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HomeMy WebLinkAboutCAG2019-363 - Insurance Certificate - Partner In Employment, Inc. - Liability Coverage 10/01/2019-10/01/2020PARTN-1 OP ID: PS AC'aRL7" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/03/2019 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 have ADDITIONAL INSURED provisions or 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 206-622-5505 MHT insurance 1904 Third Ave Suite 714 Seattle, WA 98101 L. Paul Sackett CONT L. Paul Sackett PHONE 206-622-5505 FAX 206-622-9727 IA/C, No, Ext): (ANC, No): E-MAIL psackettpmhtinsurance.com ADDRES : X I COMMERCIAL GENERAL LIABILITY INSURERS AFFORDING COVERAGE NAIC # INSURER A: Alliance of Nonprofits for Ins 10023 INSURED , Ffrtner 1n Em to ment Inc. 21400 In%,rR 9a 8B98d 5 SYE 302 WA INSURERS, INSURER C: INSURERD: Sea l ac, INSURER E: INSURER F: 10/01/2019 rnvc0Ae1_=Q rGRTIFICATF NUMBER: REVISION NUMBER: vTHIS 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 DDL UBR POLICY NUMBER POLICY EFFD M POLICY EXP LIMITS A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 500�QQQ PREMISESEa occurrence $ CLAIMS -MADE � OCCUR �( 2019-49009 10/01/2019 10/0112020 MED EXP (Any oneperson) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY D jE�7 LOC GENERALAGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY BICNED S$INGLE LIMIT 1,000,000 EO ae BODILY INJURY Per person)$ ANY AUTO X 2019-49009 10/01/2019 10/01/2020 BODILY INJURY Per accident $ X OWNED SCHEDULED AUTOS ONLY AUTOpSWN X AUTOS ONLY X ATOS ONLY PeaCciCent AMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED . RETENTION $ A WORKERS COMPENSATION AND ROPRIEERS'LI RINE Y ANY PROPRIETORIPARTNERlEXECUTIVE Y❑ 2019 -49009 -STOP GAP 10/01/2019 10/01/2020 PTAT TE X ORH 1,000,000 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ RFFICERIMEMBER EXCLUDE( ilandatory in NH) N/A 1,000,000 E.L. DISEASE - POLICY LIMIT If yes, describe under DESCRIPTION OF OPERATIONS below A Professional Liab 2019 49009 10/01/2019 10/01/2020 Occurence 1,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Kent, its officers, agents, officials, employees, and volunteers are named an additional insured for the duties performed by the named insured subject to policy terms form CIS 20 26 0413. CERTIFICATE HOLDER CANCELLATION CITYOFK 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 -Housing Human Services 220 Fourth Avenue South Kent, WA 98032 AUTHORIZED REPRESENTATIVE IsKia ala 6&d ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD