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HomeMy WebLinkAbout6395 -COI_Hermand Pumbing, LLC - 2023HERDPL2 CERTIFICATE OF LIABILITY INSURANCE D 061MM/30/2022Y) 022 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 endorsement(s). CONTACT PRODUCER 360-779-4448 I Rhonda Ausbun Brown & Brown NAME: PHONE IAILl_ 360-779-4448 FAX „_,.360-697-4598 P.O. Box 986 Poulsbo, WA 98370 Rich Hecker INSURED Herdman Plumbing, LLC Adam Herdman PO Box 4044 Silverdale, WA 98383 COVERAGES RECEIVED City of Bremet�on City Attomey's Office CERTIFICATE NUMBER' bu United Specia brown.com Insurance Co. Navigators Insurance Co. Underwriters at LlovdIs London REVISION Nl1MRFR� 12537 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. INSR TYPE OF INSURANCE ADDL INSDPOLICY SUBR NUMBER POLICY EFF POLICY EXP LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X] OCCUR X ATN2212163 07/01/2022 07/01/2023 EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED PREMISES (Ea occurrence)MED $ 509000 EXP (Anyoneperson) $ 5,000 PERSONAL & ADV INJURY $ 110001000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑X JERO LOC GENERAL AGGREGATE $ 29000,000 PRODUCTS - COMP/OP AGG $ 21000,000 OTHER: A AUTOMOBILE LIABILITY(Ea accideD SINGLE LIMIT $ 1,000,000 X ANYAUTO CPP0027204 07/01/2022 07/01/2023 BODILY INJURY Per person)$ 1 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 210009000 AGGREGATE $ 21000'000 EXCESS LIAB CLAIMS -MADE BTN2219024 07/01/2022 07/01/2023 DED I X I RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PRO h,IEMB R/PXCLUDE/EXECUTIVE OFFICER/(Mandatory in NH) EXCLUDED? (Mandatory in NH) NIA' ATN2212163 WA STOP GAP 07/01/2022 07/01/2023 PER X OTH- E E.L. EACH ACCIDENT 190002000 $ E.L. DISEASE - EA EMPLOYE 1,000,000 $ If DES describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 12000,000 D Professional Liab ANE5170374.22 07/01/2022 07/01/2023 lProf Liab 21000,000 C Pollution Liab SF22ECP000192NC 07/01/2021 07/01/2022 Poll Liab 5300000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Bremerton is additional insured per attached CG2010 0413. CERTIFICATE HOLDER CANCELLATION CITYBR9 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 345 6th Sr Ste 100 Bremerton, WA 98337 AUTHORIZED REPRESENTATIVE ✓_ ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG20100413 CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) Or Oroanizationts) to complete this A. Section II —Who Is An Insured is amended to include as an additional insured the persons) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. Locatio s Of Covered O B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 2