security Officer

Location:

Cortlandt, NY, 10567

Posted:

February 21, 2025

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Resume:

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

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). 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. OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

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.

PROPERTY DAMAGE $

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOS ONLY AUTOS

NON-OWNED

OWNED SCHEDULED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below

If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

OTH-

STATUTE

PER

(MM/DD/YYYY) LIMITS

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

LTR TYPE OF INSURANCE POLICY NUMBER

INSR

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

UMBRELLA LIAB EACH OCCURRENCE $

AGGREGATE $

OCCUR

CLAIMS-MADE

DED RETENTION $

PRODUCTS - COMP/OP AGG $

GENERAL AGGREGATE $

PERSONAL & ADV INJURY $

MED EXP (Any one person) $

EACH OCCURRENCE $

DAMAGE TO RENTED

PREMISES (Ea occurrence) $

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

The ACORD name and logo are registered marks of ACORD HIRED

AUTOS ONLY

1,000,000

03/01/2023

MWZY 316648

ATL-005******-**

5,000,000

10,000,000

WLR C68916409 (AZ,IL)

23841

10,000,000

ATLANTA, GA 30339

ATLANTA, GA 30326

SIR: $1,000,000

03/01/2022

03/01/2025

MWTB316649

2,000,000

1,000,000

Continued on Additional Page

22667

New Hampshire Ins Co

5,000,000

ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED. A WAIVER OF SUBROGATION IN FAVOR OF THE ADDITIONAL INSURED IS INCLUDED ON THE X

04/07/2022

03/01/2022

STORE #: 8329 - LOCATION: HDE - HUDSON VALLEY

03/01/2022

YORKTOWN HEIGHTS, NY 10598

ARMANDO VARONE

JEFFERSON VILLAGE 3 AND MCGRATH MANAGEMENT LLC ARE INCLUDED AS ADDITIONAL INSURED IF REQUIRED BY WRITTEN CONTRACT ON THE ABOVE GENERAL LIABILITY POLICY, BUT X

SELF INSURED AUTO PHY DMG

GENERAL LIABILITY AND WORKERS COMPENSATION POLICIES, IF REQUIRED BY WRITTEN CONTRACT. A

ACE American Insurance Company

CN101642069-HomeD-GAW.-22-25

EXCLUDED

03/01/2023

1,000,000

MWZX 316647

2,000,000

24147

1,000,000

5,000,000

WC 065886029 (WI)

TWO ALLIANCE CENTER

MARSH USA, INC.

3560 LENOX ROAD, SUITE 2400

HOME DEPOT U.S.A., INC.

THE HOME DEPOT, INC.

BUILDING C-20

2455 PACES FERRY ROAD

03/01/2022

47 JEFFERSON OVAL- APT 3

03/01/2022

03/01/2025

Old Republic Insurance Co

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

TX Employers XS Indemnity:

(EL) Limit: $5,000,000

Policy Number: TNSC68991006 (TX)

Carrier: ACE American Insurance Company

Expiration Date: 03/01/2023

Effective Date: 03/01/2022

Expiration Date: 03/01/2023

SIR:$1,000,000

SIR: $1,000,000

(EL) Limit: $6,000,000

Carrier: AIU Insurance Co.

Atlanta

Effective Date: 03/01/2022

Policy Number: WLR C68916483 (AOS) (AL,AR,FL,ID,IA,KS,KY,LA,MS,MO,NC,NE,NM,ND,OK,SC,SD,TN,VA,WV,WY)

(EL) Limit: $5,000,000

Expiration Date: 03/01/2023

Carrier: Indemnity Insurance Company of North America Workers Compensation Continued:

Certificate of Liability Insurance

Carrier: National Union Fire Insurance Company

CN101642069

SIR: $5,000,000

Policy Number: WC 065886028 (AOS) (AK,CO,DC,DE,HI,IN,MA,MD,ME,MN,MT,NH,NJ,NY,PA,RI,VT )

Expiration Date: 03/01/2023

Carrier:Illinios Union Insurance Company

Expiration Date: 03/01/2023

Policy Number: WCU C68916446 (QSI) (CA,OR,WA)

SIR (CT):$350,000

(EL) Limit: $4,000,000

Policy Number: XWC 1647323 (QSI) (CT,GA,MI,NV,OH,UT)

MARSH USA, INC.

HOME DEPOT U.S.A., INC.

THE HOME DEPOT, INC.

BUILDING C-20

2455 PACES FERRY ROAD

ATLANTA, GA 30339

(EL) Limit: $4,000,000

Effective Date: 03/01/2022

SIR (GA):$750,000

Effective Date: 03/01/2022

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

Askuity, Inc.

3 3

Home Depot Product Authority, LLC

Home Depot of Puerto Rico, Inc.

Atlanta

The Home Depot, Inc.

*** HOME DEPOT INSUREDS

Home Depot U.S.A. Inc. dba The Home Depot

Home Depot U.S.A., Inc.

Certificate of Liability Insurance

CN101642069

Home Depot Store Support, Inc.

H.D.V.I. Holding Company, Inc.

Home Depot Management Company, LLC

MARSH USA, INC.

HOME DEPOT U.S.A., INC.

THE HOME DEPOT, INC.

BUILDING C-20

2455 PACES FERRY ROAD

ATLANTA, GA 30339

Red Beacon, LLC

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