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Home My WebLink AboutIT14-225 - Other - Konica Minolta Service Agreement - Certificate of Insurance CERTIFICATE OF LIABILITY 'NS�1 /"O RN`!� DATEIMMODN 120161'1'1� ACORO DSlzarzols 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). 'z PRODUCER CONTACTNAME. I ADO Risk services Northeast, Inc. PHONE (866) 283-0122 FAx (800) 363-0105 N New York NV Office (AIC.Na.EXQ: (Alo.No.): 199 Water Street E-MAIL 22 '. New York NY 10038-3551 USA ADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: SOmpD Japan Insurance Company of America 11126 Konica Minolta Business Solutions INSURER B: Continental Ins Co Of NJ 42625 U.S.A., Inc. Attn: Lynne Ransom INSURER C: SOO Day Hill Road INSURER D: Windsor CT 06095 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570059641789 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. Limits shown are as requested INS ADDI BUBB POLICY XP LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER MMIDD EFF MMIDDPOLICAYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CPL40210KO 10/01/2015 1 01 2 6 EACH OCCURRENCE $1,000,000 CLAIMS-MADE R❑OCCUR DANAGEI RENTED $100,000 PREMISESS Ea occurrenw CONTRACTUAL LIABILITY MED EXP(Any on,person) $15,000 PERSONAL&ADV INJURY $1.000,000 GEHL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 r v POLICY [7]JPEGOT [X]LOG PRODUCTS-COMP/OP AGO $2,000,006 OTHER' o r A ADV40004 EO 10/O1/201510/O1/2016 COMBINED SINGLE LIMIT 1p AUTOMOBILE LIABILITY $1,OOO OOO A05 Ea accidentl A X ANYAUTO ADV40003DO 10/01/2015 10/01/20IG BODILY INJURY(Per person) Z ALL OWNED SCHEDULED MA BODILY INJURY(Per acciden0 W AUTOS ACTOR NONRDWNED PROPERTY DAMAGE U X HIRED AUTOS X AUTOS Peramident IF! X $1.000 Ded Coll X $OW Ded Como L� N A X UMBRELLALIAB 1 % 1 OCCUR CPU40539NO 10/01/2015 10/01/2016 EACH OCCURRENCE $10,000,000 L) EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DEO I X RETENTION 510,000 A EWORKERS MPLOYERCOMPPEEIN TAYTION AND wcD40000AO 10/01/2015 10/01/2016 X STATUTE °a A YIN WCN40006GO 10/01/2015 10/O1/2o16 ANYPROPRIETORIXCLUERIL%ECUiIVE ❑ EL EACH ACCIDENT $1,000,000 OFFICERon,un BRe%CLUDEUP N NIA OR,WI WCN4O A (Menaatory in NHl WCN4064000 10/01/2015 10/01/2016 E.L.DISEASE EMPLOYEE $1,000,000 M yos,daov,oo�mtlr NY E.L.DISEASE-POLICY LIMIT 11,000,ODU —DESCRIPTION OF OPERATIONS below _ B E&D-MPL-Primary 287233832 10/01/2015 10/01/2016 Prof and Tech Liab $10,000,000— MPL E&O Claims Made Cov. SIR applies per policy terns & condi ions DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be allaebed if more space is required) C� The City of Kent, its officers, directors, agents, employees and volunteers are included as Additional Insured in accordance 2i with the policy provisions of the General Liability, Automobile Liability and Umbrella Liability policies with respect to ti Konica Minolta s work and/or operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The city Of Kent AUTHORIZED REPRESENTATIVE 220 4th Avenue Kent WA 98032 USA ©1988-2014 ACORD CORPORATION.All rights reserved. I,. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD