HomeMy WebLinkAboutCAG2008-001 - Insurance Certificate - Fitz Towing - 12/02/2019 to 12/02/2020 Coverage - 12/02/2019,--^
ACORE'-\-"CERTIFICATE OF LIABILITY INSURANCE
CERTIFICATE NUMBER: cr,1 9L727 38L23COVERAGES
DATE (MM/DD/YYYY)
L7/27 /20L9
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE GERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF TNSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE tSSUtNG TNSURER(S), AUTHORTZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANÏ 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 pol¡cy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such
PRODUCER
BeJ-J- .Anderson Àgency, Inc
600 S!{ 39th St, Suíte 200
Renton vre' 98057
Karên I Padilla
(4251 29L-s2OO (42 s) 2 91-5100
karenp@beI1-anderson. con
INSURER(S} AFFORDING COVERAGE NAIC #
TNSURERA: Pioneer Specialtv Insurance Comoanw
INSURED
Fitz Towing: LLC, DBA: Fitz To̡ing
24T6 E St, NE #B
Àuburn !{A 98002
INSIJRER B :
INSURER C
INSURER D:
INSURER E
INSURER F:
REVISION NUMBER:
THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWTHSTANDINGANYREOUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWTHRESPECTTOWHICHTHIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS-
INSRITÞ TYPE OF INSURANCE AUUL
tNan POLICY NUMBER
POLICY EFF POLICY EXP LIMITS
A
x COMMERCIAL GENERAL LIABILITY
CLAIMS.MADE x OCCUR
GEN'L AGGREGATE LI¡,4IT APPLIES PER:
x POLICY
OTHER:
E iff; fl,o"
cPP12 00 9 9201 L2/2/20]-9 t2/2/2020
EACH OCCURRENCE $1,000,000
UAMAUÈ IURÉNIÉU
PRFMISFS fFâ merrrrênôêl $s0,000
MED EXP (Any one person)$s,000
PERSONAL & ADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
PRODUCTS - COMPiOPAGG $2.000,000
$
Ã,
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED
AUTOS
HIRED AUTOS
x SCHEDULED
AUTOS
NON.OWNED
AUTOSxx
cPP1200 6 9901 L2/2/2Or9 L2/2/2020
$1,000, 000
BODILY INJURY (Per person)$
BODILY INJURY (Per accjdent)$
PROPERTY DAI\4AGE $
$
A
x UMBRELLA LIAB
EXCESS LIAB
x OCCUR
CLAIMS.MADE U1,181033824 01 L2/2/201"9 L2/2/2020
EACH OCCURRENCÉ $2 ,000.000
AGGREGATE $2.000.000
DFN x RETENTION $10,000 $
À
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERYMEI\,,IBER ÊXCLUDED?
(Mandatory in NH)
lf yes, describe under
DFSCRIPTION OF OPFRATIôNS hêlôw
Y/N
N/A
cPP12 00 9 9201
ltA Stop Gap
L2/2/2Or9 L2/2/2020
PtR
STÂII ITF
OTH.
trR
E.L. EACH ACCIDENT $1.000.000
E.L. DISEASE . EA EMPLOYEE $1,000,000
E.L. DISEASE - POLICY LIMIT $1.000.000
A
À
Motor Truck Cargo/On Eook
Garage Keepers
cPP120100? 01
cPP12006 9901
!2/2/20L9
t2/2/20L9
L2/2/2020
12/2/ 2020
Any one Vehicle
LegalLiability Limit
$250 , 0 00
$200 ¡ 000
DESCRIPTIONOFOPERATIONS/LOCATIONS/VÉHICLES (ACORDl0l,Add¡tionalRemarksSchedule,maybêattachedifmorespace¡srequ¡red)
The certificate holder is additional insured per the attached endorsement #wNcA27 0616
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Kent Polj.ce Department
22O Al'}: Àvenue SouÈh
Kent, I{B' 98032
AUTHORIZED REPRESENTATIVE
Jason Webb,/CEM ès* bj'{"0
1988-2014 ACORD CORPORATION. All rights reserved
ACORD 25 (2014t0',tì-
lN5025 lzoraor ¡
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