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HomeMy WebLinkAbout6103 - COI - Autie Bell_1RICE INSURANCE LLC PO BOX 639 BELLINGHAM, WA 98227 CITY OF BREMERTON 345 6TH STREET BREMERTON, WA 98337 EC REIVED NOV 2 9 2021 City of Bremerton City Attomey's Office P 799REIMIT Cr COMMERCIAL Policy number: 00714418-5 Underwritten by: United Financial Casualty Company Insured: AUTIE BELL November 23, 2021 Policy Period: Nov 21, 2021 - May 21, 2022 Mailing Address United Financial Casualty Company PO Box 94739 Additional insured endorsement Cleveland, OH44101 Name of Person or Organization CITY OF BREMERTON 345 6TH STREET BREMERTON, WA 98337 1-800-444-4487 For customer service , 24 hours a day, 7 days a week The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page, Limit of Liability Bodily Injury Property Damage Combined Liability Not applicable Not applicable $100,000 each accident All other terms, limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number: 00714418-5 Issued to (Name of Insured): AUTIE BELL Effective date of endorsement: 11/21/2021 Fonn 7198 (01/04) Policy expiration date: 05/21/2022 RICE INSURANCE LLC PO BOX 639 BELLINGHAM, WA 98227 CITY OF BREMERTON 345 6TH STREEr BREMERTON, WA 98337 RECEIVEp MAY 2 4 2022 City of Bremerton disk Management PROORElJ/UE0 COMMERCIAL Policy number: 00714418-6 Underwritten by: United Financial Casualty Company Insured: AUTIE BELL May 19, 2022 Policy Period: May 21, 2022 - Nov 21, 2022 Mailing Address United Financial Casualty Company PO Box 94739 Additional insured endorsement Cleveland, OH44101 Name of Person or Organization CITY OF BREMERTON 345 6TH STREET BREMERTON, WA 98337 1-800-444-4487 or customer service F, 24 hours a day, 7 days a week The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page. Limit e�f Liability Bodily Injury Property Damage Combined Liability Not applicable Not applicable $100,000 each accident All other terms, limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number: 00714418-6 Issued to (Name of Insured): ALITIE BELL Effective date of endorsement: 05/21/2022 Form 9 198 (01/04) Policy expiration date: 11/21/2022