HomeMy WebLinkAboutCAG2019-363 - Insurance Certificate - Partner In Employment, Inc. - Liability Coverage 10/01/2020-10/01/2021DAntnDonv/Yl
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PARTI{.,I
CERTIFICATE OF LIASILITY INSURANCE
O 1908-2015 ACORD CORPORATIOT{. A[ dghtr ranrwd"
Thr AGORD ntm..nd logo en ngbtorrd mertr of AGORD
REQUIREMENT, 1ERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEi.IT
PERTAIN,
POLtCTES.
THIS IS TO CERTIFY T}IAT THE POLICIES OF ASOVE FOR THE POIICY PERIODINSURANCE LISTEO BELOW HAVE EFEN ISSUED TO THE INSUREO t.lArylE0
VI'ITH RESPEC| TO WHICH THISINDICAIEO. NOTWTHSTTfiIDING ANY
CERTTFICAT€ MAY gE ISSUED SUBJEC1 TO ALt THE TERMS,OR MAY THE INSUMNCE AFFOROEO 8Y THE POLICIES OESCRIS€O HEREIN IS
€XCLUSIONS AND coNDtTtoNs oF sucH LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS,
UBRN!n
TYPE OF fiIUNAXCE }OLNY TUTIIT Ltxtt!
'l,ooo,ou!aFlnr lx:Cl ,nPFfitCF
5t,0,000I
MFn FIP t^6u ,fi mnl 20,900t
1,000,000IPFNSONAI I ANV NJ]RY
2,000,000t
pRont,cts - cnMpJop 106 r 2,000,000
A COTIERSIAL CEilENAL LIABISTY
x
fI'*tfifi
5&*
Clr$rls-lt DE OCCUR x 1020.49009 10101t2020 '10t0112021
t
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i
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3
A
A'.IYAUTO
OWNEO
AUTOS ONLY
HIRED
AUTOS ONLY
SCIIEDULEO
AUTOS
NOI+OWNED
AUTOS ONLY
$Altuw
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x x
x 2020.{9009 10101t2020 10n1n021
t
FACI{ OCCI]RFFNCF tOCCUR
CLAIM$MAOE AMPFGATF
UT'RELLA LIA!
EXCS83 UAa 3
DEO RETEI{IION 3 t
trcxI staTt r x or}}EI
E.L EACH ACCIDENT I,ixr0,0003
F t fllsFlqF - Fr ffg ow!1,000,0003
I|OIXER3 COTPEilAATON
A'{O ENIPLOYGRS' I|A'IL'fY
ANY PROPRIE'OR/PARINER/SXECT'TIVE
OFFICER/UEMBER EXCLUO€O?(tl.dltory h t{H)
Y/ lttl
It vd. d€scribo !Jdgt
ri A
2020{9000€TOP GAP 1U01.ns20 $n1n021
A
E.L. DISEASE . FOLICY I !T'l?s 1,000,000
70zo4ggna lutoltzozg 10$1n921AProtolslonal Llab Occuranct
Aggregrtc
1,000,000
2,000,000
oESCRlP/ttOfl OF OPSRATIONS, LOC ttotls, tGlllClCB {ACOiD tot, rddl0ond Rrild(t 8ch.duh, rltt b. rtt.fi.d It nofi rpa h rrqulrd}
Citv of Kent. lte offlcer,r. aoents. ofllclale. emplovees, and
vofuntosrc rire named ah a?dlildnal lncured f6r the dutles performcd by the
namcd lnrurod subject to policy termr form GG 20 26 04 13.
3HOULO Al{Y OF T?I€ AEOVE DESCRIIED POLCISg 8E CA'iICELI-ED EEFORE
I}IE EFNMOX DA?E T}IEREOF, XOTFE ilLL B€ DSLfYEREO SI
ACCOROAITICE wIffi TtlE POUCY PROUtrnS.Glty Of Kent*loulng Human
Servlcor
220 Fourth Avenur Soulh
Xont l{A 98032
ctwoFK
I d",^,,t*l'Gr,rf Add-
AUtHOitrlD REPnBsr{tAM
ACORD 25 €0161031