Loading...
HomeMy WebLinkAbout 2022 COI - Van Ness FeldmanClient#: 40157 VANNES ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/28/2021 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CBIZ Insurance Services, Inc. 44 Baltimore Street Cumberland, MD 21502 RECEIVED OCT 18 2021 INSURED uty Ot t3remt'rton Van Ness Feldman LLP City Attorney's Office 1050 Thomas Jefferson Street, NW Washington, DC 20007 COVERAGES CERTIFICATE NUMBER: Darlene Hall t), 443=259-3263 dahalle-cbiz.cc INSURERS) AFFORDING COVERAGE INsuRERA: National Fire Ins. Co. of Hartford INSURER B: Continental Insurance Co. INSURER D INSURER E : RFVISIAN NI IMRFR• NAIC # 20478 35289 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 CONTRACTOR 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, LTR TYPE OF INSURANCE NSRL SUBR WVD POLICY NUMBER MMIDD/NYYY MM/DDY� LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F X1 OCCUR X 6079240297 10/01/2021 10/01/2022 EACH OCCURRENCE S 1 000 000 PREMISESOEaoccurrrence s7009000 MED EXP (Any one person) $15,000 PERSONAL RADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO. POLICY 0 JECT X LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OPAGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY 6079240283 10/01/2021 10/01/2022 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Ix PROPERTY DAMAGE Per accident $ B UMBRELLA LIAB EXCESS LIAB X OCCU RR CLAIMS -MADE 6079240249 10/01/2021 10/01/2022 EACHOCCURRENCE $15000000 AGGREGATE $15 000,000 DED X RETENTION $1 O 000 $ B 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 WC679240252 10/01/2021 10/01/202 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Bremerton is considered additional insured on the General Liability policy. This applies only to the operations performed by the named insured as required and agreed to by contract or agreement. General Liability policy provides primary and non-contributory coverage with respect to any other insurance in force by the certificate holder as required and agreed to by contract or agreement. Waiver of Subrogation applies to General Liability policy where applicable by law and as required and agreed to by contract or agreement. City of Bremerton 345 6th Street, Suite 100 Bremerton, WA 98337 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2887947/M2887868 OPAS Client#: 40157 VANNES ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9128/2021 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CBIZ Insurance Services, Inc. 44 Baltimore Street Cumberland, MD 21502 INSURED RECETVEG zoz� Van Ness Feldman LLP City of �rl?�mnT+�� 1050 Thomas Jefferson Street, NWyy Attlmmn eWs rWflit;e Washington, DC 20007 COVERAGES CERTIFICATE NUMBER: Darlene Hall 443=259-3263 INSURERS) AFFORDING COVERAGE INsuRERA: National Fire Ins. Co. of Hartford INSURER B : Continental Insurance Co. INSURER C INSURER D INSURER E REVISION NUM6ER� 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 CONTRACTOR 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, LTR TYPE OF INSURANCE ADDLSUBR NSR WVD POLICY NUMBER MMIDDY EFF MMIDIDY� LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X 6079240297 10/01/2021 10/01/2022 EACH OCCURRENCE $1 OOO 000 PREMISES Eaoccccurrrence $700OOO MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $1,0003000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECOT XII LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO SCHED AUTOS ONLY AUTOSULED HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY 6079240283 10/01/2021 10/01/2022 COMBINED SINGLE LIMIT Ea accident 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident)$ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 6079240249 10/01/2021 10/01/2022 EACH OCCURRENCE s15,000,000 AGGREGATE $15 000 000 DED X RETENTION $1 O 000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC679240252 _ 10/01/2021 10/01/202 X PER S U EIER OTH- E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Bremerton 345 6th St., Suite 600 Bremerton, WA 98337 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE HE EXPIRATION TDATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2887953/M2887868 OPAS