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Home My WebLink AboutCertificate of Coverage - 0000031704-City of BremertonNon Profit Insurance Program 2025-2026 Page 1 Issue Date 5/22/2025 Cert #:0000031704 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE NPIP COVERAGE AGREEMENT BELOW. THIS CERTIFICATE OF COVERAGE 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 COVERED PARTY, THE COVERAGE AGREEMENT MUST BE ENDORSED. IF SUBROGATION IS WAIVED, SUBJECT TO THE TERMS AND CONDITIONS OF THE COVERAGE AGREEMENT, CERTAIN COVERAGE MAY REQUIRE AN ENDORSEMENT. A STATEMENT ON THIS CERTIFICATE DOES NOT CONFER RIGHTS TO THE CERTIFICATE HOLDER IN LIEU OF SUCH ENDORSEMENT(S). PROGRAM ADMINISTRATOR COMPANIES AFFORDING COVERAGE Clear Risk Solutions 159 Basin Street SW PMB #206Ephrata, WA 98823 COVERED PARTY Admiral Theatre Foundation, The 515 Pacific Avenue Bremerton, WA 98337 GENERAL LIABILITY: AUTOMOBILE LIABILITY PROPERTY CRIME WRONGFUL ACT LIABILITY MISCELLANEOUS PROFESSIONAL LIABILITY NPIP / Munich Re. et al. NPIP / Munich Re. et al. NPIP / Munich Re. et al. NPIP / Munich Re. et al. NPIP / Munich Re. et al. NPIP / Munich Re. et al. COVERAGES THIS IS TO CERTIFY THAT THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE COVERED MEMBER NAMED ABOVE FOR THE COVERAGE PERIOD INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE COVERAGE AFFORDED BY THE NPIP COVERAGE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH COVERAGE AGREEMENT. LIMITS SHOWN BELOW MAY HAVE BEEN REDUCED BY PAID CLAIMS. LINE OF COVERAGE COVERAGE NUMBER EFF DATE EXP DATE DESCRIPTION LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY (OCCURRENCE FORM) NPIP252658541 6/1/2025 6/1/2026 PER OCCURRENCE $2,000,000 INCLUDES STOP GAP – EMPLOYERS LIABILITY PER MEMBER AGGREGATE $4,000,000 PRODUCT-COMP/OP $2,000,000 MEMBER DEDUCTIBLE: $0 PERSONAL & ADV. INJURY $2,000,000 (LIABILITY IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATE $50,000,000 AUTOMOBILE LIABILITY COMMERCIAL AUTOMOBILE LIAB. (ANY AUTO) NPIP252658541 6/1/2025 6/1/2026 COMBINED SINGLE LIMIT $2,000,000 (LIABILITY IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATE NONE PROPERTY COMMERCIAL PROPERTY NPIP252658541 6/1/2025 6/1/2026 ALL RISK PER OCC EXCL EQ & FL $100,000,000 EARTHQUAKE PER OCC $1,000,000 EQ AND FLOOD COVERAGE MAY BE EXCLUDED FOR INDIVIDUAL LOCATIONS FLOOD PER OCC $1,000,000 (PROPERTY IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATE NONE CRIME COMMERCIAL CRIME NPIP252658541 6/1/2025 6/1/2026 PER OCCURRENCE $1,000,000 INCLUDES EMPLOYEE THEFT/DISHONESTY & ERISA COVERAGE MEMBER DEDUCTIBLE: $1,000 PER MEMBER AGGREGATE $1,000,000 (CRIME IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $5,000,000 WRONGFUL ACT LIABILITY (INCLUDES E&O / D&O) WRONGFUL ACT LIABILTIY (CLAIMS MADE)NPIP252658541 6/1/2025 6/1/2026 PER CLAIM $2,000,000 MEMBER DEDUCTIBLE: $1,000 PER MEMBER AGGREGATE $2,000,000 (LIABILITY IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATE $40,000,000 MISCELLANEOUS PROFESSIONAL LIABILITY MISC. PROFESSIONAL LIABILITY (CLAIMS MADE) NPIP252658541 6/1/2025 6/1/2026 PER CLAIM $1,000,000 MEMBER DEDUCTIBLE: $1,000 PER MEMBER AGGREGATE $1,000,000 (LIABILITY IS SUBJECT TO A $500,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $40,000,000 CANCELLATION NOTICE: SHOULD ANY OF THE ABOVE-DESCRIBED COVERAGES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE NPIP COVERAGE AGREEMENT PROVISIONS. NON PROFIT INSURANCE PROGRAM CERTIFICATE OF COVERAGE Non Profit Insurance Program 2025-2026 Page 2 Issue Date 5/22/2025 Cert #:0000031704 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMS Regarding the Opening Night Gala/Performance event on October 6, 2017. City of Bremerton is named as Additional Covered Party regarding this event only and is subject to coverage terms, conditions, and exclusions. Additional Covered Party endorsement attached. CERTIFICATE HOLDER AUTHORIZED REPRESENTATIVE City of Bremerton 345 6th Street, Suite 600 Bremerton, WA 98312 Non Profit Insurance Program 2025-2026 Page 3 Coverage#: NPIP252658541 Effective Date: 6/1/2025 Cert #:0000031704 Issue Date 5/22/2025 ADDITIONAL COVERED PARTY AMENDMENT – DESIGNATED PERSON OR ORGANIZATION This endorsement modifies coverage provided under the following: GENERAL LIABILITY COVERAGE PART This endorsement changes the Coverage Agreement effective on the inception date of the Coverage Agreement unless another date is indicated above. Providing the certificate of coverage that this endorsement is attached to has been issued by and is on file with the Company, the following applies. SCHEDULE Person or Organization (Additional Covered Party): City of Bremerton 345 6th Street, Suite 600 Bremerton, WA 98312 Description of Activities / Operations / Designated Premises: Regarding the Opening Night Gala/Performance event on October 6, 2017. City of Bremerton is named as Additional Covered Party regarding this event only and is subject to coverage terms, conditions, and exclusions. Additional Covered Party endorsement attached. With respect to coverage under the General Liability Coverage Part: A.The Definition of Covered Party in the LIABILITY COVERAGES – COMMON CONDITIONS, DEFINITIONS AND EXCLUSIONS section of this Coverage Agreement is amended to add as a Covered Party the person or organization shown in the above Declarations with whom you have agreed in a written contract or written agreement that such person or organization be added as an additional Covered Party in your Coverage Agreement. Such person or organization is a Covered Party only with respect to their liability assumed by you that would be otherwise imposed by law in the absence of any contract or agreement relating to or arising out of the specified activity(ies) or operations described in the above Declarations. However, this coverage only applies with respect to liability for Bodily Injury, Property Damage, or Personal and Advertising Injury caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In performance of your ongoing operations; or 2. In connection with your premises owned or rented to you. The following provisions also apply: (1)The written contract or written agreement must be in effect at the inception of the Coverage Period or become effective during the Coverage Period; and (2)The written contract or written agreement must be executed prior to the Bodily Injury or Property Damage. Subject to the paragraphs above, any such person's or organization's status as an additional Covered Party ends when any of the following first occurs: Non Profit Insurance Program 2025-2026 Page 4 (1)This Coverage Agreement terminates; (2)The written contract or written agreement terminates; or (3)The specified activity(ies) or operations described in the above Declarations terminate. B.The following is added to Condition D. Other Insurance in the LIABILITY COVERAGES – COMMON CONDITIONS, DEFINITIONS AND EXCLUSIONS section of the Coverage Agreement, and supersedes any provision to the contrary: For the additional Covered Party under your Coverage Agreement shown in the above schedule, and subject to Paragraph A. above, this coverage is primary to and will not seek contribution from any other insurance available to such additional Covered Party provided that: (1)The additional Covered Party is a Named Insured under such other insurance; and (2)You have agreed in writing in a contract or agreement that this Coverage would be primary and would not seek contribution from any other insurance available to the additional Covered Party for amounts payable under the coverage provided by this endorsement. C.The Limits of Coverage applicable to the additional Covered Party is the lessor of those limits specified in either the: •Written contract or written agreement; or •Declarations for this Coverage Agreement, In no case will the limits of coverage provided under this General Liability endorsement exceed the limits as required in the contract or agreement, or the limit of liability available under this Coverage Agreement. These Limits of Coverage are part of and not in addition to the Limits of Coverage shown in the Declarations. Except with respect to the Limits of Coverage, and any rights or duties specifically assigned in this Coverage Part to the Covered Member, this coverage applies: a. As if each Covered Member were the only Covered Member; and b. Separately to each Covered Party against whom claim is made or Suit is brought. All other terms and conditions remain unchanged