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HomeMy WebLinkAboutCity of Bremerton Financial Services Marine COIHolder Identifier : 7777777707070700077761616045571110766707007315446207443036662517300072651566057221130763514013167111207526111772334552075637234224773300733705500751130307361011671337502076727242035772000777777707000707007 7777777707070700073525677115456000752732646707777407360511020361130073300540357330720703332621352711107023326347132044070666236470271110747266234213354007163322306063111077756163351765540777777707000707007570088683431CERTIFICATE NUMBER:CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) 08/03/2021 Aon Risk Insurance Services West, Inc. PRODUCER Phoenix AZ Office2555 East Camelback Rd.Suite 700Phoenix AZ 85016 USA (866) 283-7122 (800) 363-0105 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. CONTACT NAME: PHONE (A/C. No. Ext): E-MAIL ADDRESS: PRODUCER CUSTOMER ID #: FAX (A/C. No.): INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:INSURED Starr Indemnity & Liability Company 38318 INSURER B: 570000072487 Verra Mobility Corporation INSURER D: INSURER E: INSURER F: INSURER C:1150 N Alma School Rd Mesa AZ 85201-3000 USA LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE NUMBER:REVISION NUMBER:570088683431COVERAGES 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. POLICY EXPIRATION DATE (MM/DD/YYYY)LIMITS COVERED PROPERTYPOLICY EFFECTIVE DATE (MM/DD/YYYY)POLICY NUMBER TYPE OF INSURANCEINSR LTR PROPERTY CAUSES OF LOSS BASIC BROAD EARTHQUAKE FLOOD BUILDING PERSONAL PROPERTY BUSINESS INCOME EXTRA EXPENSE BLANKET BUILDING BLANKET PERS PROP BLANKET BLDG & PP WIND DEDUCTIBLES BUILDING CONTENTS RENTAL VALUESPECIAL INLAND MARINE TYPE OF POLICY CAUSES OF LOSS NAMED PERILS POLICY NUMBER CRIME TYPE OF POLICY BOILER & MACHINERY / EQUIPMENT BREAKDOWN $1,000,000 $5,000,000 Installation Limit Cargo Conveyance AAAA 07/01/2021 07/01/2022Marine Cargo Cv MASICSF1045US21 X X SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION AUTHORIZED REPRESENTATIVE City of Bremerton Financial Services 345 Sixth Street, Suite 600 Bremerton WA 98337-1873 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 24 (2016/03) © 1995-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDITIONAL REMARKS SCHEDULE AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS AGENCY POLICY NUMBER CARRIER See Certificate Number: EFFECTIVE DATE: NAIC CODE NAMED INSURED See Certificate Number: FORM NUMBER:Certificate of Property InsuranceFORM TITLE:ACORD 24 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, Aon Risk Insurance Services West, Inc. 570000072487 570088683431 570088683431 ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSURER INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER Page _ of _ Verra Mobility Corporation INSR LTR TYPE OF INSURANCE POLICY NUMBER COVERED PROPERTY OTHER A Marine Cargo Cv MASICSF1045US21 07/01/2021 07/01/2022 Domestic Transit $5,000,000 LIMITSPOLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved.