HomeMy WebLinkAboutCAG19-072 - Insurance Certificate - 2020 to 2021-*]AC#,tT:,CERTIFICATE OF LIABILITY INSURANCE
CHILD-8 OP lD: SR
ION NUMBER:
@ 1988-20't0 ACORD
CERTI NUMBER:
HOLDER
DATE (trrM/DD/yrYY)
02t05t2020
TH ts CE RTIFICA TE IS ISSUED AS A MATTER OF NFORMATION ON LY AND coN FE RS NO RIG HTS UPO N TH E CERTIFICA TE HOLDER.THISCERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND,EXTEN D OR ALTER THE COVE RAGE AFFORDED BY THE PO LI ctEsBELOw'THIS CERTI FICATE OF NSURANCE D OES NOT CONSTITUTE A CONTRACT BETWEEN THE tssut NG INSU RER(s),RE PRESE NTATIVE OR PRODUCER,AND THE c ERTIFICA TE H OLDER.
AUTHORIZED
MPO RTANT:the certificate older ts an ADDITIONAL NSURE D,the policy(ies)m ust be end rsed.tf SUBRO GATION ts WAIVED,th e terms and conditions of the policy,certain policies require endorsement.
subject tomayanAstatementnthiscertificatedoesnotconferrightstothecertificateholdertnlieuofsuchen
PRODUCER
Sprague lsrael Giles
1501 Fourth Avenue, Suite 730
seattle, wA 98101-3225
Matt Conroy CA License #0192858
COVERAGE NAIC #
INSI.JRER A Philadelphia lndemnity lns.8058INSUREDChild Care Resources
1225 South Weller, Suite 3OO
Seattle, WA 98144
INSURER B
INSURER C :
INSURER D :
CATE STAND
ERTAIN
TH IS TOIS CERTIFY THA THET ctPOLI OFES N Uq cRAN LISTEE BED HAVELOW EEN TOISSUED HET N UQ EDR DNAME FORABOVE POLITHE PECY RNOTWTHINDD.ANYNG R EOUIREM TEENT MR OR NCO D OFITION ANY CO TNTRAC OTHEROR UDOC ENTM WTH RESPECT WHICHTO T HISCERTIFIMATEYEDSSUEMAYORPINSURANTHEEcFORAFEBYTHEPOLICIESDESCRIBEDHEREISNUsBJECTALTOTHERTEMS,LUEXC 5 ANONS D coN tTtD OFONS SUCH POLI ES.CI ITSLIM SHOWN IVA HAVEY EENB CEREDU BYD CLAIPAID MS.
TYPE OF INSURANCE
LIMITS
EACH OCCURRENCE 1,0$x
1 00,$
MED EXP one $
PERSONAL & ADV INJURY 1$
GENERAL AGGREGATE
PRODUCTS - COIVP/OP AGG $
A COMIVERCIAL GENERAL LIABILITY
GEN'L AGGREGATE LIMIT APPLIES PER:
XCLAIMS-MADE OCCUR
POLICY LOC
GENERAL LIABILITY
X HPK2092856 02t01t2020 02101t2021
$
1 000,
BODILY INJURY (Per person)$
BODILY INJURY (Per accident)$
X X $
A
AUTOMOBILE LIABILIry
ANY AUTO
ALL OWNED
AUTOS
HIRED AUTOS
SCHEDULED
AUTOS
NON.OWNED
AUTOS
0210112020 02t01t2021
$
EACH OCCURRENCE $
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIIVS-MADE
$AGGREGATE
x
E.L. EACH ACCIDENT $,|
:-1. DISEASE. EA E 1$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/IVEMBER EXCLUDED?
(Mandatory in
N
describe
N/A
8,1,. NISEASE .$1A
PHPK2092856
STOP GAP
o2t01t2tJ20
42t01t2020 aaM12021
02tut2a2'l LIMIT
TE 3,000,
1,000
OFDESCRIPTION OPERATIONS / VEHLOCATIONS ICLES (Attach ACORD Additional'101,Rem arks moreifSchedule,tsspace required)ci of Kent addiis tional-ty insured if red ttenwrl_requi by orcontractttoectthesubjGenerall_Liabil addi tiona]-ty insured sJ-onprovr_sement
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.City of Kent
Attn: Lori Guilfoyle
220 Fourlh Avenue South
Kent, WA 98032
AUTIJORIZED RFPRESENTATIVE
ACORD 25 (2010t051 The ACORD name and logo are registered marks of ACORD
CORPORATION. All rights reserved.