Loading...
HomeMy WebLinkAboutLogix City of Bremerton 2022 COI COVERAGES: CERTIFICATE: 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. NOT WITHSTANDING 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL LIABILITY: ☒ COMMERCIAL GENERAL LIABILITY X X 36030455 July 27, 2021 July 27, 2022 EACH OCCURRENCE $1,000,000 ☐ CLAIMS MADE ☐ OCCURRENCE ________________________________ ________________________________ GEN’L AGGREGATE LIMIT APPLIES PER: ☐ POLICY ☐ PROJECT ☐ LOC MEDICAL EXP $10,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OP AGG $1,000,000 A AUTOMOBILE LIABILITY X X 36030455 July 27, 2021 July 27, 2022 COMBINED SINGLE LIMIT $1,000,000 ☐ ANY AUTO  SCHEDULED AUTOS ALL OWNED    ALL OWNED AUTOS ☒ NON-OWNED AUTOS ☒ HIRED AUTOS BODILY INJURY PER PERSON $ BODILY INJURY PER ACC $ PROPERTY DAMAGE $ CONTRACTOR’S POLLUTION LIABILITY EACH OCCURRENCE $ __________________________________ $ $ UMBRELLA LIABILITY EACH OCCURRENCE $  UMBRELLA LIAB ☐ OCCUR ☐ EXCESS LIAB  CLAIMS MADE  DED  RENTATION $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below $ $ DESCRIPTION OF OPERATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The Vendor’s insurance is primary and non-contributory as respects the City and contain a waiver of subrogation against the City for claims arising out of any operations, liabilities and obligations to which overage applies. It shall be affirmative obligation upon the Vendor to advise the City’s risk Manager by fax at (360) 43-5161, or y certified mail, return receipt requested to City of Bremerton, Attn: Risk Management, 356 – 6th Street, Suite 100, Bremerton, WA 98337 within two days of the cancellation, suspension or substantive change of any insurance policy required herein, and failure to de shall be construed to be a breach of the Agreement. CERTIFICATE HOLDER CANCELLATION City of Bremerton Attention: Risk Management 345 – 6th Street, Suite 100 Bremerton, WA 98337 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE: Maria Persechino CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY) 8/3/2021 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 ISSING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. PRODUCER Grunfeld Insurance 6855 De L’Epée Suite 201 Montreal Quebec H3N 2C7 CONTACT NAME: Martin Weiss PHONE (A/C, No, Ext): 514-273-9000 ext. 102 FAX (A/C, No): 514-273-4977 EMAIL ADDRESS: martin@grunfeldinsurance.ca INSURER(S) AFFORDING COVERAGE NAIC # INSURED Parking Logix 992 Upton LaSalle, PQ H8R 2T9 INSURER A: Chubb Insurance INSURER B: INSURER C: INSURER D: