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HomeMy WebLinkAbout6289 - Struck Enviornmental, Inc.��I` STRUEN1 ACORO 0. CERTIFICATE OF LIABILITY INSURANCE DATE 03/03/202202YY) `-� 3/02 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 endorsements . PRODUCER 360-779.4448 CONTACT Wendy Dailey Brown & Brown PHONE 360-779-4448 FAX 360-697-4598 P.O. BOX 986 A/C, No Ext : AIC, No Poulsbo, WA 98370 RECEN�LL' E-MAIL .Wendy. Dailey@bbrown.com House Account ck Environmental Inc NE Shorewood Ct Isbo, WA 98370 �i11137re1�� i.ilt�l Oi E36E(T10rt01? I ISk Mpr a ernent CFRTIFICATF NIIMRFR� Ohio Security Insurance Co REVISION Nl1MHER� 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX] OCCUR ENC000294102 ENCO0294102 01/01/2022 01/01/2022 01/01/2023 01/01/2023 EACH OCCURRENCE $ 10000,000 DAMAGE TO RENTED MISES (Ea occurrence)$ 50,000 MED EXP (Any oneperson) $ 51000 X E&O Claims Made PERSONAL & ADV INJURY $ 1,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- ❑ LOC JECT OTHER: GENERAL AGGREGATE $ ZOW000 PRODUCTS - COMP/OP AGG $ 2,000,000 B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY L I BAS58515156 I 01/22/2022 01/22/2023 EOMBINED SINGLE LIMIT $ 13000,000 BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PPROaER,de t AMAGE ( $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ H AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PRO PRIETOR/PARTNE R/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A PERSTATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RFRTIFICATF HOI nFR CANCFI I ATION CITYBR2 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 Street, Ste 100 Bremerton, WA 98337 AUTHORIZED REPRESENTATIVE vJ %: N' ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �� STRUEN1 ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) lllliiw� 1 03/03/2022 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 riqhts to the certificate holder in lieu of such endorsement(s). PRODUCER 360-779-4448 NAMEACT Wendy Dalley Brown & Brown IPHONE 360-779-4448 FAX ,, ,.360-697-4598 P.O. Box 986 - Poulsbo, WA 98370 House Account INSURED Struck Environmental Inc 692 NE Shorewood Ct Poulsbo, WA 98370 r`n\/FRAr;FS REClzl V Cu MAR 3 0 202.2 City ofi Bremerton Risk Mancigement CFRTIFICATF Nl1MRFR� Ohio Security Insurance Co 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. r INSR ITPA TYPE OF INSURANCE ADDL INSQPOLICYNUMBER SUBR POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X] OCCUR ENC000294102 ENCO0294102 01/01/2022 01/01/2022 01/01/2023 01/01/2023 EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED PREMISES (Ea Qccurrence)MED $ 50 000 EXP (Any oneperson) $ 55000 X E&O Claims Made PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jECT LOC OTHER: GENERAL AGGREGATE $ 21000,000 PRODUCTS - COMP/OPAGG $ 2,0001000 B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY L BAS58515156 01/22/2022 01/22/2023 EO MBINED SINGLE LIMIT a accident)X $ 190003000 BODILYINJURY Perperson) $ BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS L OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ H DED I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) FRTIFI(:ATF H(11 nFR CANCFLI ATION CITYBR3 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 Public Works & Utilities Dept AUTHORIZED REPRESENTATIVE 100 Oyster Bay Ave N \, Bremerton WA 98312 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD