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HomeMy WebLinkAbout6267 - COI - Bremerton Historic Ship Association0 0 0 W 0 N 0 0 0 0 0 0 0 A✓ CERTIFICATE OF LIABILITY INSURANCE °Aoz�16�20"3"' 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: If 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 . PRODUCER CONTACT CS&S/PROPEL INSURANCE RECEIVED NAME: PHONE FAX A/C, No, Ext : A/C, No): PO BOX 958489 EMAIL Lake Mary, FL 32746-8989 FEB 21 2023 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 1-877-724=2669 Continental CasualtyC INSURERA: om Company 20443 INSURED City of Bremerton BREMERTON HISTORIC SHIP ASSOCIATIOQisk Management INSURERB: INSURERC: PO BOX 336 INSURER D: BREMERTON, WA 98337 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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, NOTWITHSTANDINGANY 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A �/ X COMMERCIAL GENERAL LIABILITY Y 3010105003 04/08/23 04/08/24 EACH OCCURRENCE 29000,000 CLAIMS -MADE �X OCCUR DAMAGE TO RENTED occ PREMISES Ea urence 1 000 000 MED EXP (Any one person) 10 000 PERSONAL R ADV INJURY 2 9 000 I 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 410002000 POLICY JEC'T 9 LOC PRODUCTS - COMP/OP AGG 490001000 OTHER: 3010105003 04/08/23 04/08/24 COMBINED SINGLE LIMIT (Ea accident) S 11000,000 A AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY(Per person) OWNED AUTOS SCHEDULED ONLY AUTOS BODILY INJURY(Per accident) XHIRED AUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE (Per accident) UMBRELLALIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE AGGREGATE DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y/N STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER(MEMBER EXCLUDED? E NIA E.L. EACH ACCIDENT (Mandatory in NH) If yes, describe under E.L. DISEASE - EA EMPLOYEE DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT OTHER PER STATUTE I OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Acord 101, Additional Remarks Schedule, may be attached If more space is required) Certificate Holder is Named as Additional Insured - Designated Person or Organization. Coverage is primary and non-contributory. RE: Tax Lodging Permit CERTIFICATE HOLDER CANCELLATION City of Bremerton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 345 6th St Ste 600 Bremerton, WA 98337 AUTHORIZED REPRESENTATIVE CDkti0_4tUy- ACORD 25 (2016103) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD