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HomeMy WebLinkAbout6268 - COI_Kitsap Historical Society_1DATE (MMIDDIYYYY) c�'o CERTIFICATE OF LIABILITY INSURANCE 04/01I2023 THIS CERTIFICATE IS ISSUED AS A MATT VELY OR NEGATIVELOY AMEND, EXTEND OR ALTER THE COVERAGERAFFORDED BY THE THIS CERTIFICATE DOES NOT AFFIRMA POLICIES BELOW. THIS CERTIFICATE OODUCERAAND THE CERTIFICATSE HOLDERCONTRACT BETWEEN THE ISSUING INSURERS , AUTHORIZED REPRESENTATIVE •R �R IMPORTANT: If the certificate holder Is an ADDIceOta nLpoN c esEmay requirecanl endorsement A tatemen SonEthiOsGcertllflcate doels not subject to the terms and conditions of the p Yr confer rights to the certificate holder In Ileu of such endorsemenooNTACT PRODUCER ���cL��� /1LD E0 FAX PROPEL INSURANCEIPHS 1` V G PHCNE (866) 467-8730 (p,lc, No): 52701960 (AIC, No, Ext): The Hartford Business Service Center APR 1 2 ZOZ� EMAIL 3600 Wiseman Blvd ADDRESS: NAICil San Antonio, TX 78251 INSURERS) AFFORDING COVERAGE t INsuRER A : Sentinel Insurance Company Ltd. 11000 INsuREo ement KITSAP COUNTY HISTORICAL SOCIff�iSk Manag INSURER B 280 4TH S'f INSURER C BREMERTON WA 98337-1813 INSURER D INSURER E INSURER F OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE PANY REQUFREMENTNTERM OR ONDITION OF ANY CONTRACTOOR OTHER DOCUMENT WIDTH RESPECT TOLWHICHTIHIS INDICATED.NOTWITHSTANDING CERTIFICATE MAY BE ISSUED 0 ONS OF SUCHIPOL C ESNLIMITS SHOWN MAY HAVE BEEN REDUCED BY PARD CLA MSREIN IS SUBJECT TO ALL T TERMS, EXCLUSIONS AND CONDI POLICY EFF POLICY EXP LIMITS ISR ADDL SUBR POLICY NUMBER MMIDDIYYYY MMIDDIY YYY TYPE OP INSURANCE IN W D EACH OCCURRENCE $1,000,000 T - - $1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED CLAIMS•MADE�OCCUR PREMISES Eaoccurcence $10,000 MED EXP (Any one person) X General Liability PERSONAL & ADV INJURY $1,000,000 A X X 52 SBA AA8188 0413012023 04I30I2024 $2,000,000 GENERAL AGGREGATE OEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000 POLICY pR0- � LOC JEC7 OTHER; COMBINED SINGLE LIMIT $1,000,000 Ea accldenl AUTOMOBILE LIABILITY BODILY INJURY (Per person) ANY AUTO BODILY INJURY (Per accldenl) A ALL OWNED AUT09ULED 52 SBA AA8188 04130/2023 04/30/2024 PROPERTY DAMAGE AUTOS NON -OWNED HIRED (Per accldenl) X AUTOS X AU705 EACH OCCURRENCE OCCUR UMBRELLA LIAR CLAIMS- AGGREGATE EXCESS LIAR MADE DED RETENTION � PER OTH- WORKERS COMPENSATION STATUTE E AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT ANY YIN pROpRIETORIpAR7NERlEXECUTIVE NIA E.L. DISEASE -EA EMPLOYEE OFFICERIMHMBER EXCLUDED? E.L. DISEASE -POLICY LIMIT (Mandatory In NH) It yee, descrlho under $10,000 DEscRIP I N PE `" Each Claim Limit EMPLOYMENT PRACTICES 52 SBA AA8168 04130/2023 04I3012024 Aggregate Limit $10,000 A LIABILITY DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (AGGRO 101, Additional Ramarks Schedule, may be attached If more space is required) Those usual to the Insured's Operations, Certlflc he Certificate HoldeiriperthesBu d esstL ability CoveragellForCm SS 008,oattachedOtoBthis policyto this policy, WBiver of Subrogation applies In favor oft CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of Bremerton BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 345 6TH ST IN ACCORDANCE WITH THE POLICY PROVISIONS. BREMERTON WA 98337-1858 AUTHORIZED REPRESENTATIVE �f'ue-cL„ o� Caa��n�� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD DATE(MMIDDIYYYY) c-=ca� CERTIFICATE OF LIABILITY INSURANCE 04/0112023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INF NEdATIVE O AMEND, EXTEND OR ALTER THEPCOVERAGERAFFORDED BY THE THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR POLICIES BELOW. THIS CERTIFICATE OF INSURANND THE CERTIFICATE HOLDERCONTRACT BETWEEN THE ISSUING INSURERS , AUTHORIZED REPRESENTATIVE OR PRODUCER, A IMPORTANT: If the certlflcate holder Is an ADDITIO a nL oN c esEmay requlrecanl endorsement A st temen SonEth'OS certi•cate doels not subject to the terms and conditions of the policy, cer p confer rights to the certlflcate holder In Ileu of such endorsemenaoriTACT PROPELINSURANCEIPHS 52813224 The Hartford Business Service Center 3600 Wiseman Blvd San Antonio, TX 78251 R�CEIVE� ..,.,,,, KITSAP COUNTY HISTORICAL SOCIETY City Of Breme1�an 280 4TH ST ement BREMERTON WA 98337-1813 RiskManag PHONE a (866)467 (AIC, No, Ext): ADDRESS: INSURERS) AFFORDING COVERAGE INsuRERA: Twin City Fire Insurance Co INSURER B INSURER C INSURER D INSURER E INSURER F : (AIC, No). NAIC# AVERAGES CERTIFICATE NUMBER: REVISION NUMBER: ENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DO gE.DEHEREIN ISESUBJECTO OHALL THIE THIS IS 70 CERTIFY THAT THE POLICIES OF I�MURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURECRNAMED ABOVE FOR THE POLICY PER INDICATED,NOTWITHSTANDING ANY REQUIR CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DES TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAYP LILY EFF N RED L cY exp PAID CLAIMS, LIMITS $ ADDL SUER ppLICY NUMBER MMIDDIYYYY MMIDDIY YYY TYPE OF INSURANCE INBR WVD EACH OCCURRENCE COMMERCIAL GEN�E-R-A—)L LIABILITY CLAIMS -MADE I I OCCUR OEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO � LOC JECT OTHER: AUTOMOBILE LIABILITY MED EXP (Any one person) GENERAL AGGREGATE PRODUCTS-COMPIOPAGG BODILY INJURY (Per person) ANY AUTO BODILY INJURY (Per accldenl) ALL OWNED SCHEDULED PROPERTY DAMAGE AUTOS AUTOS HIRED NON -OWNED (Per accident) AUTOS AUTOS _ ^^ OCCUR AGGREGATE UMBRELLA LIAR CLAIMS- EXCESB LIAR MADE DED RETENTION $ PER OTH- STATUTE ER WORKERS COMPENSATION E.L. EACH ACCIDENT AND EMPLOYERS' LIABILITY YIN ANY E.L. DISEASE -EA EMPLOYEE pROPRIETORIPARTNERIEXECU7IVE NI A OFFICERIMEMBER EXCLUbEb7 E.L. DISEASE -POLICY LIMIT (Mandatory In NH) If yea, describe under $1,000,000 DESCRIPTION OF OPERATIO s below Aggregate A Directors & Offlcers Liability 52KM033887622 0810212022 0810212023 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Those usual to the Insured's Operations. Certificate Holder Is aHoddel�loeat�e BusinesstLiability CoveragellForCm SS0008, attachedOtoBthis policyto this policy. Waiver of Subrngatlon applies In favor of the Certlflc�t� � CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of Br®merlon BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 345 6TH ST IN ACCORDANCE WITH THE POLICY PROVISIONS. BREMERTON WA 98337-1858 AUTHORIZED REPRESENTATIVE Cf ���, � Caat�u�� _-1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD