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HomeMy WebLinkAboutIT13-214 - Insurance Certificate - Alpha Technologies Services, Inc. - Liability Insurance - 07/01/2015 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY)o7Io2r2a15 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 '. Marsh USA,Inc. NAME: PHONE FAX 1301 5th Avenue,Suite 1900 ac No Seattle,WA 98101 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC q A 1222-STND-GWU-15-16 INSURER A:Federal Insurance Company 20281 INSURED INSURER a.NIA NIA Alpha Technologies,Inc. --- ---- ------ -- ---- -- 3767 Alpha Way INSURER C:Vigilan(Ins Co (Chubb Group) Bellingham,WA 98226 INSURER_D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002843322-05 REVISION NUMBER:5 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 AODL BURR POLICY NUMBER MMIOPOLI CY VFF POLICY EXP LTR DNYYY$ (MMIDDN"Yi LIMITS ' A X COMMERCIAL GENER1AyL L�IABILITY 35881658 0710112015 0710112016 EACH OCCURRENCE $ 1,000,000 CLAIMS MADEOCCUR OHMAGE TO RENTED PREMISES Ea occuneaca $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL R ADV INJURY $ 1,000,ODO GENE AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,060 POLICY PRO JECT X ❑ LOG PRODUCTS-COMPIOPAGG $ 1.00D,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED r SCHEDULED BODILY INJURY(Pereccident) $ AUTOS AUTOS l NON-OWNED PROPERTY DAMAGE $ H HIREDAUTOSAUTOS TPer accdenti.__-- UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB -_ CLAIMS-MADE AGGREGATE $ ___—— DEU RETEN710N$ $ C WORKERS COMPENSATION 71704811 0710112015 0710112016 X STATUTE 0RH AND EMPLOYERS'LIABILITY ANY PROPRIETORJPARTNERIEXECUTIVE Y/N E.L EACH ACCIDENT $ 1,000,000 OFRCMMEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) City of Kent is Additional Insured as respects their interest in the operalion of the Named Insured as required by Ymtten Contract regarding General Liability. Coverage is Primary,Separation of Insureds applies. i CERTIFICATE HOLDER CANCELLATION City of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ann:Sean Kelsey THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 220 Fourth Avenue South ACCORDANCE WITH THE POLICY PROVISIONS. Kent,WA 98032 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Valerie Merry ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD )