HomeMy WebLinkAboutCAG2019-169 - Insurance Certificate - 2020 to 2021 - Providing Case Management, Advocacy and 24/7 Access to Crisis Line for DV Victims,.-\, C:C}RT}lL--"
AUTOMOBILE LIABILITY
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CERTIFICATE OF LIABILITY INSURANCE
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O 1988-2015 ACORD CORPORATION. Ail rlghts reserved.
Tho ACORD name and logo are registered marks of ACORD
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AUTOS ONI.Y
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, EXTENO OR ALTER THE COVERAGE AFFORDED BYTHEPOLICIESBELOW. THIS CERTIFICATE OF INSURANCE OOES NOT CONS1TUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER{S}, AUTHORTZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
DATE (MMIDDI/YYY}
12t30t2a'19
IMPORTANT: lf the cortificate holder is an ADOITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
icies may rsquire an endorsement, A slatemsrrt onSUTIONBROGAlstot6rmsthedtfwAtvE0,an itionscond theof ncertaisubjsclpolicy
thi cerlificates notdoes conte to certificatethshts inholder oflleu such
ftI, rrq,(a25) 712.s788
TNSURER{3} AFFORDTNG COVERACE
rNsuRER A : Philadelphia lnsurance Co
INSUREO
coNTACT
NAME:PRODUCER
PLC lnsurance LLC
't 940't 40th Ave W, Suite 440
Lynnwood, WA 98036
NAIC il
1 e058
Domestic Abuse Women's Nelwork
P0 Box 1449
Kent, WA 98035
IN9URER B :
INSURER C :
INSURER D i
INSUREE E I
INSURER F :
ff3,tF", t,,1, 14251 7 12'3664
Fiffihss, plc@plcins.com
THIS IS TO CFRTIFY TI.IAT THE POLICIE$ OI. INSURANCE LIE'TED BELOWHAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIOD
INDICATED NOTWITHSTANDING AIIY REQUIREIVIENT, TERlvl OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTTH RESPECT TO WHTCH I-ilSCER IFICATF MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREINISSUB,IECTTOALLTHE]EI]MS.
EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE EEEN REDUCED BY PAID CTAIM$.
IYPE OF INSURANCE POLICY
'IUMBER
EFF LIMIIS
.sPER OTII.STATUTE ER
E,L EACHACCIDENI , S
E,L DISEASE , EA EMPLOYEE S
PHU8705964
Y/N
il/A
l'lOl.JS
1111202A 1nt2021
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occl,R
CLAllr,lS-lvlADE
10,000
1,000,
1,000,
EACIl OCCIJIlRFNCF
AGGR'GATI
AIIY PROPRIETOR'PARTNER?EXFI]UTIVI:
OTTICERII,,IENTBI-R EXCLT]DED?(Mrndalory ln NH)
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WONKERS COMPE}ISAIION
AND €MPLOYERS' LIABILIIY
X ulrsneLuLng X
EXCE€S LIAB
is roqulrsd)
requlred wrilten withcontract to sralGenbyrsgard
laL formbility suitper t3 6XCe with lo thebrought,pt rsspoclg llm Itsth€ol SUfein r'g ia bllity.
City of Kent
Attn: Lori Guilfoyle
220 4th Avenue S
Kent, WA 98032
SHOULD ANY OF THE ABOVE OESCRIBED POLICIES 8E CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZEO REPRESEilTATIV€
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ACORD 25 {2016/03}