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STANBRIDGE UNIVERSITY FOUNDATION
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Entry Properties
Last modified
9/1/2021 3:18:39 PM
Creation date
5/17/2021 3:21:36 PM
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Contracts
Company Name
STANBRIDGE UNIVERSITY FOUNDATION
Contract #
N-2021-103
Agency
Parks, Recreation, & Community Services
Expiration Date
10/31/2022
Insurance Exp Date
4/6/2022
Destruction Year
2027
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Hanover <br />Insurance Group - <br />SCHEDULE OF UNDERLYING POLICIES <br />Insured: STANBRIDGE UNIVERSITY <br />Effective on and after 07/02/2021 12:01 A.M. Standard Time <br />This Schedule is part of Policy Number: UH3 D302626 04 <br />CARRIER, POLICY NUMBER & PERIOD <br />TYPE OF POLICY <br />APPLICABLE LIMITS OR AMOUNT OF INSURANCE <br />a) Carrier: CITIZENS INSURANCE COMPANY <br />Commercial General Liability <br />$1,000,000 Occurrence/ Each Claim <br />OF AMERICA <br />Policy Number: ZB3 D302621 04 <br />❑ Owned Autos <br />$1,000,000 Personal Injury <br />Policy Period: 07/02/2021 TO 07/02/2022 <br />❑ Non -owned & Hired Autos <br />$1,000,000 Advertising Injury <br />$3,000,000 General Aggregate <br />Ind in Gen Agg Product/Completed Operations <br />Aggregate <br />b) Carrier: ALLMERICA FINANCIAL BENEFITS <br />Comprehensive Automobile <br />Bodily Injury and Property Damage Liability Combined: <br />Liability including <br />Policy Number: AW3 D302637 04 <br />❑X Owned Autos <br />$1,000,000 Each Accident <br />Policy Period: 07/02/2021 TO 07/02/2022 <br />0 Non -Owned & Hired Autos <br />Bodily Injury <br />$ Each Person <br />$ Each Accident <br />Property Damage: <br />$ Each Accident <br />c) Carrier: <br />Garage Liability <br />Bodily Injury and Property Damage Liability Combined: <br />Policy Number: <br />❑ Dealers <br />Each Accident <br />Policy Period: <br />❑ Service <br />Garage Operations <br />$ Auto Only <br />$ Other than Auto Only <br />$ Aggregate <br />Garage Operations <br />$ Other than Auto Only <br />d) Carrier: CARRIER: FEDERAL INS <br />Standard Workers' Compensation <br />Coverage B — Employers Liability <br />COMPANY <br />& Employers' Liability <br />Policy Number: 71835392 <br />Bodily Injury by Accident <br />Policy Period: 04/06/2021 TO 04/06/2022 <br />$500,000 Each Accident <br />NEW YORK ONLY: <br />Bodily Injury by Disease <br />The Umbrella Coverage for <br />$500,000 Each Employee <br />Workers' Compensation and <br />$500,000 Aggregate <br />Employers Liability is not <br />applicable in situations where an <br />employee is subject to the New <br />York Workers' Compensation Law. <br />An "X" marked in the box provided indicates these broadening or optional coverage are provided in <br />475-0003 12 14 Page 5 <br />Includes copyrighted material of Insurance Services Office, Inc. with its permissic <br />Original Insured <br />�oRaN <br />Risk MmRgzmerdDi sign <br />REVIEWED & APPROVED BY. - <br />Risk Management Analyst <br />
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