACORD name and logo are registered marks of ACORD INS0251?014011
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 TYPE OF INSURANCE
                                                  -.. ~-1_
;:SUBR I POLICY EFF LIMITS LTR \Af\fn POLICY NUMBER MMIDD/YYYYl x COMMERaAL GENERAL LIABILITY EACH OCCURRENCE  
Promark Agencies 64 70 Main Street Suite 2 P.O.Box530 Williamsville, New York 14231-0530       BM! Ji. L}}
$ 1,000,000 A I CLAIMS-MADE  
[iJ OCCUR DAMAGE TO RENTED 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  
-GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE
$ 2,000,000
=i 0 PRO-DLoc PRODUCTS  
-COMP/OP AGG $ 2,000,000 POLICY JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident\  
-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  
$ --$ x UMBRELLA LIAB M OCCUR EACH OCCURRENCE  
$ 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 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)
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.
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.  
: 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 '
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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