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Home My WebLink AboutCOI and Endorsements-Cultural Resources Consultants, LLC1 DATE(MMIDDNYYY) oRa CERTIFICATE OF LIABILITY INSURANCE 1 2/24/2021 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: H 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 endorsements . CONTACT PRODUCER Quirk 8, Company NAME — FAx - P.O. Box 792 30 PHONE 210-342.9421 No 210.340.4075 A G.. San Antonio, TX 78279 INSURED Northwest Heritage Consultants LLC Cultural Resources Consultants, LLC PO Box 4159 Seattle WA 98194 OFVIRIfnN NIIIURFR- LVVCR/iV CJ VLR n vr�.r..r,. rr... vvwwc THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. CERTIFICATE MAY BE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER PO Y EFF POLICY E%P 1/18/2022 LIMITS A �/ COMMERCIAL GENERAL LIABILITY NPP8604306 1/1812021 EACH OCCURRENCE E1000000 P ce PREMISES Ea=iatan S100,000 CLAIMS -MADE 2 OCCUR MED EXP (My one 1XIMM) $5 000 PERSONAL S ADV INJURY $1 000 000 OWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRODUCTS -COMP/OP AGO $included ✓ POLICY ❑ E ❑ LOC Deductible BICOMBINED /PD 3250 OTHER, rr A AUTOMoeILELuae.Rr NPP8604306 1/1812021 1/18/2022 Ea aeadent s _. BODILY INJURY (Pr Fenian) S ANY AUTO BODILY INJURY (Par acddmi) S OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTYDAMAGI Par $ AUTOSONLRED � ✓ AUTOS ONLY P IlAggregate Limits Included in GL UMBREU-AUA13 OCCUR EACH OCCURRENCE AGGREGATE S _ EXCESS LIAR CU1_IMS-MADE DED I RETENTION WORKERS COMPENSATION ✓ PER OTH• S A NPP8604306 1118I2021 1I18I2022 EL EACH ACCIDENT $1 O00 000 AND EMPLOYERS' DASILITY YIN ANYPROPRIETOR/PARTNERIEXECUnVE (Stop Gyp) E.L DISEASE -EA EMPLOYEE1 E OFIFICERIMEMBERE%CLUDED? ❑ NIA (Llrldetory In NH) El, DISEASE - POLICY UNIT $ 2,000,000 If rles"Itte undr B DMAI PTION OF OPERATIONS ovi DM Professional Liability SPL0062442-02 1118/2021 1/18/2022 Each Claim Limit $2,DOD,000 Each Aggregate Limit $2,000.000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 401, Additional Remarks SCINdule, may be MMcAed It mon NNIICS M R4uNed) Project: Kitsap Lake, Bremerton WA includes blanket additional insured endorsement that provides additional insured status to the certificate holder only The CGL policy a automatic between the named Insured and the certificate holder that requires such status. The CGL policy contains a special when there Is a written contract endorsement with "Primary and Noncontributory" wording. The CGL policy includes a blanket automatic waiver of subrogation endorsement that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it. MCRIIrILNIC RVLVCR � �� City of Bremerton Bremerton Parks & Recreation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Colette Berna 680 Lebo Boulevard Bremerton WA 98310 AUTHORIZED REPRESENTATIVE f Luis A. Vaz uez�- G TaDD'LUIi NIrVRV bVRf•VnIAn V,e. •+tt ,•y...a ,cac, .�... ACORD 25 (2018/03) The ACORD name and logo are registered marks of ACORD ae J0232' I Master CeRS[Sste - 21122 - GL I PL I Casol Thornburgh 1 2/24/2021 12:34:21 M ICST1 I Page 1 0. - IMPORTANT NOTICE - TEXAS Have a complaint or need help? If you have a problem with a claim or your premium, call your insurance company first. If you can't work out the issue, the Texas Department of Insurance may be able to help. Even if you file a complaint with the Texas Department of Insurance, you should also file a complaint or appeal through your insurance company. If you don't, you may lose your right to appeal. Western World Insurance Group To get information or file a complaint with your insurance company: Call Toll -free: Western World Insurance Group at 1-888-847.8600 Online: www.westernworld.com/contact Email: Comolaints(d-)westernwodd.com Mail: 300 Kimball Drive Parsippany NJ 07054 Attn: New Claims The Texas Department of Insurance To get help with an insurance question or file a complaint with the state: Call with a question: 1-800-252-3439 File a complaint: www.tdi.texas.00v Email: ConsumerProtectionCtdi texas oov Mail: MC 111-1A, P.O. Box 149091 Austin, TX 78714-9091 LTiens una queja o necesita ayuda? Si tiene un problema con una reclamaci6n o con su prima de seguro, Ilame primero a su compania de seguros. Si no puede resolver el problema, as posible que el Departamento de Seguros de Texas (Texas Department of Insurance, en ingles) pueda ayudar. Aun si usted presenta una queja ante el Departamento de Seguros de Texas, tambi6n debe presentar una queja a travels del proceso de quejas o de apelaciones de su compania de seguros. Si no to hace, podria perder su derecho para apelar. Western World Insurance Group Para obtenerinformaci6n o para presentar una queja ante su compania de seguros: Llame al tel6fono gratuito: Western World Insurance Group at 1-888-847-8600 En linea: www.westernworld.com/contact Correo electr6nico: Comol a intstoo)westernworld.com Direccibn postal: 300 Kimball Drive Parsippany NJ 07054 Attn: New Claims El Departamento de Seguros de Texas Para obtener ayuda con una pregunta relacionada con los seguros o para presentar una queja ante el estado: Llame con su pregunta al: 1-800-252-3439 Presente una queja en: www.tdi.texas.00v Correo electr6nico: Consu merProtection%�tdi.texas.00v Direccibn postal: MC 111-1A, P.O. Box 149091 Austin, TX 78714-9091 Ww Tx-1 (11/19) 013933d' 1 we[s[ Ca[tl[i<al. - 21/2: - 6L I M I (a:nl Thocabjtgh 1 2/24/2021 12:31:21 11 ICST1 I Page 2 of 2 This Endorsement Modifies Your Policy (Effective At Inception Unless Another Date Shown Below) ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The Insurance afforded by this policy for "bodily injury," "property damage" and/or "personal and advertising injury" shall also apply to the "additional insured" listed below for claims, suits, and/or damages made against the "additional insured," but only to the extent the "additional insured" is being held responsible for the acts, omissions and/or negligence of the "named insured." This insurance afforded shall not apply to claims, suits and/or damages arising out of the acts, omissions and/or negligence of the "additional insured(s)." The inclusion of the "additional insured(s)" shall not operate to increase the Limits of Insurance. To the extent. If any, that this policy affords coverage to an "additional insured," the "additional insured" is subject to all of the terms of the policy. Our obligation to provide coverage to an "additional insured" is further limited by the interest of the "additional Insured" as defined below. Interest of the Additional Insured(s) Defined: AS REQUIRED BY WRITTEN CONTRACT PREMIUM DUE: $750 (FLAT & FULLY EARNED) For the purpose of this endorsement, the "named Insured" is the person(s) and/or party(ies) designated on the Declarations Page of the policy or on any endorsement. The "additional insured" is the person(s) and/or party(ies) identified below. Identity of Additional Insured(s): OWNERS OR CONTRACTORS WHERE REQUIRED WRITTEN CONTRACT NAMING SUCH PERSON(S) AS ADDITIONAL INSURED(S)CERTIFICATES ON FILE WITH COMPANY. (Complete this sectlon if endorsement Is added after policy is Issued.) NPP8604306 Policy Number Endorsement Number Endorsement Effective Date Signature of Authorized Representative Producer Number Page 1 of 1 INSURED W W 180 (03/10) This Endorsement Modifies Your Policy. Please Read It Carefully. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: AS REQUIRED BY WRITTEN CONTRACT PREMIUM: $750.00 (FLAT & FULLY EARNED) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV - COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown In the Schedule above and only as respects to the sole negligence of the Named Insured. This waiver afforded shall not apply to claims, "suits" and/or damages arising in whole or in part out of the acts, omissions, and/or negligence of the person or organization shown in the Schedule above. Includes copyrighted material of ISO Properties, Inc., WW421 (11/13) with its permission. COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional Insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other Insurance available to the additional insured. CG 20 01 04 13 Copyright, Insurance Services Office, Inc., 2012 Page 1 of 1