HomeMy WebLinkAboutCOI 2.13.25.qiAD"
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THIS CERTIFICATE IS ISSUED AS A
'I'ATTER
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 INSURERIS), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: lflhe certificate holder is an AODITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
lf SUBROGATION lS WAIVED, subject to lhe terms and conditions of lhe 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).
Leavill Group Norlhwest
PO Box 833
wA 98071
(800)726-8771 (866) 728-9168
amber-harislaleavih com
INSU RER(S) AFFORDING COVERAGE
tNsuRERA Ohro Casualty lnsurance Company 24414
Correcl Equipment, Inc.
14576 NE 95th St
Redmond wA 98052
TNSuRERB. WestAmerican lnsurance Company 44393
CERTIFICATE OF LIABILITY INSURANCE
CERTTF,CATE NUMBER. 24-25 WA [4asier COICOVERAGES REVISION NUMBER:
THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREO NAMEDABOVE FOR IHE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICII THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES OESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONOITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSD
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8K061040878 42/13t2024 02t13t2A25
r 1,000,000
DAMAGE TO RENTED
PREMISES lEa occun6n.el $ 100,000
MEO EXP (Any on6 person)$ 10.000
PERSONAL AADV INJURY $ 1,000,000
GENERALACCREGATE $ 2,000,000
PRODl.ICTS. COMP/OP AGG $ 2.000,000
s
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AUTOMOBILE LIABILIrY
HIRED
SCHEDULEO 0211312024 a2r132025
COI,IBINEOSINGLELMT $ 1,000.000
BOD LY INJ|JRY (Pd o€lson)5
BODILY INJURY (Pd ac. denO $
$
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X
EXCESS LIAB
x
uso61040878 0211312424 02t13t2425
$ 1,000 000
r 1,000,000
RETENTTON S 10.000 S
woFxERs coflPEirsAnotr
AND EMPLOY€RS' LIABILITY
ANY PROPR]FTOR/PARTNERTEXECUTIVE
OFFICER/MEMAER EXCLUOED?
DESCRIPTION OF OPERATIONS below
N 8KO61040878 o2t13t2424 02113t2A25
xl WA Stop Gap
E,L EACHACCIDENT $ 1,000,000
EL DSEASE.EAEMPLOYEE $ 1,000,000
$ 1,000,000
oESCRImOll OF OPERAIO S/LocATloNs/VElllcLES (ACORO l Ol. Addtlon.l R.m.*3 Sch.dule, nay be atacnod I mq. .p... b r.qlired)
City of Bremerlon is named as additional insured perwdtten conlract and lerms and condilions oI attached foms CG8810 0413 and CG88701208
CERTIFICATE HOLDER CANCELLATION
City of Bremerton
1600 Oyster Bay Ave S
wA 98312
SHOULO ANY OF THE AAOVE OESCRIAED POLICIES BE CANCELLED BEFORE
THE EXPIRATION OATE THEREOF.IIOTICE wlLL BE DELIVEREO IN
ACCORDANCE wlTH fHE POLICY PROVISIONS,
AI]TIIORIZEO REPRESENTATIVE
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ACORD 25 (2016/03)
@ 1988.2015 ACORD CORPORATION. All rights reservod.
The ACORD name and logo are rcgistered marks ofACORD
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