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Home My WebLink AboutCAG2019-114 - Insurance Certificate - 1/1/2020 to 1/1/2021 - Path ProgramDATE {MM/OD|/YYY) 1213112019 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. TH|S CERTTFICATE OF TNSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(S), AUTHORTZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. lf SUBROGATION lS 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 Parker, Smith & Feek, lnc. 2233 1121h Avenue NE Bellevue. WA 98004 425-709-3600 425-709-7460 tNst,AFFORDING COVERAGE NAIC # INSURER A Health Providers lnsurance Reci INSURED INSURER B Allmerica Financial Benefit lnsuranceSound 6400 Southcenter Blvd Tukwila. WA 98188 INSURER C INSURER D INSURER E COVERAGES CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE NUMBER: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 REQUIREIVENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUI\4ENT 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 CLAIIVIS. GENERAL LIABILITY x COMMERCIAL GENERAL LIABILITY CLAIMS-MADE x OCCUR K Retro Date: 11111986 x Deductible: $50,000 GEN'L AGGREGATE LIMIT APPLIES PER: x X HCL201144 o11o112020 011o112021 EACH OCCURRENCE s 1,000,000 DAMAGE TO RENTED PAtr^nlqtrq /F. ^.-r rr.ah.6\s 500,000 l\4ED EXP fAnv one oerson)$ 5,000 PERSONAL & ADV INJURY s lncluded GENERAL AGGREGATE $ 5,000,000 PRODUCTS - COMP/OP AGG g lncluded $ B AUTOMOBILE LIABILIry K ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON.OWNED AUTOS A.W2D79012001 o1to1t2020 01t01t2021 q 1,000,000 BODILY INJURY (Per person)$ BODILY INJURY (Per accident)$ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAII\,1S-MADE EACH OCCURRENCE AGGREGATE $ s DFD RFTFNTION S s WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (l\ andatory in NH) lf yes. describe under DESCRIPTION OF OPERATIONS below Y/N N/A E.L. EACH ACCIDENT E.L. DISEASE. EA EM E.L. DISEASE. POLICY LII\,1IT s s s A Professlonal Liability HCL201144 01t01t2020 0110112021 $1,000,000 Each Claim / $5,000,000 Aggregate / $50,000 Retention DESCRIPTIONOFOPERATIONS/LOCATIONS/VEHICLES (AttachACORDl0l,AdditionalRemarksSchedule,ifmorespaceisrequired) City of Kent is included as an additional insured on the general liability policy per attached endorsements/forms. CERTIFICATE HOLDER CANCELLATION CITY OF KENT Parks Dept./Housing & Human Services Attn: Dinah R. Wilson, CDBG Coordinator 220 4th Avenue S. Kent. WA 98032'0000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A|ltn. &act} ACORD 25 (201010s) O 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 3oirl (AAD00) Health Pror.iders Insurance Reciprocal, RRG "HealthProt' A BETA Hcalthcarc Group Company ENDORSEMENT ADDITIONAL INSURED - BLANKET _ GENERAL LIABILITY FOR NAMED INSURED'S CONTRACTS It is understood and agreed that coverage affordecl by Section 3 (Bodily Injury and Property Damage Liability) and Section 4 (Personal Injury, Advertising lnjury and Discrimination Liability) of this Folicy is extended to any person or otganization for whom the Nametl Insurecl or Subsidiary is reqgired by a written agreement to obtain and maintain insurauce or other coverage as an Additional Insured pursuant to Section 7.2,but only for legal liability arising out of the acts, crrors or omissions of the Namecl Insurerl or a Subsidiary solely in the performance of thc written agreernent between the Name4 Insured or Subsicliary a'd tlie Additional Insured. This Endorsement does not extend coverage for the acts, errors or omissions of thircl partics or their employees. This Endorsement extends protection to the Additional Insured prior to any applicable insurance, other coverage orself-insurance and will not seek the contribr.rtion fi'om any insurance, other coverage or self-insurance available to the Additional Insured. ALL OTHER TERMS, CONDITIONS AND IIXCLUSIONS RIMAIN I.INCI]ANGED Authorized Representative of FlealthPro Iragc I Endorsentcnt No c408-01 Issued to: Sound Effective Date: 01/0U20 at l 2:01 a.m.Expiration Date:0U0U2l at l2:01 a.rn Additional Premium: Per Policy r rcl-c408(0 l/l 9)Dale Issued: January 0 I, 2020 (lnirral) Named Insured: Sound 6400 Southcenter Blvd. Tukwila, WA98188 Broker: Parker, Smith & Feek 2233 ll2h Ave NE Bellevue, WA 98004 This document certifies that coverage is in force for the Named Insured on the Issue Date below, subject to the terms and conditions ofthe Policy designated. It is issued as a matter of information and does not confer any rights to any Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded under the Policy. If the Policy, or coverage for any Insured, is canceled for any reason or ifthe terms of the Policy are changed, we will noti$, the Named Insured only. Coverage is not in effect unless and until all payments are received when due. Policy Number Effective Date Expiration Date Retroactive Date * HCL-20-1144 0l/0112020 aI72:01 um 01 l0l /2021 aI 72:01 a.m.0l/01/1986 at 12:01 a.m. Type of Coverage: n Professional Liability - Claims Made and Reported tr General Liability - Occurrence Limits of Liability: $1,000,000 Per Claim $5,000,000 Aggregate Per Policy Period Deductible: $50,000 Per Claim NONE Aggregate Per Policy Period Description of Coverage: City of Kent is included as an additional insured on the general liability policy per attached endorsementVforms. Issue Date: December 23,2019 Certificate Holder: City of Kent Parks Dept.Alousing & Human Services Attn: Dinah R. Wilson, CDBG Coordinator 220 4th Avenue S. Kent, WA 98032 Authorized Representative: R. Corey Grove Senior Vice President, Insurance Operations .B BETA HEATTHCARE GROUP HEALTH PROVIDERS INSURANCE RECIPROCAL, RRG CERTIFICATE OF INSURANCE * the retroactive date applies to claims made coverage only Health Providers Insurance Reciprocal, RRG 1443 Danville Boulevard Alamo, CA94507-1973 (925) 838-6070 58598 Health Providers Insurance Reciprocal, RRG ttHealthPrott A BETA Healthcare Group Company ENDORSEMENT ADDITIONAL INSURED - BLANKET - GENERAL LIABILITY FOR NAMED INSURED'S CONTRACTS Issued to: Sound Effective Date: 01/0U20 at 12:01a.m Expiration Datez 0'l/0U21 at l2:01 a.m Additional Premium: Per Policy It is understood and agreed that coverage afforded by Section 3 (Bodily Injury and Property Damage Liability) and Section 4 (Personal Injury, Advertising Injury and Discrimination Liability) of this Policy is extended to any person or organization for whom the Named Insured or Subsidiary is required by a written agreement to obtain and maintain insurance or other coverage as an Additional Insured pursuant to Section 7.2,but only for legal liability arising out of the acts, errors or omissions of the Named Insured or a Subsidiary solely in the perfornance of the written agreement between the Named fnsured or Subsidiary and the Additional Insured. This Endorsement does not extend coverage for the acts, errors or omissions of third parties or their employees This Endorsement extends protection to the Additional Insured prior to any applicable insurance, other coverage or self-insurance and will not seek the contribution from any insurance, other coverage or self-insurance available to the Additional Insured. ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS REMAIN LINCTIANGED. Authorized Representative of HealthPro Endorsement No c408-01 HCL-C408(01/19)Page I Date Issued: January 01, 2020 (Initial)