HomeMy WebLinkAboutCAG2019-331 - Insurance Certificate - Cloudburst Consulting Group, Inc. - Development of the 2020-2024 Consolidated Plan - 02/01/2020-
ACORD"
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CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY}
1t9t2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYANDCONFERSNORIGHTSUPONTHECERTIFICATEHOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHEPOLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(S), AUTHORTZED
REPRESENTATIVE OR PRODUGER, AND THE CERTIFICATE HOLDER.
IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
of the policy, certain policies may require an endoFemont. A statement on
such endorsement(s).
If SUBROGATION IS WAIVED,subject to the lerms and conditions
this certificate does not confer to the certificate holder in lieu of
CONTACTNAME:
l#8)*t . .",, (7ogl rzz -2941 771-1852
INSURER{SI AFFORDING COVERAGE NAIC f
AHT lnsurance
20 S. Kino Street
Leesburg] vA20175
pRoDUcER License # CA#0656748
tNsuRER A : Hartford Gasualtv lnsurance Gom oanv 29424
tNsuRER B: Hartford Accident and lndemnitv Comoanv 22357
tNsuRERc 'AXIS lnsurance ComDanv 37273
INSIJRER D :
INSTJRER E:
Cloudburst Gonsulting Group lnc,
8400 Gorporate Drive Suite 550
Landover, MD 20785
INSURED
INSURER F:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIOD
INDICATED. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOROTHERDOCUMENTWTHRESPECTTOWHICHTHIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREINISSUBJECTTOALLTHETERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHO\AN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
AODItitch SUBFINSRITRTYPE OF INSURANCE POLICY NUMBER POLICY EXPIMM'NDffiI LIMITS
FACH OCCIJRRFNCF 1,000,000s
300,000g
I\rFD FXP aAnv 6na narson\10,000s
PFRSONAI & ADV IN.II IRY 1,000,000s
GFNFRAI AGGRtrGATF 2,000,000$
pRoDt tcTs - coMp/op AGG 2,000,000$
A COMMERCIAL GENERAL LIABILITY
x
LIMIT
PRO-
JECT
X
CLAIMS-IVIADE OCCUR
PER:
LOC
X 42SBAUt9402 2t1t2020 2t1t2021
$
1,000,000$
RODII Y lN.ll IRY aPer narc6n\$
FlODll Y lN.ll IRY /Par a.^idant\$
$
A AUTOMOBILE LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
HIRED
AUTOS ONLY
SCHEDULED
AUTOS
NON-O\^AED
AUTOS ONLYxX
42SBAUt9402 2t1t2020 2t1t2021
s
x X EACH OCCURRENCE s 4,000,000UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS-IVADE AGGREGATE $ 4,000,000
A
DED x RETENI9N$ 10,000
42SBAU19402 2t1t2020 2t1t2021
$
X PERSTATI ITF OTH-FP
FI FACHACCINFNT 500,000g
F I DISFASF - trA FMPI OYFF 500,000$
B WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?(Mandatory ln NH)
lf yes, describe under
DFSCRIPTION OF OPFRATIONS bel6w
N N/A
f,2WECACSUDR 2l'112020 2111202'l
F I ntsFASF - pot tav r rMrr 500,000$
c Errorc and Omissions P-001 -000073220-02 211t282A 2t1t2821 R.etention $10,000 2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES {ACORD 1 01. Additional RemarkE Schedulo. mav bo attached if more amce is reouirsdl
City of Kent, Parks DepartmenUHousing & Humbn Servicils Division are included'as Additional lnsured with rebpedts to General Liability per the policy terms.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE VVILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.Gity of Kent
Parks DepartmenUHousing & Human Services Division
220 4th Ave. South
Kent, WA 98032 GzhJa
AUTHORIZED REPRESENTATIVE
@ 1988-2015 ACORD CORPORATION. Att rights reserved.
The ACORD name and logo are registered marks of AGORD
ACORD 25 (2016/03)