COMMERCIAL GENERAL LIABILITY COVERAGE PART –
OCCURRENCE FORM CERTIFICATE PAGE

IT IS AGREED THAT THIS CERTIFICATE IS ISSUED TO THE CERTIFICATE HOLDER LISTED BELOW TO CERTIFY COVERAGE UNDER THE COMMERCIAL GENERAL LIABILITY INSURANCE MASTER POLICY LISTED BELOW.

INSURANCE COMPANY: Lloyd's of London
NAME OF INSURED: Artisan Contractors Risk Purchasing Group
CERTIFICATE HOLDER: Belfast power wash pressure washing dock and window cleaning LLC
ADDRESS: 122-1 Lincolnville Avenue, Belfast, ME 04915 POLICY PERIOD: 05/27/2026 TO 05/27/2027 2:56 PM MDT At The Address Of The Certificate Holder

POLICY NUMBER: LC202509
CERTIFICATE NUMBER: LC268743