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HomeMy WebLinkAboutPK15-162 - Insurance Certificate - AAA Pest Control - Liability Coverage - 05/04/2015 i AAAPE-1 OP ID:TB CERTIFICATE OF LIABILITY INSURANCE E05/01/2015 ATE / Y) 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 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). PRODUCER CONTACT Phone:425-258-2300 NAME: Tisha Bliven Whitfield's United Insurance Fax:425-258-9363 PHONE 425-317-3564 -FAX IC PO Box 1127/3425 Broadway A/C No Ext: A/C,No: 866-306-5354 Everett, 98206 E-MAIL Dan Olsonn SS:tisha-bliven@leavitt.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Everest Indemnity Company 10851 INSURED AAA Pest Control, Inc. INSURER B: 304 First Avenue South, INSURER C: Kent,WA 98032 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A EX PREMISESS COMMERCIAL GENERAL LIABILITY X 51GL007221-151 05/04/2015 05/04/2016 DAMAGE ( RENTED 100,000 PREM Ea occurrence $ CLAIMS-MADE � OCCUR MED EXP(Any one person) $ 10,000 X Ded:$1,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO LOC $ AUTOMOBILE LIABILITY Oaaccident)BINEDSINGLE LIMIT E $ 1,000,000 A X ANY AUTO X 51 CA000390-151 05/04/2015 05/04/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X Comp:$1000 X Coll:$1000 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 A X EXCESS LIAB CLAIMS-MADE 51CCO02619-151 05/04/2015 05/04/2016 AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS X ER A ANY PROPRIETOR/PARTNER/EXECUTIVE 51GL007221-151 05/04/2015 05/04/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A WDI/OInspection 51GL007221-151 05/04/2015 05/04/2016 Limit: $1MM/$2MM WDO Treatment Ded: 1,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Per written contract, City of Rent is additional insured per the terms and conditions of form ECG20596 0412 and ECA04506 0609. Coverage is primary and non contributory per form ECG24520 0805. Excess policy follows form. Per project aggregate is included per form ECG25529 0110. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Kent ACCORDANCE WITH THE POLICY PROVISIONS. 220 Fourth Ave S Kent,WA 98032 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD S THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT WITH CAP This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Projects: Designated Construction Project General Aggregate Limit Cap: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under SECTION I — Coverage A, and for all medical expenses caused by accidents under SECTION I - Coverage C, which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. A separate Designated Construction Project General Aggregate Limit applies to each designated construc- tion project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declara- tions. However, the separate Designated Construction Project General Aggregate Limit(s) are subject to a Designated Construction Project General Aggregate Limit Cap in the amount shown in the above Sched- ule of this endorsement. The Designated Construction Project General Aggregate Limit Cap is the most we will pay under the Designated Construction Project General Aggregate Limit for all designated con- struction projects combined. 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damages because of"bodily injury" or"property damage" included in the "products-completed operations hazard", and for medical expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or"suits" brought; or c. Persons or organizations making claims or bringing "suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Construction Project General Aggregate Limit for that designated construction pro- ject and the Designated Construction Project General Aggregate Cap. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construc- tion Project General Aggregate Limit for any other designated construction project shown in the Schedule above. However, such payments for damages and medical expenses included in the Designated Con- struction Project General Aggregate Limit for all designated construction projects combined will reduce the Designated Construction Project General Aggregate Limit Cap. 4. The limits shown in the Declarations for Each Occurrence, Fire Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project General Aggregate Limit. ECG 25 529 01 10 Copyright Everest Reinsurance Company, 2010 Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 40/40/40 f f B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under SECTION I — Coverage A, and for all medical expenses caused by accidents under SECTION I — Coverage C, which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-Completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. C. When coverage for liability arising out of the "products-completed operations hazard" is provided, any pay- ments for damages because of "bodily injury" or "property damage" included in the "products-completed op- erations hazard"will reduce the Products-Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit. D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then re- started, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or time- tables, the project will still be deemed to be the same construction project. E. The provisions of Section III - Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. F. If this policy contains any retained limits, Self Insured Retentions, deductibles or similar provisions, such provisions shall also apply to this endorsement. ECG 25 529 01 10 Copyright Everest Reinsurance Company, 2010 Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. e v COMMERCIAL GENERAL LIABILITY ECG 24 520 08 05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT - OTHER INSURANCE (PRIMARY NONCONTRIBUTORY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Condition 4. Other Insurance of SECTION IV (2) Any other primary insurance available to COMMERCIAL GENERAL LIABILITY CONDITIONS you covering liability for damages arising is replaced by the following: out of the premises or operations, or the a. Primary Insurance products and completed operations, for which you have been added as an addi- This insurance is primary except when b. be- tional insured by attachment of an en- low applies. If this insurance is primary, our ob- dorsement. ligations are not affected unless any of the other insurance is also primary. Then, we will When this insurance is excess,we will have no share with all that other insurance by the duty under Coverages A or B to defend the in- method described in c. below, except that we sured against any"suit" if any other insurer has will not seek contribution from any party with a duty to defend the insured against that"suit". If no other insurer defends, we will undertake whom you have agreed in a written contract or to do so, but we will be entitled to the insured's agreement that this insurance will be primary and noncontributory, if the written contract or rights against all those other insurers. agreement was made prior to the subject "oc- When this insurance is excess over other in- currence"or offense. surance, we will pay only our share of the b. Excess Insurance amount of the loss, if any, that exceeds the sum of: This insurance is excess over: (1) The total amount that all such other insur- (1) Any of the other insurance, whether pri- ance would pay for the loss in the absence mary, excess, contingent or on any other of this insurance; and basis: (2) The total of all deductible and self-insured (a) That is Fire, Extended Coverage, amounts under all that other insurance. Builder's Risk, Installation Risk or simi- larcoverage for"your work"; We will share the remaining loss, if any, with any other insurance that is not described in this (b) That is Fire insurance for premises Excess Insurance provision and was not rented to you or temporarily occupied by bought specifically to apply in excess of the you with permission of the owner; Limits of Insurance shown in the Declarations (c) That is insurance purchased by you to of this Coverage Part. cover your liability as a tenant for"prop- c. Method Of Sharing erty damage" to premises rented to you or temporarily occupied by you with If all of the other insurance permits contribu- permission of the owner; or tion by equal shares, we will follow this method also. Under this approach each insurer con- (d) If the loss arises out of the maintenance tributes equal amounts until it has paid its ap- or use of aircraft, "autos" or watercraft plicable limit of insurance or none of the loss to the extent not subject to Exclusion g. remains, whichever comes first. of Section I — Coverage A — Bodily In- jury And Property Damage Liability. ECG 24 520 08 05 Includes copyrighted material of Insurance Services Office, Page 1 of 2 0 Inc., with its permission. Y If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of in- surance to the total applicable limits of insurance of all insurers. ECG 24 520 08 05 Includes copyrighted material of Insurance Services Office, Inc. Page 2 of 2 Used with its permission. COMMERCIAL AUTO ECA 04 506 06 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTO ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM The following is a summary of the Limits of Insurance and additional coverageon de endorsement ythis endorse and ment. For complete details on specific coverage, please referti policy language the underlying Business Auto Coverage Form. Coverage Applicable Enhancement Broadened Subsidiaries As Insureds Broadened Nil Ac uired Oroanizations As Insureds Broadened Blanket Additional Insureds Broadened Employees As Insureds(Non-Ownership) $3,000 Limit Supplementary Payments—Bail Bonds $1,000 per day Su i)mentary Payments—Loss Of Earnings Broadened Fellow Employee Bodily Injury Broadened Towing Covera e—All Covered Autos Broadened Glass Breakage Covera e—Waiver of Deductible $50 per day Loss of Use Expenses $1,000 Limit Broadened Stolen Vehicle Extra Expense Broadened Airbaq Discharge Broadened Electronic E ui ment (Permanent-111 Installed Broadened Sin le Deductible Provision Broadened Notice To Com an Blanket Waiver Of Subrogation Broadened Broadened Unintentional Failure To Disclose Hazards Broadened Bodil In u Includes Mental An uish Covera a Territory Extension -Mexico Broadened ECA 04 506 06 09 Copyright, Everest Reinsurance Company, 2009 Page 1 of 5 ❑ Includes copyrighted material of Insurance Services Office, Inc. used with its permission. COMMERCIAL GENERAL LIABILITY ECG 20 596 04 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section 11 — Who Is An Insured is amended to D. With respect to the insurance afforded to an addi- include as an additional insured any person or or- tional insured, the following additional exclusions ganization for whom you are performing opera- apply: tions when you and such person or organization This insurance does not apply to: have agreed in writing in a contract or agreement that such person or organization be added as an 1. "Bodily injury", "property damage" or "personal additional insured on your policy. Such person or and advertising injury"arising out of any act or organization is an additional insured only with re- omission of an additional insured or any of its spect to liability for"bodily injury", "property dam- employees. age" or "personal and advertising injury" but only 2. "Bodily injury", "property damage" or"personal to the extent caused, in whole or in part, by: and advertising injury" arising out of the ren- 1. Your acts or omissions; or dering of, or the failure to render, any profes- 2. The acts or omissions of those acting on your sional architectural, engineering or surveying behalf; services, including: in the performance of your ongoing operations for (a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, an additional insured. opinions, reports, surveys, field orders, A person's or organization's status as an addi- change orders or drawings and specifica- tional insured under this endorsement ends when tions;or your operations for that additional insured are (b) Supervisory, inspection, architectural or completed. engineering activities. B. The insurance afforded to an additional insured 2. "Bodily injury" or "property damage" occurring shall only include the insurance required by the after: terms of the written agreement and shall not be broader than the coverage provided within the (a) All work, including materials, parts or terms of the Coverage Part. equipment furnished in connection with C. The Limits of Insurance afforded to an additional such work, on the project (other than ser- insured shall be the lesser of the following: vice, maintenance or repairs) to be per- formed by or on behalf of an additional in- 1. The Limits of Insurance required by the written sured(s) at the location of the covered agreement between the parties; or operations has been completed;or 2. The Limits of Insurance provided by this Cov- (b) That portion of"your work"out of which the erage Part. injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcon- tractor engaged in performing operations for a principal as a part of the same project. ECG 20 596 04 12 Copyright, Everest Reinsurance Company 2009 Page 1 of 1 ❑ Includes copyrighted material of Insurance Services Office, Inc., used with its permission. PEST CONTROL INC. Simply the best! May 5, 2015 City of Kent 220 Fourth Ave S Kent, WA 98032 Subject: Certificate of Liability Insurance To Whom It May Concern: We recently renewed our liability insurance policy. Enclosed you will find a new Certificate of Liability Insurance, effective 05/04/15 through 05/04/16. Please retain this copy for your files. If you have any questions, please call Sue Froyd at 888-854-7117. Sincerely, Michele Sherwin Administrative Assistant Enclosure If it bu s ou .. it bu s us: Y g g 304 1 st Avenue South-Kent,WA 98032 253.854.7117 888.854.7117 fax:253.859.3753 www.aaapest.com