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: