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HomeMy WebLinkAboutPW15-059 - Insurance Certificate - Verizon - 12/31/2017-12/31/2018 Coverage - 01/03/2018 A�o0 CERTIFICATE OF PROPERTY INSURANCE 7TE/(MM/DD/YYYY)032018 /2018 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. PRODUCER CONTACT NAME: Aon Risk Services Northeast, Inc. j /�''` ONE (866) 283-7122 FAx (800) 363-0105 New York NY office - '�d1 C X.. No.Ext): (PVC. No.): 199 Water Street `/ AILL. New York NY 10038-3551 USA ADDRESS: PRODUCER 570000027366 CUSTOMER ID#: w G INSURER(S)AFFORDING COVERAGE NAIC# ^C .r INSURED INSURER A: ACE American Insurance Company 22667 �^ Cellco Partnership INSURER B: 0 dba veri zon wireless CITY OF KENT INSURER C: 1095 Avenue of the Americas CITY CLERK INSURER D: New York NY 10036 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570069829266 REVISION NUMBER: LOCATION OF PREMISES/DESCRIPTION OF PROPERTY(Attach ACORD 101,Additional Remarks Schedule,if more space is required) RE: Site Name: SEA 4 Corners, Location Code: 102484 Contract No. 79134, Site Address: 26800 Maple Valley Black Diamond Road SF, Maple valley, WA 98038. 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 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION 00 LTR DATE(MM/DD/YYYY) DATE (MM/DD/YYYY) COVERED PROPERTY LIMITS a) A GPAD 8479453 6 12 31/20 77 12/31/2018 BUILDING O X PROPERTY' / O CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY v^i BASIC BUILDING BUSINESS INCOME BROAD EXTRA EXPENSE W CONTENTS m X SPECIAL RENTALVALUE EARTHQUAKE BLANKET BUILDING Z WIND X BLANKET PIERS PROP $10,000.000 Q FLOOD BLANKET BLDG&PP U lL Blkt PP Ded F- W U INLAND MARINE TYPE OF POLICY CAUSES OF LOSS POLICY NUMBER NAMED PERILS CRIME TYPE OF POLICY BOILER&MACHINERY/ L EQUIPMENT BREAKDOWN t� 1�SPECIAL CONDITIONS/OTHER COVERAGES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) ■ All Risk Property subject to policy terms, conditions and exclusions.required by written contract. waiver of Subrogation applies to the Property policy as 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. City Of Kent ■ Attn: City Clerk _ 220 Fourth Avenue AUTHORIZED REPRESENTATIVE ^X/� / /� �//� Kent WA 98403 USA t�i� e ��.lOfG c/GtA,YCCd c/l��yd� _� ©1995-2015 ACORD CORPORATION.All rights reserved. ACORD 24(2016/03) The ACORD name and logo are registered marks of ACORD