TWOBROT-01 LDEVITIS

DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 11/18/2024
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: If 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, 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).
CONTACT Laurie DeVitis
PRODUCER NAME:
Oxford Millin Insurance Agency PHONE FAX
(A/C, No, Ext): (215) 517-7590 103 (A/C, No):
P.O. Box 684
ADDRESS: Lauried@[Link]
E-MAIL
Jenkintown, PA 19046
INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A : SelectiveInsurance Company of America 12572

INSURED INSURER B : Sirius America Insurance Company 38776
Two Brothers General Construction LLC INSURER C :
101 Geiger Road
Suite 8 INSURER D :
Philadelphia, PA 19115 INSURER E :
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 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 POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
1,000,000
CLAIMS-MADE X OCCUR S 2434332 7/1/2024 7/1/2025 DAMAGE TO RENTED
PREMISES (Ea occurrence) $
500,000
MED EXP (Any one person) $
15,000
PERSONAL & ADV INJURY $
1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
3,000,000
X POLICY PRO-
JECT LOC PRODUCTS - COMP/OP AGG $
3,000,000
OTHER: $
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY (Ea accident) $
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY (Per accident) $
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY (Per accident) $

$
A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $
3,000,000
EXCESS LIAB CLAIMS-MADE S 2434332 7/1/2024 7/1/2025 AGGREGATE $
3,000,000
DED RETENTION $ $
B WORKERS COMPENSATION X PER
STATUTE
OTH-
ER
AND EMPLOYERS' LIABILITY
Y/N WC PI 1159779-000 7/1/2024 7/1/2025 100,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
100,000
If yes, describe under 500,000
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
New Jersey Office of the Attorney General Division of ACCORDANCE WITH THE POLICY PROVISIONS.
Consumer Affairs
Office of Consumer Protection
Regulated Business Section AUTHORIZED REPRESENTATIVE
124 Halsey St., 7th Flr, P.O. Box 46016
Newark, NJ 07101

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