HomeMy WebLinkAbout6103 - COI - Autie Bell_2RICE INSURANCE
1400 BROADWAY
BELLINGHAM, WA 98225
CITY OF BREMERTON
345 6TH STREET
BREMERTON, WA 98337
cy number: o0714418-7
Underwritten by:
United Financial Casualty Company
Insured:
AUTIE BELL
November 21, 2022
Policy Period: Nov 21, 2022 - May 21, 2023
a,
United Financial Casualty Cornp
'O Box 94739
Wd"itional insured endorsement Cleveland, OH 44101
CITY OF BREMERTON
345 6TH STREET
BREMERTON, WA98337
For customer service
, 24 hours a clay,
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: 00714418-7
Issued to (Name of Insured): AUTIE BELL
Effective date of endorsement: 11/21/2022
Form 1198 (01/04)
Policy expiration date: 05/21/2023