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HomeMy WebLinkAbout6294 - Hasa, Inc.AC DATE((5 M/D022YYY) CERTIFICATE OF LIABILITY INSURANCE 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 INsutiE�, the poficy(ies) must nave ADDLtwNaL INsurttu provfslons or pe endorsed. It 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 endorsement(s). PRODUCER Aon Risk services Northeast, Inc. Stamford CT office 1600 summer street Stamford CT 06907-4907 USA INSURED Hasa, Inc. 23119 Drayton street Saugus CA 91350 USA COVERAGES MAY 2 0 2022 City of Bremerton Risk Management CERTIFICATE NUMBER: EMAIL ADDRESS: INSURER A: INSURER B: (866) 283-7122 INSURERS) AFFORDING COVERAGE (800) 363-0105 NAIC N National union Fire Ins co of Pittsburgh 19445 Insurance Company of the west 27847 INSURER C: AIG specialty Insurance Company 26883 INSURER D: INSURER E: INSURER F: 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, NOTWITHSTANDING 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EG EACH OCCURRENCE $1, OOO, 000 CLAIMS -MADE X❑OCCUR DAMAGE 100 RENTED PREMISES Ea occurrence)$300,000 MED EXP (Any one person) $25 , 000 PERSONAL & ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: X POLICY ❑ JECPRO❑ LOC JECT GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OPAGG $2,000,000 OTHER: Pollution Liability $1, 000 , 000 A AUTOMOBILE LIABILITY 767-39-34 05/08/2022 05/08/2023 COMBINED SINGLE LIMIT Ea accident $10000,000 X ANYAUTO BODILY INJURY ( Per person) OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY HIREDAUTONON-OWNED ONLY AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident C UMBRELLALIAB X OCCUR EGU18260039 OS 08 2022 05 08 2023 EACH OCCURRENCE 10,000,000 EXCESS LAB CLAIMS -MADE AGGREGATE $10,000,000 X DED RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) If as, describe under DESCRIPTION OF OPERATIONS below N / A WN3503367006 05 08 2022 05 08 2023 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $1, 000 0 000 E.L. DISEASE -EA EMPLOYEE $1, 000, 000 E.L. DISEASE -POLICY LIMIT $11000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached tf more space is required) City of Bremerton is included as Additional insured in accordance with the policy provisions of the General Liability policy. General Liability and Automobile Liability policies evidenced herein are Primary and Non -Contributory to other insurance available to Additional insured, but only in accordance with the policy's provisions. A waiver of subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General Liability, Automobile Liability and workers' Compensation policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Bremerton AUTHORIZED REPRESENTATIVE 345 6th street, suite 100 Bremerton wA 98337 USA C•: t1 ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD