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HomeMy WebLinkAboutFCS COI exp. 08.31.27SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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 endorsement(s). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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 THISCERTIFICATE 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY 9/2/2026 Foundation Risk Partners,Corp.P.O.Box 219TimoniumMD 21094 Certificates Team 410-832-7600 (410)832-1849 certs@kleinagencyllc.com The Charter Oak Fire Insurance Company 25615 BOWMCON-03 The Travelers Indemnity Company of America 25666FCS,A Bowman CompanyFCSGroup;Bowman Consulting Group,LTD12355SunriseValleyDrive,Suite 520RestonVA20191 Travelers Property Casualty Company of America 25674 American Guarantee and Liability Insurance 26247 Berkshire Hathaway Specialty Insurance Company 22276 Beazley Insurance Company,Inc.37540 1973140206 A X 1,000,000 X 1,000,000 10,000 1,000,000 2,000,000 X P-630-A3238719-COF-26 8/31/2026 8/31/2027 2,000,000 B 1,000,000 X X X P-810-5880B353-26-43 8/31/2026 8/31/2027 CD X X 25,000,000 X CUP-6J395074-26-43AEC-2474459-00 8/31/20268/31/2026 8/31/20278/31/2027 25,000,000 X 0 C X N UB-6J317115-26-43-G 8/31/2026 8/31/2027 1,000,000 1,000,000 1,000,000 EF Primary Professional &Poll LiabExcessProfessional&Poll Liab 47-EPP-330666-04V3349C260501 8/31/20268/31/2026 8/31/20278/31/2027 Each Claim/AggregateExcessEachClaim/Agg $5M/$5M$5M/$5M RE:Operations.If required by an insured written contract,executed prior to any loss,the City of Bremerton is an Additional Insured on a primary andnon-contributory basis under the General Liability and Auto Liability Policies subject to all policy terms and conditions.If required by an insured written contract,executed prior to any loss,Waiver of Subrogation is provided for General Liability,Auto Liability,and Workers Compensation Policies subject to all policy termsandconditions.Umbrella Policy follows form over General Liability,Auto Liability,and Employer's Liability Policies.30 day notice of cancellation,10 day fornon-payment. City of Bremerton345-6th StreetSuite100BremertonWA98337