HomeMy WebLinkAbout6288 2022-23 E & O Ins CerteiQd CERTIFICATE OF LIABILITY INSURANCE Lt /29 /2022THISCERnFICATEsssuEDASAMATTEROFNFORMANONoNLYANDcoNFERsNORIGHTSuPoNTHEcERnFtCATEHOLDcERTIFICAEER.THISooESOTAFFRMATIVELYoRNEGA_TIVELY AMEND,EXTENo OR ALTER THE COVERAGE AFFOROEo BY THE PoLrctEsBELOW.THIs cERNFICATE OF NSU RANCE DOES NOT cot{sTrTUTE A cONTRACT BETWEEN THE ssUIN G It{sURER(s),AUTHO RIZEDREPRESEt{TATIVE OR PRODUCER,AND THE cERTIFICATE HoLDER.
II$PORTANI l, tho certificate h
th€ tErms and conditions of the
certificato holder in lieu of such
older is an ADDtnO Itt SURED, tho pollcy(ies) must be endoEed. f SUBROGATION lS WAIVEO, subrect ropollcy, cortain pollcios may rsqui.o an qndoEement. A statoment on this certlficato does not confer rights to theondorsement{s).
PROTruCER
Iot€D Agenciea, fnc
P O Box 1554
Buckley ra 98321
Dianne Dai.nes
PHONE 360-829-9{00
ddainese totonag€ncies. con
INSURERIS) AFFOROING COVERAGE
|NSURERA: Contin6ntal Casualtv CoDpanv
lrlSUAED
Pacifj.c Fo!€at Resourc€s, Inc
P. O. Box 395
Enu[claw IIA 98022
II{SURERB
NSURER C
INSURER D
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUIUIBER:prof liab REVISION NUlIIBER:
THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO
INDICATED, NOT\MTHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT wtTH RESPECT TO V',/}IICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROEO BY THE POLICIES OESCRIBED HEREIN IS SUBJECT TOALLTHE TERMS,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHO!1,i|MAY HAVE BEEN REDUCED 8Y PAIO CLAIMS.
POTICY EXP UMITSUitsRTYPE OF INSUNANCE ADDL ST'BR PIOUCYNUMBER POLICY EFF
EACH OCCURRErcE i
O1MAGE TO RENIED t
MED EXP (Any on6 p6.son)I
5PERSONAL & AOV INJURY
IGENERALAGGREGATE
tPRODUCTS. COMP/oPAGG
5
COMT ERCIAL GENERAL LLAEIUTY
GEN'LAGGREGATE LIMIT APPLIES PER:
CLAIMS.MADE OCCUR
LOCPOLICYPRO.
JECT
ICOMBINEDSINGLE LIMIT
AOOILY INJURY (P6r p€Bon)$
IBODILY INJURY (Pd adio.nt)
3PROPERTYDAMAGE
a
SCHEDULEO
AUTOS
NON.oWNED
AUTOS
AUTOIOSILE UABUTY
HIREDAUTOS
ALL OWNED
AUTOS
$EACH OCCURRENCE
tAGGREGATE
UflEREI].4 LIAB
ETCESS IAB
OCCUR
CLAIIIS.MADE
$DED RETENTION I PER OTH.ER
IE,L. EACH ACCIDENT
5E L. DISE .sE - EqEMPLOYEE
E L, DISEI.SE. POLICY LIMIT $
WORXERS COIIPENSAIrc'I
AND EI'PLOYEiS UAEIUTY
ANY PROPRIETOFI/PAFTI{ EfUEiGCUTIVE
OFFICEfolUET'OER EXCLUOEO?
oFscPlPTloN OF OPFRATIONS bdd
5lt/2o23 t2,000,000 p.r @mE 91.000 dedsra25.o59o8a 5/7 /2022Prol.!.ionrM..biIityA
DEaCF|PnONOF OPERATION3I LOCAnONS
'
VEHTCLES TACORO l Ol, Addltl@l F.iurt. Schcduh, ry !..ttrch.d r f,o6 rp.6l. EqqlEd,
As lesp€cts oPeEation of the na.Bed insurod.
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CERTIFICATE HOLOER CANCELLATION
City of Br6narton
Attn: Riak ManageEent
3{5 6th St!6€t 11600
BreDerton, wA 9833?
SHOULO ANY OF THE ABOVE DESCRIBEO POLICIES AE CANCELLEO BEFORE
rHE EXPIRATION OATE THEREOF, }IOTICE WLL BE DELIVERED IN
accoRDANcE wNTHE POLICY PROVISIONS.
AUTHOREEO
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lNS025 (2014o1)
The ACORD name and logo arc registered marks of ACORD
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