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HomeMy WebLinkAboutLW15-177 - Insurance Certificate - Kent School District - Certificate of Insurance - 09/01/2014 KBntSD165 Schools Insurance Association of Washington CERTIFICATE OF INSURANCE Issue Date: 07/09/2015 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 MEMORANDUM OF COVERAGE(MOC)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 cerlillcate[,doer is an ADDITIONAL INSURED.the MOC must be endorsetl. a SUBROGAI ION IS WAIVED,subject to the terms and conditions of the MOG.oadain coverage may require an endorsement. Astatement on this ce,6geate does net writer rights to the wnificate holdar in lieu cfsuch endorsement s'. PRODUCER COMPANIES AFFORDING COVERAGE Clear Risk Solutions GENERAL LIABILITY SAW/Munich Re 451 Diamond Drive Torus Specialty Insurance Company Ephrata, WA 98823 AUTOMOBILE LIABILITY Phone 509-754-2027 Fax 509-754-3406 SIAW/Munich Re Torus Specialty Insurance Company INSURED PROPERTY Kent School District#415 SIAW/Munich Re,of al. 12033 SE 256th Street D-700 Kent, WA 98031-6643 CRIME I PUBLIC EMPLOYEE DISHONESTY SIAW/Munich Re COVERAGES THIS IS TO CERTIFY THAf THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTI IE COVERAGE PERIOD INDICATED,NOTWITHSTANDING ANY RFQUIREMFM,TERM OR CONDITION OF CONTRACT OROTHER OCCUMENT WITH RESPECTTO WIL CHTHIS CERTIFICATE MAY BE ISSUED OR MAYPERTAJN.THE INSURANCEAFFORDED BYTHE MOO DESCRIBED HEREIN IS SUBJECT TOALL THETERMS,EXCLUSIONS AND CONDRIONS OF SUCH MOO.UMITS SHOWNMAY HNVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE MOC NUMBER MOC EFF MOC EXP DESCRIPTION LIMITS DATE DATE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY SIAW141534025 09/01/2014 09/01/2015 GENERAL AGGREGATE $31,000,000 OCCURRENCE FORM PRODUCT-COMP/OP ASS $31,000,000 PERSONAL&ADV,INJURY $25.000,000 EACH OCCURRENCE $25.000,000 LIABILITY IS SUBJECT TO A 100,000 SIR PAYABLE FROM PROGRAM FUNDS ANNUAL PROGRAM AGGREGATE $150,000,000 AUTOMOBILE LIABILITY ANY AUTO SIAW141534025 09/01/2014 09/01/2015 COMBINED SINGLE LIMIT $25,000,000 LIABILITY IS SUBJECT TO A 100,000 SIR PAYABLE FROM PROGRAM FUNDS ANNUAL PROGRAM AGGREGATE NONE PROPERTY SIAW141534025 09/01/2014 09/01/2015 ALL RISK PER OCC EXCL EQ&FL $150,000,000 EARTHQUAKE PER OCC EXCLUDED FLOOD PER OGG(Lx-,IFZA&V,,MIeh..t S1MM) EXCLUDED PROPERTY IS SUBJECT TO Aue.001 SIR PAYABLE FROM PROGRAM FUNDS ANNUAL PROGRAM AGGREGATE NONE CRIMEIPUBLIC EMPLOYEE DISHONESTY CRIME st)�ECTTOA$250 too`Ra4t Msln SIAW141534025 09YO112014 09/01/2015 PER LOSS $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I SPECIAL ITEMS Regarding participation in parade. City of Kent, Kent Cornucopia Days,and Kent Lions Club&Foundation are named as Additiona Insured regarding this event only and is subject to coverage terms,conditions,and exclusions. Additional Insured endorsement Is attached. CANCELLATION '.. SHOULD ANY OF THE ABOVE DESCRIBED COVERAGE BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE PROVISIONS OF THE MOC. CERTIFICATE HOLDER AUTHORIZED REPRESENTATIVE City of Kent I(1 II/�/ C1YY11Q�� 220 Fourth Ave S Kent, WA 98032 2986995 I ADDITIONAL INSURED ENDORSEMENT THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: GENERAL LIABILITY COVERAGE PART How Coverage is Changed It is agreed that the interest of any Additional Insured is recognized as their interests may appear, providing the certificate of insurance that this is attached to has been issued and is on file with the Company. The Limits of Insurance applicable to the additional Insured are those specified in either the: 1. Written contract or written agreement; or 2. Declarations for this policy,whichever is less. These Limits of Insurance are inclusive and not in addition to the Limits of Insurance shown in the Declarations. Additional Insured: City of Kent 220 Fourth Ave S Kent,wA 98032 Regarding participation in parade. City of Kent, Kent Cornucopia Days,and Kent Lions Club&Foundation are named as Additional Insured regarding this event only and is subject to coverage terms,conditions,and exclusions. Additional Insured endorsement is attached. Other terms: All other terms of your Memorandum of Coverage remain the same. 2986996