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HomeMy WebLinkAbout6268 - COI_Kitsap Historical Society_2DATE (MMIDDIYYYY) ACc�R CERTIFICATE OF LIABILITY INSURANCE 07/19I2023 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 IN5URER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlflcate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed, If SUBROGATIONIS WAIVED, subJect to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certlflcate does not confer rights to the certlflcate holder In Ileu of such endorsement(s). PRODUCER PROPELINSURANCEIPHS 52701950 The Hartford Business Service Center 3600 Wiseman Blvd San Antonio, TX 78251 INSURED KITSAP COUNTY HISTORICAL SOCIETY 280 4TH ST BREMERTON WA 98337-1813 r+nvGaer_ee (:KRTICIf:ATP NI IMRER� PHONE (866) (AIC, No, Ext); E-MAIL ADDRESS: INSURER(&) AFFORDING COVERAGE INSURERA; SentlnellnsuranceCompany INSURER B ; INSURER C ; INSURER D INSURER E ; INSURER F ; REVI310N NUMBER: (AIC, No). NAICN 11000 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEb TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 07HER 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 COMMERCIAL GENERAL LIABILITY ADDL IN8 SUER WVD POLICY NUMBER POLICY EFF IDD YY POLICY E MIDD YY LIMITS EACH OCCURRENCE $1,000,000 CLAIMS-MADE�OCCUR DA PRE AOE TO RE TED ISES Es occurrence $1,000,000 MED EXP (Any one person) $10,000 X General Llabllity A X X 52 SBA AA8188 04/30/2023 04/30/2024 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AOOREGA7E $2,000,000 OEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $2,000,000 POLICY ❑PRO- � LOC JECT OTHER: AUTOMOBILE LIABILITY CEOMBINED SINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY (Per person) A ALL OWNED SCHEDULED AUTOS AUTOS HIRED NON -OWNED X AUTOS X AUTOS 52 SBA AA8188 04/30I2023 04/30/2024 BobILY INJURY (Per accident) PROPERTY DAMAGE (Per accldenq UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS- AGGREGATE MADE DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER STA UTE OTH• ANY YIN E,L, EACH ACCIDENT PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NI A E,L, biSEASE -EA EMPLOYEE (Mandatory In NH) It yes, describe under E,L, bISEASE -POLICY LIMIT A DESCRIPTION OF OPERATIO S below EMPLOYMENT PRACTICES LIABILITY 52 SBA AA8188 04/30/2023 04/30/2024 Each Claim Llmlt Aggregate Llmlt $10,000 $10,000 DESCRIPTION OFOPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remerka Schedule, may be attached If more epaoe le required) Those usual to the Insured's Operations, certlflcate Holder Is an Additional Insured per the Business Llabllity Coverage Form SS0008 attached to this policy. Waiver of Subrogation applies In favor of the certlflcate Holder per the Business Llabllity Coverage Form S50008, attached to this policy, CERTIFICATE HOLDER GANGELLATIVN City of Bremerton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 345 6TH ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED BREMERTON WA 98337-1858 IN ACCORDANCE WITH THE POLICY PROVISIONS, RECEIVEDAUTHORIZED REPRESENTATIVE �ue2V� o� CaotR.-u�� ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) �,ityTl�t��O�gl.�tame and logo are registered marks of ACORD Risk Nt,:�na�Prnent N N rn N" 0 'a'��' CERTIFICATE OF LIABILITY INSl1RANCE DATE (MMIDDIYYYY) 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 certlflcate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATIONIS WAIVED, subJect to the terms and conditions of the pollcy, certain policies may require an endorsement. A stat®ment on this cBrtlflcate does not confer rlahts to the certlflcate holder In Ileu of such endorsement(s). PRODUCER uunlA�l PROPEL INSURANCEIPHS A E' 52813224 PHONE (888)487-8730 Fax (AIC, No, Ext), (AIC, No). The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio, TX 78251 ADDRESS; INSURER(B) AFFORDINt3 COVERAGE NAIL# INSURED INSURERA: TWin Clty Flre Insurance Co KITSAP COUNTY HISTORICAL SOCIETY INSURER B ; 280 4TH ST BREMERTON WA 98337-1813 INSURER C INSURER D INSURER E ; INSURER F ; t".nVFROf4FR CERTIFICATE Nl1M8ER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEb TO THE INSUREb NAMED ABOVE FOR THE POLICY PERI00 INDICATED,NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER bOCUMENT WITH RESPECT 70 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, INS LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER PO MMIDbIYYYY ICY EF PO CY EXP MMIDD YYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS•MADE❑OCCUR DA PREMISES GE TO ENTER E occurre ce MEb EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE OEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑PRO- ❑ LOC JECT PRObUCT5 -COMP/OP AGG OTHER: AUTOMOBILE LIABILITY CO B Ea accid ED S NOLE LIMIT nt ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE HIRED NON -OWNED AUTOS AUTOS (Per accldenl) UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS- MADE AGGREGATE DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY 9TA UTE E ANY YIN E.L. EACH ACCIDENT PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? NI A E.L, DISEASE -F� EMPLOYEE (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS below A Directors &Officers Liability 52KM033887523 08/02I2023 08/02/2024 Aggregate $1,000,000 DESCRIPTION OFOPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Addltlonal Remerke 9ohedule, may be attached ii more epaae le required) Those usual to the Insured's Operations, Certificate Holder is an Addltlonal Insured per the Business Llabllity Coverage Form SS0008 attached to this policy. Waiver of Subrogation applies in favor of the certlflcate Holder per the Business Llabllity Coverage Form SS0008, attached to this pollcy, l�CDTI GI/+ATC LIAI 11CD rw�� � rN � � Is�� rr•T, i City of Bremerton SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED 345 6TH ST WILL BE DELIVERED BREMERTON WA 98337-1858 RECEIVE® NEACCORDANCE W THIOTHE POLICY PROVES ONSICE AUTHORIZED REPRESENTATIVE JUL 31 20,��� CI-ue�.� 03`.' Caa�U� City of Bremerton ©1988.2015 ACORD CORPORATION, All rights reserved. ACORD 25 (2016103) Risk MarT�t�,A��RD name and logo are registered marks of ACORD N N N h ou 0 :;I I�� ��i, :p�;,, �: 1 �j,�l ;I';i':