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. i A2NOR-1 OP 1D: R
ACCORD
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CERTIFICATE OF LIABILITY INSURANCE =| wa |
vzmuoom
DATE HMMDORE
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: [f the certificate holder is an ADDITIONAL INSURED, the policy{ies) must have ADDITIONAL INSURED provisions or be endorsed.
if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, cestain policies may require an endorsement. A statement on
this certificate doos not confer rights to the certificate holder in lieu of such endorsament(s).
fropucer KA ' 716-372-1122 [GQHEACT J. Scott Brook
ledley Brook Agenry In
BO. Box 5 . ey ine Ha ny, P1O-B72-1408 TERE any? 16-37 21143
est State St. a .
Olaan, NY 14766-0588
J. Scott Brook ee INSURERIS} AFFORDING GOVERAGE NAIC 8
insurer A: Cincinnati insurance Company 10877
tysuR :
a North Brewing Co ISURER Bt
25 Pine St INSURER
East Aurora, NY 14052 insuRER Oo:
INSURER €:
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ASOVE 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 GONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
nee TYPE OF INSURANCE Raa POLICY NUMBER mnas
top |cae Las
A. |X | commercial, GENERAL WABILITY EACH OCCURRENCE $ 4,000,000:
J otamswane [| occur xX | [BTNove17 71 11101/2028 | 111012026 | Picasa cenmtencen 18 500,000)
pt MED EXP fAny one person) 3. 7 sasan
|} | PERSONAL sADVINJURY | $ 800,000}
.SENL AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,008,006,
poucy |__| S88 im Loe PRODUCTS. compior
ag | 5 2,000,000)
OTHER: s
A | automonne Airey GoMaNED SINGLE LMT | 7,000,000)
|__| ANY AUTO ETN O76 17 14 1107/2025 | 41/01/2026 | soomy msuRy [Per parsony |S
| |RSS omy |_| AGRERULEP BODILY INJURY (Per accident! $
|X] ARB omy |X | ROR ENE [ocemypamace
$
ATX umpretiasuas Occur EACH OGCURRENCE s 1,000,006
EKCESS LIAS CLAIMS-MADE ETN O76 17 14 49112025 | HOV2526 | AGGREGATE s 4,600,006
peo |__| ReTENTIONS - $
oe ae Eel JI8
ieceaneanpe excluoepy = NA EL EACH ACCIDENT, 3
jancatory in WH E.L. DISEASE - EA EMPLOYEE] $
SESERIETION
OF OPERATIONS below EL DISEASE
- POLicY LiMmT | §
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES {ACORD 104, Additional Remarks Schodule, May bo attached It more space ia required)
CERTIFICATE HOLDER IS ADDITIONAL INSURED ON THE GENERAL LIABILITY POLICY IF
REQUIRED BY SIGNED WRITTEN CONTRACT,
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLIGIES BE CANCELLED BEFORE
TOWN OF AURORA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED WN
AECORDANGE WITH THE POLICY PROVISIONS.
PARKS AND RECREATION
875 OAKWOOD AVE
EAST AURORA, NY 14052 a Scott Break a 2 3
t
AGORD 26 (2016/03)
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